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HomeMy WebLinkAbout02-05-2021 Septic ComplianceMinnesota 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 (mm/dd/yyyy): 2/512021 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) El 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 95) — Noncompliant Property Information Property address: . 40 Truffula Trai, Orono, MN Property owner: Luis &b Veronica Acosta or Owner's representative: Shane Joseph Local regulatory authority: City of Orono Parcel ID# or Sec/Twp/Range: 3311823440035 Reason for inspection: Property Transfer Owner's phone: 952-249-0687 Representative phone: 612-250-8399 Regulatory authority phone: 952-249-4600 1-1250 and 1-1000 gallon septic tanks and 1-1250 gallon lift station and 680 square feet of mound Brief system description: rockbed. per city records Comments or recommendations: TBM: Top of the lift station manhole cover. There is 1.2 Feet of sand under the North side of rock bed. There is 2.2 Feet of sand under the South side of rock bed. Certification 1 hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No detennination 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 OIs n's Soil & Perc. Testing Certification number: 1255 License number: 810 Inspector signature: Phone number: 763-498-8779 Necessary or Locally Required Attachments ® Soil boring logs Z System/As-built drawing El Forms per local ordinance ❑ Other information (list): www.pca.state.mn.us - 651.296-6300 wq-wwists4-31 - 1124112 804.657-3864 • TTY 651-282.5332 or 800-657-3864 - Available in alternative formats Page 1 of 3 Property address: 40 Truffula Trai, Orono, MN Inspector initials/Date: J. O. 2105/2021 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. System cause sewage backup into dwelling or establishment. ❑ Yes Z No ❑ Yes ® No Any "yes" answer above indicates the system is an imminent Threat to Public Health and Safety. CommentslExplanation: 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 designed operating depth. If yes, which sewage tank(s) leaks: ❑ Yes Z No ❑ Yes ® No Any "yes" answer above indicates the system is Failing to Protect Groundwater. Comments/Explanation: Albin Septic Pumping. pumped the tanks. 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) ® 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* n 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* 2 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 • Available in alternative formats Page 2of3 Property address: 40 Truffula Trai, Orono, MN 4. Soil Separation —Compliance component #4 of 5 Date of installation: 5/25/1999 ❑ Unknown ShorelandNVellhead protection/Food Beverage Lodging? ®Yes El No 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. Nan -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 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. Any "no" answer above indicates the system is Failing to Protect Groundwater. Inspector initials/Date: J. O. 2105/2021 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 CommentslExplanation) ❑ Other (See CommentslExplanation) CommentslExplanation: Indicate depths of elevations A. Bottom of distribution media 1 100.8 :urated soillbedrock 1 98.1 C. System separation 1 2.7 D. Required 2.55 "May be reduced up to 15 percent if allowed by Local Ordinance. ra. Operating Permit and Nitrogen BMP* —Compliance component #5 of 5 0 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: ❑ 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.pca.state.mn.us 651-296.6300 800-657-3664 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 1/24112 Page 3 of 3 Propedyedeiress: 40 Truffula Trail (Luis & Veronica ,Acosta) Parcel ID: 33-118-23-44-0035 city: Orono _ ._ — State; M N _ _ zip oodr. _ 55358 Optional section: Sewage Tank Compliance Certification This form does not represent a cm mpkde system inspection report and only csttlfles swag* tank compliance nbkb a. Instructlons. This section of the form may be completed and signed by a Designated Certified Individual (DCL) of a licensed SSTS Meintr wwm Business who personally conducts the necessary procedures to assess the compliance status of each sewage tank in the system. When this section of the form is signed by a qualified certified professional, it taecortrres rre©essary supporting d0cument8ti n to an Existing System Compliance Inspection Report: gdMplian< & inspggos�fo M- E�dstina system hNc jddjls4-B1 bl. This form can be found on the MPCA website at'"'l U7ffi t:.>+ ,g ' state M0 us Qsrl ,sir ar►�j ^^ technical-and�aemnl- +tea. The information and certified statement on this form Is required when eidsting septic tank compliance status is determined by an individual other than the $STS Inspacw that submits the inspection report. It represents a third party assessment of SSTS component compliance and is allowable under Minn. R. 7082.0700, subp 4 Item k3) subitem (1). This form is valid for a period of three years beyond the signature date on this forth unless a new evaluation is requested by the owner or owner's agent or Is required wording to local regulations_ Additional Administrative Rule references for this activity can be found at Minn. R. 7082.070D, subp. 4 Items l3. G, and D7 7083.07W [tern v. 19 Certificate of sewatge tank ccamPliamce Affirm all three statements: Ig The SSTS does not contain a seepage pit, cessp Oi, drywall, leaching pit, or other Pit. It does not corftn a sewage tank that was designed to be watertight, but subsequently Leaks below the designed operating depth. It does not represent ar irnrninent safely threat by reason of unsecured. damaged, or weak maintenance hole cover(s) or other unsafe condition. Company information Company name: Ailtan"s Septic Pump net, LLC Business license number: 3345 — 0 Notice of sewage tank non-compliance Select & that apply: ] The SETS has a seepage pit, cesspool, drywell, leaching pit, or other pit. p It has a sewage tank that was designed to be watertight, but subsequently leaks below the designed operating depth. Q It presents a threat to public safety by reason of unsecured, damaged. or week maintenance hole cover(s) or other unsafe condition - Designated Certified Individual (DCI) Inf6rn atlon Print name: Peter Peterson_ — Certification number: 9227 l personaNyy conducted Noe work described above as a Designated Wffled lndMduaf of a Afirtnesotg4c ensed SSTSM$irtf&W= Business. l personally conducted the no ry pmcedures to assess the crxnpNOnM stomia of each sta ewage rns in this SSTS.- Designated certified 0112612021 Individual's signature: r beta (rnrnlddlYYYY) _ -- — www,pca.Aate.mn.us • 55' 24f,.6= A 800.651-3864 lice your preferrea relay service Available in stternRO a formats wq-ww1sts4-38 • 1127; 17 Page 3 of 3 Soil Observation Log www.SeT)ticResource.com vers 12. Owner Information Property Owner / project: Luis & Veronica Acousta Date 2/5/2021 Property Address / PID: 40 Truffula Trail Soil Survey Information ❑ refer to attached soil survey Parent matl's: Q Till ❑ Outwash ❑ Lacustrine ❑ Alluvium ❑ Organic ❑ Bedrock landscape position: ❑ summit ❑ Shoulder ❑ Side slope ❑ Toe slope soil survey map units: LISA slope % direction- Lineal Soil Log #1 Cl Boring ❑ Pit Elevation 101.5 Depth to SHWT 40 Inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-21 Fill Mound sand <35 Loose Loose Single grain 21-31 Topsoil <35 10yr3/1 Firm Moderate BlockN 31-40 Clay Loam -:35 10yr5/4 Friable Strong Blocs:. 40-46 Clay Loam <35 10yr5/4 10y4/8,1 -6/10y Firm Strong Block.^, <35 loose loose Single grain 35-50 friable weak granular blocky X50 firm moderate prismatic platy rigid strong massive Comments: TBM top of lift station manhole cover 40 Truffula Trail Soil Log #2 21 Boring ❑ Pit Elevation 101.5 Depth to SHWT 42 Inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-32 Fill Mound sand <35 Loose Loose single grain 32-42 Topsoil <35 10yr3/1 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 among massive <35 loose loose single grain 35-50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive 40 Truffula Trail - Soil Log #3 El Boring ❑ Pit Elevation Depth to SHWT Depth (in) Texture fragment % matrix color redox color consistence grade shape <35 loose loose single grain 35-50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive <35 loose loose single grain friable weak y granular blocky - >50 firm moderate Prismatic platy rigid strong massive <35 loose loose single grain 35 - 50 friable weak granular blocky >50 Earn moderate prismatic platy rigid strong massive <�5 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 firer moderate Prismatic platy aty rigid I strong massive I hereby certify this work was completed in accordance with AN 7080 and any local reqs. Rusty Olson's Soil & Pere 810 esigner Signature Company License # �I U � � r-� -��