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Home My WebLink About11/03/2020 Compliance inspection formMinnesota Pollution Compliance lance Inspection Form Control Agency 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems St. Paul, MN 55155-4194 (SETS) 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 16 days System Status System status on date (mm/dd/yyyy): 11/3/2020 ❑ Compliant — Certificate of Compliance Z 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: 3011823330005 Property address: _4680 Creekwood Trail Orono, MN — Reason for inspection: Property Transfer Property owner: _ Dale Olsen Owner's phone: _ 972-768-4488 or Owner's representative: Representative phone: Local regulatory authority: City of Orono _ Regulatory authority phone: 952-249-4600 Approximately 2-1000 gallon septic tanks, 1-1250 gallon lift station and approximately 630 square feet Brief system description: of mound rockbed. Comments or recommendations: TBM: Top of the garage concrete slab. The rock bed has 1.0 feet of sand under it on the East side and 2.1 on the West side. The rock bed meets the 2.55 foot separation requirements. The existing tanks are rotting and need to be replaced. Once the tanks are replaced the system will be compliant. 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 _ Certification number: 1255 Business name: -Rusty OI on's 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.u5 • 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: 4680 Creekwood Trail, Orono, MN inspector initials/Date: J. O. 11/03/2020 1. Impact on Public Health —Compliance component #1 of 5 lance criteria: System discharge sewage to the I ❑ Yes ® No System discharge sewage to drain tileI ❑ 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 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 ❑ No designed operating depth. _ If yes, which sewage tank(s) leaks: All Any "yes" answer above indicates the system is Failing to Protect Groundwater. 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 CommentslExplanation) ❑ 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 CommentslExplanation) ® Other methods not listed (See CommentslExplanation) Comments/Explanation: Elmer J. Peterson Company pumped the tanks. See tank report. The tanks are rotting. 3. OtherCompliance 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 TTY 651-282.5332 or 800.657-3864 • Available in alternative formats wq-wwists4-31 • 1124112 Page 2 of 3 Property address: 4680 Creekwood Trail Orono MN _ Inspector initials/Date: J. O. 11/03/2020 _ 4. Soil Separation —Compliance component#4 of 5 Date of installation: 8/_30/1990 __ 171 Unknown Shoreland/Welihead protectioniFood Beverage ® Yes ❑ No Lodging? C 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, 1996, or later or for non-performance systems located in Shore/and 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. 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) Comments/Explanation: Indicate deaths of elevations A. Bottom of distribution media 99.9 B. Periodically saturated soil/bedrock 97.2 C. System separation 2.7 _ D. Required compliance_ se aration* 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: ❑ Yes ❑ No Have the Operating Permit requirements been met? b. Is the required nitro en BMP in place and ro erl funetionin ? 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, orits 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 TTY 651-282-5332 or 800.657-3864 • Available in alternative formats wq-wwlsts4.31 • 1124112 Page 3 of 3