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Home My WebLink About12/18/2020 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 (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/ddlyyyy): 12/1812020 ® 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 Property address: 395 Sussex Lane, Orono, MN Property owner: Jon Campbell or Owner's representative: Parcel ID# or Sec/Twp/Range: 0411723240007 Reason for inspection: PropeTransfer Owner's phone: 612-849-3232 Representative phone: Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600 Approximately 2-1300 gallon septic tanks,11-1300 gallon lift station and 750 square feet of mound Brief system description: rockbed. Per city records Comments or recommendations: TBM: Top of the existing lift station manhole cover. The system has 1.3 feet of sand. There is 10 inches of rock. 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: Rust 0 on's Soil & Perc. Testing Inspector signature: r Necessary or Locally Required Attachments Certification number: 1255 License number: 810 Phone number: 763-498-8779 ® Soil boring logs Z System/As-built drawing ❑ Forms per local ordinance ❑ Other information (list): www.pca.state.mn.us wq-wwists4-31 • 1124142 651-296-6300 800-657.3864 TTY 651-282-5332 or 800-657-3864 . Available in alternative formats Page 1 of 3 Property address: 395 Sussex Lane, Orono, MN 1. Impact on Public Health — Compliance component #1 of 5 Compliance criteria: System discharge sewage to the ❑ Yes 0 No ground surface. System discharge sewage to drain tile or surface waters. ❑ 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 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. Sewage tank(s) leak below their ❑ Yes [E 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. Inspector initials/Date: J. O. 12/18/2020 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 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 ❑ 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) S 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* M 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* Z 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 • 1/24112 Page 2 of 3 Property address: 395 Sussex Lane, Orono, MN Inspector initials/Date: 4, Soil Separation —Compliance component #4 of 5 Date of installation: 11/19/2001 ❑ Unknown Shoreland/Wel Ihead protectionlFood Beverage ❑ Yes ® No Lodging? 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. 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.* "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 ® Yes ❑ No ❑ Yes [:]No Any "no" answer above indicates the system is Failing to Protect Groundwater. Verification method(s): J. O. 12/20/2020 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 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 CommentsfExplanation) Comments/Explanation: Indicate depths of elevations A. Bottom of distribution media I 100.2 B. Periodically saturated soilibedrock 97.65 C. System separation 2.55 D. Required compliance separation" 1 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. Comoliance criteria a. Operating Permit number: -- E-1 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 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.pea.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 Pose 3 of 3 Tank Report Date: October 22, 2020 Elmer I Peterson Co. 5921 Dague Ave. Delano, MN 55528 Phone 765-972-2424 Fax 765-972-7217 MPCA License# 219 Jon Campbell 395 Sussex Lane Orono, MN 952-476-0947 Baffles: N / Tank Capacity: # of Tanks: 3 Type of Tanks: OFF 3-1300 Gallon Tanks Concrete Gallons Pumped: 3000 Manholes to Grade: YES / NO Comments: On October 22, 2020, Elmer J. Peterson Co. pumped tanks. No cracks or water leaking in tanks at the time of pumping. NOTE: This is only a tank report. This is not a compliance inspection for point of sale nor does it replace a compliance inspection. I I a e Property address:_ ;' SA2&% �,�j"�I, Inspector initials/Date .� 1. Impact on PubliC Health —Compliance component #1 of 5 Compliance criteria: System discharge sewage to the l ❑ Yes []No System discharge sewage to drain tile ❑ 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, ❑ Yes No cesspool, drywell, or leaching pit. Seepage pits meeting 7080.2550 maybe compliant if allowed in local ordinance. Sewage tank(s) leak below their ❑ Yes R.No designed operating depth. If yes, which sewage tank(s) leaks: Any "yes" answer above indicates the system is Failing to Protect Groundwater, Co mments/Explanation: 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 Comment-vExplanation) ❑ `Black soil' above soil dispersal system ❑ System requires 'emergency" pumping ❑ Performed dye test ❑ Unable to verify (See Comments/Explanation) ❑ Other methods not listed (See CommenWExplanation) 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 (electrical hazards etc.) to immediately and adversely impact public health or safety. C] 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 TTY 651-282-5332 or 800-657-3864 • AvaiEabte in alternative formats wq-wwists4-31 . 1124112 Page 2 of 3 Soil Observation Log www.SeDticResource.com vers 12.4 Owner Information Property Owner/ project: Jon Campbell Property Address / PID: 395 Sussex Lane Date 12/15/2020 Soil Survey Information ❑ refer to attached soil survey Parent matl's: 21 Till ❑ Outwash ❑ Lacustrine ❑ Alluvium ❑ Organic ❑ Bedrock Iandscape position: ❑ Summit ❑ Shoulder M Side slope ❑ Toe slope soil survey map units: 13713 slope % direction- Linear Soil Log 41 ❑ Boring ❑ Pit Elevation 98.9 Depth to SHWT 16 Inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-12 Topsoil <35 2.5y2/1 Friable Moderate 13locky 12-16 Clay Loam <35 2.5y3/3 Friable Strong Blocky 16-20 Clay Loam <35 2.5y5/3 IOy4/8,1-6/10y Firm Strong Blocky <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 Comments: 395 Sussex Lane Soil Log #2 0 Baring ❑ Pit Elevation 98.9 Depth to SHWT 16 Inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-16 Topsoil <35 2.5y2/1 7 Firm Moderate Blocky 16-24 1 Clay Loam <3 5 2.5y3/3 <35 35-50 >50 <35 35-50 >50 <35 35-50 >50 10y4/8,1 -6/10y IFirm loose friable firm rigid loose friable firm rigid loose friable firm Strong 1131ockN rigid I strong 395 Sussex Lane Soil Log #3 EZ Boring ❑ Pit Elevation 97.9 Depth to SHWT 18 Inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-18 Topsoil j <35 2.5y2/1 I Firm Moderate �Bloekt 18-24 1 Clay Loam <35 <35 35-50 >50 <35 35-50 >50 <35 35-50 >50 2.5y3/3 IOy4/8,1-6/10y Friable loose friable firm rigid loose friable loose Strong loose single grain granular blocky Weak granular blocky strong moderate prismatic platy single grain strong massive moderate prismatic platy strong massive loose single grain Weak Weak granular blocky prismatic platy moderate prismatic platy strong massive loose single grain weak granular blocky moderate prismatic platy rigid I strong 395 Sussex Lane Soil Log #3 EZ Boring ❑ Pit Elevation 97.9 Depth to SHWT 18 Inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-18 Topsoil j <35 2.5y2/1 I Firm Moderate �Bloekt 18-24 1 Clay Loam <35 <35 35-50 >50 <35 35-50 >50 <35 35-50 >50 2.5y3/3 IOy4/8,1-6/10y Friable loose friable firm rigid loose friable loose Strong I hereby certify this work was completed in accordance with AN 7080 and any local reqs. Rusty Olson's Soil & Ferc 810 esigner Signature Company License # single grain Weak granular blocky moderate prismatic platy strong massive loose single grain weak granular blocky moderate prismatic platy strong massive loose single grain Weak granular blocky moderate prismatic platy strong massive I hereby certify this work was completed in accordance with AN 7080 and any local reqs. Rusty Olson's Soil & Ferc 810 esigner Signature Company License # I4N g 7 # �