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Home My WebLink About11-12-2020 Compliance Inspection FormMinnesota Pollution Compliance Inspection Form Control Agency 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems St, Paul, MN 55155-4194 (SSTS) Doc Type: Compliance and Enforcement Instructions: Inspection results based on Minnesota Pollution Control Agency (MPGA) 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 (mmldd/yyyy): 11/12/2020 Compliant — Certificate of Compliance 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. 2511823340007 Property address: 521 N. Stream Road., Orono, MN Reason for inspection: Property Transfer Property owner: Jeff Maxwell Owner's phone: 612-709-9350 or Owner's representative: Representative phone: Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600 _ 2-1000 gallon septic tanks, 1-1000 gallon lift station and 500 square feet of mound rockbed, per city Brief system description: _records Comments or recommendations: TBM: The garage concrete floor Elv-100.0. The East side of the rock bed has 1. feet of sand and the West side has 3.0 feet of sand. Certification I hereby certify that al1 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: Joseph J Olson Certification number: _1255 Business name: —Rusty O1WTYs Soil & Perc. Testing License number: 810 Inspector signature: Phone number: 763-498-8779 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 • 1124112 Page I of 3 Property address: 521 N. Stream Road., Orono, MN Inspector initials/Date: J. 0. 11/12/2020 1. Impact on Public Health —Compliance component #1 of 5 Compliance criteria: System discharge sewage to the ground surface, System discharge sewage to drain tile or surface waters. ❑ Yes E No ❑ Yes ® No System cause sewage backup into ❑ Yes ® No dwelling or establishment. 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 Comoliance criteria: System consists of a seepage pit, ❑ Yes ® No cesspool, drywell, or leaching pit. Seepage pits meeting 7080.2550 may be compliant if allowed in local ordinance. Sewage tank(s) leak below their ❑ Yes lK No designed operating depth. If yes, which sewage tank(s) leaks: Any "yes" answer above indicates the system is Failing to Protect Groundwater. Comments/Explanation: Elmer J. Peterson Company pumped the tanks. Verification method(s): ISI Searched for surface outlet Searched for seeping in yard/backup in home Excessive ponding in soil system/D-boxes ❑ Homeowner testimony (See CommentslExplanation) "Black soil" above soil dispersal system ❑ System requires "emergency" pumping ❑ Performed dye test ❑ Unable to verify (See CommentslExplanation) ❑ Other methods not listed (See CommentslExplanation) Verification method(s): ❑ Probed tank(s) bottom Z 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 CommentslExplanation) Z Other methods not listed (See CommentslExplanation) 3. Other Compliance Conditions —Compliance component #3 of 5 a. Maintenance hole covers are damaged, cracked, unsecured, or appear to 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: www.pca.state.mn.us 651.296-6300 • 800-657-3864 wq-wwists4-31 • 1124112 • TTY 651-282-5332 or 800-657-3864 Available in alternative formats Page 2of3 Property address: 521 N. Stream Road„ Orono, MN Inspector initials/Date: 4. Soil Separation —Compliance component #4 of 5 Date of installation: 7/31/1995 ❑ Unknown Verification method(s): ShorelandlWellhead protection/Food Beverage ® Yes ❑ No Lodging? Compliance criteria: For systems built prior to April 1, 1996, and ❑ Yes ❑ No 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. !don -performance systems built April 1, ® Yes [:]No 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.* "Experimental"; "Other", or "Performance" ❑ Yes ❑ No systems built under pre -2008 Rules; Type Ill or V systems built under 2008 Rules (7080. 2350 or 7080.2100 (Advanced Inspector License required) Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock. Any "no" answer above indicates the system is Failing to Protect Groundwater. J. O. 11/12/2020 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 observations) (Attach boring logs) ❑ Two previous verifications (Attach boring logs) ❑ Not applicable (Holding tank(s), no drainfield) ❑ Unable to verify (See CommentsfExplanation) ❑ Other (See Comments/Explanation) Comments/Explanation. Indicate depths of elevations A. Bottom of distribution media 100.3 B. Periodically saturated soil/bedrock 97.6 C. System separation 2.7 D. Required compliance separation* i 2.55 *May be reduced up to 15 percent if allowed by Local 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 ❑ 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? I ❑ 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 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 T7Y 651-282.5332 or 800-657-3864 • Available in alternative formats wq-ww1sts4.31 • 1124112 !sage 3 of 3 Tank Report Date: March 13, 2020 Elmer I Peterson Co. 5921 Dague Ave. Delano, MN 55328 Phone 763-972-2420 Fax 763-972-7217 MPCA License# 219 Jeff Maxwell 521 N. Stream Road Wayzata, MN 55391 (Orono) 612-709-9350 Baffles: ON V OFF Tank Capacity: 3-1000 Gallon Tanks Per City Records # of Tanks: 3 Type of Tanks: Gallons Pumped: Concrete 2500 Manholes to Grade: YES / NO Comments: On March 13, 2020, Elmer J. Peterson Co. uncovered manholes (all 3 about 4 inches deep) and pumped tanks. No cracks or water leaking in tanks at the time of pumping. ***Suggestion to add riser to bring manholes to grade. NOTE: This is only a tank report. This is not a compliance inspection for point of sale nor does it replace a compliance inspection. Property address: 521 N. Stream Road 1. Impact on Public Health -Compliance component #1 of 5 criteria: System discharge sewage to the ❑ Yes ❑ No round surface. System discharge sewage to drain tile ❑ Yes ❑ No or surface waters. j System cause sewage backup into ❑ Yes [:]No dwelling or establishment. 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: System consists of a seepage pit, ❑ Yes 22 No cesspool, drywell, or leaching pit. Seepage pits meeting 7080.2550 may be compliant if allowed in local ordinance. Sewage tank(s) leak below their ❑ Yes ❑ No designed operating depth. _ If yes, which sewage tank(s) leaks: Y Any "yes" answer above indicates the system is Failing to Protect Groundwater. Comments/Explanation: On 3113/2020, Elsner J. Peterson Co. pumped tanks. Inspector initials/Date: 3/13/2020 Verification method(s): ❑ Searched for surface outlet ❑ Searched for seeping in yardibackup 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 CommentslExplanation) ❑ Other methods not listed (See ComrnentslExplanation) Verification method(s): ❑ 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 CommentslExplanation) ❑ Other methods not listed (See Comments/Explanation) 3. Other Compliance Conditions -Compliance component #3 of 5 a. Maintenance hole covers are damaged, cracked, unsecured, or appear to structurally unsound. ❑ Yes* []No ❑ Unknown b, Other issues (elechicalhazards, 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 deterrnined by inspector ❑ Yes" ❑ 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 • 1124112 page 2 of 3 Property Owner / project: Property Address / PID: Soil Observation Log www.SeptieResource.com vers 12.4 Owner Information Jeff Maxwell 521 N. Stream Road Date 11/5/2020 Soil Survey Information ❑ refer to attached soil survey Parent matl's: 0 Till ❑ Outwash ❑ Lacustrine ❑ Alluvium ❑ Organic ❑ Bedrock landscape position: ❑ Summit ❑ Shoulder 0 Side slope ❑ Toe slope soil survey map units: L22D2 slope % direction- Lineal Soil Log #1 ❑ Boring ❑ Pit Elevation 96.5 Depth to SHWT 41 Inches Depth (in) Texture fragment % matrix color redox color consistence grade shape <35 loose loose single grain 0-21 Fill mound sand 35-50 friable weak granular blocky firm moderate prismatic platy >50 rigid strong massive 21-31 Topsoil <35 10yr3/1 Friable Moderate Blocky 31-41 Clay Loam <35 1 Ovi-4.3 Friable Strong Block% 41-50 Clay Loam <35 10yr5/3 IOy4/8,1-6/10y Firm Strong Blocky <35 loose loose single grain 35-50 friable weak granular blocky firm moderate prismatic platy >50 rigid strong massive Comments: I T zn 4�"t s99 Tma LFS'o 716 SZI AlarllI, Sirtam Pi, N