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Home My WebLink About5-21-20 Certificate of CompliancePage 1 of 3 Certificate of Compliance Inspection Form New Subsurface Sewage Treatment Systems (SSTS) Noncompliant – Notice of Noncompliance (See Upgrade Requirements on page 3.) 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 Parcel ID# or Sec/Twp/Range: Reason for inspection: Owner’s phone: Representative phone: Regulatory authority phone: Property Information Property address: 4340 Lakeview Court Property owner: or Owner’s representative: Knapp and Sons Septic LLC Local regulatory authority: City of Orono Brief system description: Comments orrecommendations: 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. Certification number: License number: Phone number: Inspector name: Business name: Inspector signature: Necessary or Locally Required Attachments Soil boring logs System/As-built drawing Other information (list): Compliant – Certificate of Compliance Valid for 5 years from report date Reason(s) for noncompliance (check all applicable) X New instalation (763) 477-8566 952-249-4600 Roger Peitso C6683 952-249-4625 X X Inspection results based on Minnesota Pollution Control Agency (MPCA) requirements and attached forms System status on date ________________:05/21/2020 Page 2 of 3 Property address: Inspector initials/Date: (mm/dd/yyyy) 1.Impact on Public Health – Compliance component #1 of 5 Compliance criteria: Verification method(s): System discharges sewage to the ground surface. Yes No Searched for surface outlet Searched for seeping in yard/backup in home Excessive ponding in soil system/D-boxes Homeowner testimony (See Comments/Explanation) “Black soil” above soil dispersal system System requires “emergency” pumping Performed dye test Unable to verify (See Comments/Explanation) Other methods not listed (See Comments/Explanation) System discharges sewage to drain tile or surface waters. Yes No System causes sewage backup into dwelling or establishment. Yes No Any “yes” answer above indicates the system is an imminent threat to public health and safety. Comments/Explanation: 2.Tank Integrity – Compliance component #2 of 5 Compliance criteria: Verification method(s): System consists of a seepage pit, cesspool, drywell, or leaching pit. Seepage pits meeting 7080.2550 may be compliant if allowed in local ordinance. Yes No Probed tank(s) bottom Examined construction records Examined Tank Integrity Form (Attach) Observed liquid level below operating depth Examined empty (pumped) tanks(s) Probed outside tank(s) for “black soil” Unable to verify (See Comments/Explanation) Other methods not listed (See Comments/Explanation) Sewage tank(s) leak below their designed operating depth. Yes No If yes, which sewage tank(s) leaks: Any “yes” answer above indicates the system is failing to protect groundwater. 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* No *System is failing to protect groundwater. Explain: X X X X V Inspected installation of new tanks X X X 4340 Lakeview Court RLP 05/21/2020 New installation Page 3 of 3 Property address: Inspector initials/Date: | (mm/dd/yyyy) 4.Soil Separation – Compliance component #4 of 5 Date of installation: Unknown Verification method(s): Soil observation does not expire. Previous soil observations by two independent parties are sufficient, unless site conditions have been altered or local requirements differ. Conducted soil observation(s) (Attach boring logs) Two previous verifications (Attach boring logs) Not applicable (Holding tank(s), no drainfield) Unable to verify (See Comments/Explanation) Other (See Comments/Explanation) (mm/dd/yyyy) Shoreland/Wellhead protection/Food beverage lodging? Yes No Compliance criteria: For systems built prior to April 1, 1996, and not located in Shoreland or Wellhead Protection Area or not serving a food, beverage or lodging establishment: Drainfield has at least a two-foot vertical separation distance from periodically saturated soil or bedrock. Yes No Non-performance systems built April 1, 1996, or later or for non-performance systems located in Shoreland or Wellhead Protection Areas or serving a food, beverage, or lodging establishment: Drainfield has a three-foot vertical separation distance from periodically saturated soil or bedrock.* Yes No “Experimental”, “Other”, or “Performance” systems built under pre-2008 Rules; Type IV or V systems built under 2008 Rules (7080. 2350 or 7080.2400 (Advanced Inspector License required) Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock. Yes No A.Bottom of distribution media B.Periodically saturated soil/bedrock C.System separation D.Required compliance separation* Any “no” answer above indicates the system is failing to protect groundwater. 5.Operating Permit and Nitrogen BMP* – Compliance component #5 of 5 Not applicable Yes No If “yes”, A below is required Yes 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 Yes No Have the Operating Permit requirements been met? b.Is the required nitrogen BMP in place and properly functioning? Yes 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. If the system is failing to protect ground water, the system must be upgraded, replaced, or its use discontinued within three years of receipt of this notice. 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. 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. 4340 Lakeview Court 05/21/2020 05/21/2020 X 101.5 98.5 3 X Comments/Explanation: Benchmark 100' NW corner of Rock Bed at gradeof primary site Indicate depths or elevations Is the system operated under an Operating Permit? Is the system required to employ a Nitrogen BMP? a.Operating Permit number: 3 RLP X Address: Installer: X I II X 1 2 3 4 5 6 7 8 9 10 11 12 City of Orono Septic Asbuilt Form SFD A B Septic Tanks: System Type:Mound Pressure Bed Draw detailed diagram with measurements indicating distances to tank Risers. Use two(2) points from a permanent structure. Show locations of drop Boxes and length of trenches 8/21/2019 TrenchesIII Date: 5 4340 Lakeview Court Building Use: Bedrooms #Pump Tank: Other License #L2930 1-2250 1-1000 1-1000 Date Finaled: Knapp and Sons Setic LLC 31' 32' 33.5' 36' 42.5 35.5' 43' 48 54' 64' 5/21/2020 Not to scale t..••�•••�\.t�-,\.• Ot.sS!TE �f'WA(';� TXl::.l\'ff!ll:Nl Pr,ooR!\M Client: Soi I Observation Log Dingman Custom Homes Project ID: V 04.01.2019 Location / Address: 4340 Lakeview Court, Orono, MN Soil parent material(s): (Check all that apply) 0 0utwash O Lacustrine OLoess 0n11 OAlluvium Osedrock 0 Organic Matter Landscape Position: (check one) □summit 0 Shoulder 0 Back/Side Slope OFoot Slope OToeSlope Slope shape Linear, Linear Vegetation: Grass I Soil survey map units: L40B Slope%: 6.0 Elevation: 99.75 Weather Conditions/Time of Day: Cloudy /9: 40AM Date 07 /17 /19 Observation #/Location: SB-1 Observation Type: Auger Rock 1--------Stru cture -----------I Depth (in) Texture Frag.% Matrix Color(s) Mottle Color(s) Redox Kind(s) lndicator(s) Shape Grade Consistence 10YR 2/2 0-8 Loam <35% Blocky Moderate Friable 10YR 3/3 8-18 Clay Loam <35% Blocky Moderate Firm 10YR 3/3 10YR6/2 Concentrations S1 18-24 Clay Loam <35% I I Blocky Moderate Firm Comments Mottling seen at 18".I he,eby certffy that I ha,e completed this wmk l"Enc7a11 �lnances, ,ules and laws. Joseph Knapp � _ _ _ .. 8187 7/17/2019 (Designer I Inspector) / tf/ (Signature;;?"" (License#) (Date)