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Home My WebLink About09/10/2020 - Compliance Inspection Form Minnesota Pollution Compliance Inspection Form Control Agency 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems (SSTS) St.Paul,MN 55155-4194 Doc Type:Compliance and Enforcement Inspection results based on Minnesota Pollution Control Agency(MPCA) For local tracking purposes: requirements and attached forms—additional local requirements may also apply. Submit completed form to Local Unit of Government(LUG)and system owner within 15 days System Status System status on date(mm/dd/yyyy): 9/10/2020 Z1 Compliant— Certificate of Compliance C Noncompliant— Notice of Noncompliance (Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3.) frame outlined in Local Ordinance.) Reason(s)for noncompliance (check all applicable) ❑ Impact on Public Health (Compliance Component#1)—Imminent threat to public health and safety ❑Other Compliance Conditions(Compliance Component#3)—Imminent threat to public health and safety ❑Tank Integrity(Compliance Component#2)—Failing to protect groundwater ❑Other Compliance Conditions(Compliance Component#3)—Failing to protect groundwater ❑Soil Separation(Compliance Component#4)—Failing to protect groundwater ❑Operating permit/monitoring plan requirements(Compliance Component#5)—Noncompliant Property Information Parcel ID#or Sec/Twp/Range: Property address: 2125 Carriage Lane,Orono Reason for inspection: Sale Property owner: Tony Shibley Owner's phone: 612-991-5196 or Owner's representative: Representative phone: Local regulatory authority: City of Orono Regulatory authority phone: Brief system description: 2-1300 gal septic&1300 gallon p imp tank with an elevated SB2 trench system,2nd tank has filter Comments or recommendations: Certification I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future water usage. Inspector name: Josh Swedlund Certification number: C1659 Business name: Sewer /lice c. _ License number: 2502 Inspector signature: I'ffir✓ 1 Phone number: 952-873-3292 Necessary or Locally Required Attachments Soil boring logs ® System/As-built drawing ® Forms per local ordinance ❑ Other information (list): www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4.31 • 3/16/12 Page 1 of 3 Property address: 2125 Carriage Lane,Orono Inspector initials/Date: JS 19/10/2020 (mm/dd/yyyy) 1. Impact on Public Health—Compliance component#1 of 5 Compliance criteria: Verification method(s): System discharges sewage to the ❑Yes No ® Searched for surface outlet _ ground surface. ❑ Searched for seeping in yard/backup in home System discharges sewage to drain ❑Yes ® No ❑ Excessive ponding in soil system/D-boxes file or surface waters. El Homeowner testimony(See Comments/Explanation) System causes sewage backup into ❑Yes ® No 0"Black soil'above soil dispersal system dwelling or establishment. — — 0 System requires"emergency"pumping Any"yes"answer above indicates the ❑ Performed dye test system is an imminent threat to public ❑ Unable to verify(See Comments/Explanation) health and safety. 0 Other methods not listed(See Comments/Explanation) Comments/Explanation: 2. Tank Integrity—Compliance component#2 of 5 Compliance criteria: Verification method(s): System consists of a seepage pit, ❑Yes ®No 11 Probed tank(s)bottom cesspool,drywell, or leaching pit. Examined construction records Seepage pits meeting 7080.2550 may be ❑ Examined Tank Integrity Form(Attach) compliant if allowed in local ordinance. Sewage tank(s)leak below their ❑Yes ®No ❑Observed liquid level below operating depth designed operating depth. ® Examined empty(pumped)tanks(s) If yes,which sewage tank(s) leaks: ❑ Probed outside tank(s)for"black soil" Any "yes"answer above indicates the ❑ Unable to verify(See Comments/Explanation) system is failing to protect groundwater. ❑Other methods not listed(See Comments/Explanation) Comments/Explanation: 3. Other Compliance Conditions—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to be structurally unsound. ❑Yes* ®No ❑Unknown b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. ❑Yes* ®No ❑Unknown *System is an imminent threat to public health and safety. Explain: c. System is non-protective of ground water for other conditions as determined by inspector. ❑Yes* ►P No *System is failing to protect groundwater. Explain: www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 3/16/12 Page 2 of 3 Property address: 2125 Carriage Lane, Orono Inspector initials/Date::JS_J_ 9/10/2020 (mm/dd/yyyy) 4. Soil Separation—Compliance component#4 of 5 Date of installation: 10/27/2000 ❑ Unknown Verification method(s): (mm/ddlyyyy) ShorelandlWelihead protection/Food beverage ., Soil observation does not expire. Previous soil Shlodging?e ►s Yes ❑ No observations by two independent parties are sufficient, unless site conditions have been altered or local Compliance criteria: requirements differ. For systems built prior to April 1, 1996, and ❑Yes ❑ No IZ Conducted soil observation(s)(Attach boring logs) not located in Shoreland or Wellhead ❑Two previous verifications(Attach boring logs) Protection Area or not serving a food, beverage or lodging establishment: El Not applicable(Holding tank(s),no drainfield) Drainfield has at least a two-foot vertical ❑ Unable to verify(See Comments/Explanation) separation distance from periodically ❑ Other(See Comments/Explanation) saturated soil or bedrock. Non-performance systems built April 1, ®Yes ❑ No Comments/Explanation: 1996, or later or for non-performance systems located in Shoreland or Wellhead Boring: Protection Areas or serving a food, 1-12"10yr 2/2 sandy loam beverage, or lodging establishment: 13-55" 10 yr 4/4 sandy laom Drainfield has a three-foot vertical separation distance from periodically No Redox saturated soil or bedrock.* "Experimenter; "Other", or "Performance" ❑Yes ❑ No Indicate depths or elevations systems built under pre-2008 Rules; Type IV or V systems built under 2008 Rules(7080. 16"fill may have 2350 or 7080.2400 (Advanced Inspector ; A. Bottom of distribution media been added ontop License required) Drainfield meets the designed vertical B. Periodically saturated soil/bedrock 55"+ separation distance from periodically C. System separation 39"+ saturated soil or bedrock. _ D. Required compliance separation* 36" Any "no"answer above indicates the system is *May be reduced up to 15 percent if allowed by Local failing to protect groundwater. Ordinance, 5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 ® Not applicable Is the system operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is required Is the system required to employ a Nitrogen BMP? ❑Yes 0 No If"yes", B below is required BMP=Best Management Practice(s)specified in the system design If the answer to both questions is "no", this section does not need to be completed. Compliance criteria a. Operating Permit number: Have the Operating Permit requirements been met? ❑Yes ❑ No b. Is the required nitrogen BMP in place and properly functioning? ❑Yes El No Any "no"answer indicates Noncompliance. Upgrade Requirements(Minn. Stat.§115.55)An imminent threat to public health and safety(ITPHS)must be upgraded,replaced,or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. If the system is failing to protect ground water, the system must be upgraded,replaced,or its use discontinued within the time required by local ordinance.If an existing system is not failing as defined in law,and has at least two feet of design soil separation,then the system need not be upgraded,repaired,replaced,or its use discontinued,notwithstanding any local ordinance that is more strict. This provision does not apply to systems in shoreland areas, Wellhead Protection Areas, or those used in connection with food,beverage,and lodging establishments as defined in law. www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • ITY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 3/16/12 Page 3 of 3 .r ":?-26.• ski d WWeAtwooci IIIr7fr"...tot Lit `,,,Iwu 1••, I,u t_C)GiS OF' SOIL BORINGS ti ;•,4,•1A,.4r,,.r.r,ii,.,, 1•1 114.1Kitty 1)11„1. ;;tr, a 1 ,,e•n P(.11i.o Mt., ,1,1 tiltilt,itt,MN :rS3 f.t t,l. 'I t.' r I. I,/e' i8;1 7.`48! 1,dl luvr 1 888(82 ?',fi, V Ar 1 : I PrX tr12-682 ,Ar rr; 1 ,r, u1.r,.,, I't,rr,,i it,riti.m,' 11,N,'1, 111..,1v,: `+:i t i t.ri, 1 v>_ Ii4,ltu:• III.i.Ih' r. 1(.0 tit%Ivtil' I 1,1-..11n,111011 \t.writ :A,AXIII, 1 "i%.A.',I ,,, A I',1,11t`,1 +1111,', 1AAA r n.'11 t t llit 1. 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DESCRIPTION 1.- Lki 01 I-00 FIN(, 11 MECHANICAL HI 18 EXCAViGRADING/FILLING 9.. 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WE TLANDS ,,...L -) 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL C.) • 04 WALL BD 12 WATER HOOK UP 1/ Si TE INSPECTION C 05 FINAL 14 SEWER HOOK UP 06 PROGRESS 1....• 07 DEMO - SITE 27 SEPTIC MAINT. ?1 COMPLAINT --J 07 DEMO - FINAL , TIcINTALI 22 FOLLOW-UP Q ..-., _...... L+4 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL ▪ 10 PLUMBING FINAL 36 FOLINDAT ION/FLF MOVAl --.1 sT OWNER/CONTRACTOR TO MEET YOU: YES NO 2 COMMENTS: _ cc u.1 cL. () Cl Cf 1 I 6)1 bil-qi., I I) PYr(-et:%; (rrl (• 0 .. • cc . 0 4- EE F E 14`.1 f —1-- i I 47k in (--ittrri -lark cc ct _ 's- fi) 1_3 k.. 66,4105 kc.-- c. Li, z 4 Li, cc O . WORK SATISFACTORY:PROCEED PROJECT COMPLETE eC .CORRECT WORK& PROCEED ISSUE CERTIFICATE OF OCCUPANCY Lu (2) CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING C.) PERMANENT CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call tothe n: 'nspection 24 hours in advance. 249-4600 Owner/Con1ad or o :. / Inspector. , 1.1 .1 , White Copy/Inspector's File Canary Copy/Site Notice :\ ( DATE TIME .sv CITY OF ORONO CALLED IN &Cc-) INSPECTION NOTICE SCHEDULED I 11/7 b 9':00 PERMIT NO. PC):S17 COMPLETED , ADDRESS 2( 25 (qk r' 1p- /a AL-- OWNER --5-C,k,‘ i\-)r,,11_5 Cord, CONTR. fiii:IP) i 56715 TELEPHONE NO. ->:- DESCRIPTION I A'e ne'JC if -I-6-1(11164t4)/J 4, 01 FOOTING 11 MECHANICAL HI 18 EXCAV/GRADING/F IL l ING cr 02 FRAMING 13 MECHANICAL FINAL ¶9 LAKESHORE/WETLANDS (r) 03 INSULATION 24125 WOOD BURNER/FIREPLACE 34 THEE REMOVAL CI • 04 WALL BD 12 WATER HOOK up I i SI TE INSPECTION Q 05 FINAL 14 SEWER HOOK UP 06 PROGRESS 2 1, Ui DE MO - SITE 2? ETIC MAIN! ..., 21 COMPLAINT -4 0/ DEMO- FINAL C1S7FPTC I11....i 22 FOLLOW-UP Q I-LJ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUM ' 36 FOUNDATION/REMOVAL •-•4 Q OWNE CONTRACTOR 0 MEET YOU:, K YES NO o COMMENTS: z 4, a. cc 1 ,--- t r L., r" (.. .--CT IC: i ,5-16 2 61 a ye cc ' __.....-- Li. / k e 1,1 rt 1 /4-12. vi /7 " k'4) Lu CC in r f 1 + u4 L4J LZ -CI tyj 7.NWOFIK SATISFACTORY: PROCEED PROJECT COMPLETE CC CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY U., C:) CORRECT WORK,CALL FOR REINSPECT ION TEMPORARY 0 BEFORE COVERING (..) PERMANENT CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED STOP ORDER POSTED.CALL INSPECTOR INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the 'n inspection 24 hours in advance.xi 249-4600 _ Owner/Con a or ortplie: Inspector. 1,4.40 ) White Copyllnspector's File Canary CopylSite Notice