HomeMy WebLinkAbout12/01/2020 Comp. Inspect. Form - NON COMPLIANTMinnesota Pollution Compliance Inspection Form
Control Agency N
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 (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 (mmiddlyyyy): 12/1/2020
❑ Compliant Certificate of Compliance
(Valid for 3 years from report date, unless shorter time
frame outlined in Local Ordinance.)
Reason(s) for noncompliance (check all applicable)
® 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
Property Information
Parcel ID# or Sec/Twp/Range: 3611823310012
Property address: 250 Wakefield Road, Orono, MN Reason for inspection: Property Transfer _
Property owner: Virginia Craven
or
Owner's phone:
Owner's representative: Jon Arne Representative phone: 952-270-8390 _
Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600
Brief system description: _ Approximately 2-10p0 gallon septic tanks and 750 square feet of trench system. Per City records.
Comments or recommendations:
TBM: Top of the door threshold. ELV-100.0 assumed
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: Joseph J Olson
Business name: _Rusty Olson's Soil & Pere. Testing
Inspector signatur
Necessary or Locally Required Attachments
2 Soil boring logs M System/As-built drawing
❑ Other information (list):
www.pca.state.mn.us • 651-296-6300 800.657-3864
wq-wwists4.39 • 1124192
Certification number: 1255
License number: 810
Phone number: 763-498-8779
❑ Forms per local ordinance
• TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
Page Iof3
Property address: 250 Wakefield Road, Orono, MN
1. Impact on Public Health — Compliance component #1 of 5
Compliance criteria:
System discharge sewage to the
❑ Yes ® No
System discharge sewage to drain the I ❑ Yes ❑ No
or surface waters.
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,
cesspool, drywell, or leaching pit.
Seepage pits meeting 7080.2550 may be
compliant if allowed in local ordinance.
❑ Yes ❑ No
Sewage tank(s) leak below their []Yes ❑ 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:
Owner did not want to pump the tanks.
Inspector initials/hate: J. O. 12/0112020
Verification method(s):
❑ 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)
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 CommentalExplanation)
❑ 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
L 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
wq-wwists4-31 • 1124112'
651-296-6300
800-657-3864 TTY 651-282-5332 or 800-657-3864 • Avaitabie in alternative formats
Page 2 of 3
Property address: 250 Wakefield Road, Orono, MN
4. Soil Separation —Compliance component #4 of 5
Date of installation: 11/03/1983 ❑ Unknown
ShorelandANel[head 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.
Non-performance systems built April 1, 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"
systems built under pre -2008 Rules; Type /V
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
Any "no" answer above indicates the system is
Failin to Protect Groundwater.
Inspector initials/Date: J. O. 12/0112020
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 drainfieid)
[❑ Unable to verify (See CommentslExplanation)
❑ Other (See CommentslExplanation)
CommentslExplanation:
Indicate deaths of elevations
A. Bottom of distribution media 95.9
B. Periodically saturated soil/bedrock 96.0
C. System separation 0.0
D. Reauired compliance separation* 2.0
*May be reduced up to 15 percent if allowed by Local
Ordinance.
S. Operating Permit and Nitrogen BMP* — Compliance component #5 of 5 Z Not applicable
Is the system operated under an Operating Permit? ❑ Yes ❑ No
Is the system required to employ a Nitrogen BMP? ❑ Yes ❑ No
BMP=Best Management Practice(s) specified in the system design
If "yes", A below is required
If "yes", B below is required
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 ❑ 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 651-246-6300 800-657-3864 TTY 651.282-5332 or 800-657-3864 . Available in alternative formats
wq-wwists4-31 • 1124112 Page 3 of 3
Sail Observation Log
www.SentieResource.com vert
Owner Information
Property Owner / project: Virginia Craven
Property Address / PID: 250 Wakefield Load
Date 12/1/2020
Soil Survey Information ❑ refer to attached soil survey
Parent matl's: D Till Ll Outwash ❑ i-acustrine ❑ Alluvium ❑ organic ❑ Bedrock
landscape position: ❑ summit ❑ Shoulder 0 Side slope ❑ Toe slope
soil survey map units: L70C2 slope % direction -
Soil Log #1
D Boring ❑ pit Elevation 99.5 Depth to SHWT 40 Inches
Depth (in) Texture fragment % matrix color redox color consistence grade shape
0-10
Topsoil
<35
10yr3/1
Friable
Moderate
Blocky
10-14
Clay Loam
<35
1 Oyr4/3
Friable
Strong
Blocky
14-24
Clay Loam
<35
l Oyr5/4
Friable
Strong
Blocky
24-40
Sandy clay Loam
<35
10yr5/4
Friable
Moderate
Blocky
40-48
Sandy Loam
<35
10yr5/4
I Oy4/8,1-6/1 Oy
Friable
Moderate
Granular
Comments:
250 Wakefield Road
Boring ❑ Pit Elevation Depth to SHWT inches
Depth (in) Texture fragment % matrix color redox color consistence grade shape
48-62
Loamy Sand
<35
10yr6/2
IOy4/8,1-611Oy
Loose
Weak
Granular
62-72
Loamy Sand
<35
10yr611
IOy4/8,1-6/10y
Loose
Weak
Granular
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
>50
firm
moderate
prismatic platy
rigid
strong
massive
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
>50
firm
moderate
Prismatic platy
rigid
strong
massive
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
>50
firm
moderate
Prismatic platy
rigid
Istrong
massive
250 Wakefield Road Soil Log #2
❑ Boring ❑ Pit Elevation 105.9 Depth to SHWT 72 Inches
Depth (in) Texture fragment % matrix color redox color consistence grade shape
0-6
Topsoil
<35
10yr3/1
Friable
Moderate
Granular
6-16
Sandy Loam
5
l Oyr5l4
Friable
Moderate
t3locky
16-30
Loamy fine Sand
<35
10yr5/3
Loose
Moderate
Granular
30-38
Sandy Loam
<35
10yr4/4
Friable
Moderate
Blocky
38-48
Loamy fine Sand
<35
10yr5/3
Loose
Moderate
Granular
I hereby certify this work was completed in accordance with AN 7080 and any local reqs.
Rusty +Olson's Soil & Ferc. 810
4f9signer Signature Company License #
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