HomeMy WebLinkAbout07-09-2020 Septic Compliance CertificateMinnesota Pollution
Control Agency Compliance Inspection Form
-
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems (SSTS)
5t. Paul, MN 55155-4194 Doc Type: Compliance and Enforcement
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/dd/yyyy): 7/9/2020
® 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:
Property address: 465 Hunter Pass, Orono Reason for inspection: Sale
Property owner: Bill Schnider Owner's phone: 612-670-4962
or
Owner's representative:
Local regulatory authority:
Representative phone:
Regulatory authority phone:
Brief system description: 1300 & 1000 Septic with a 1300 gal pump tank 5 bdrm mound system
Comments or recommendations:
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: Josh Swedlund Certification number: C1659
Business name: Sewer Sei In . ' License number: 2502
Inspector signature: _ Phone number: 952-873-3292
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
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Property address: 465 Hunter Pass, Orono Inspector initials/Date: JS 1 7/9/2020
(mm/dd/yyyy)
1. Impact on Public Health — Compliance component #1 of 5
Compliance criteria:
System discharges sewage to the( ❑ Yes ® No
ground surface.
System discharges sewage to drain ❑ Yes ® No
tile or surface waters.
System causes sewage backup into171Yes ® No
dwelling or establishment.
Any "yes" answer above indicates the
system is an imminent threat to public
health and safety.
Comments/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 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)
2. Tank integrity — Compliance component #2 of 5
Compliance criteria: Verification method(s):
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:
Any "yes" answer above indicates the
system is failing to protect groundwater.
Comments/Explanation:
❑ 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 Comments/Explanation)
❑ 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 be structurally unsound. ❑ Yes* ® No ❑ Unknown
b. Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety. ❑ Yes* ® No ❑ Unknown
*System /s an imminent threat to public health and safety.
Explain:
See notes on first page
c. System is non -protective of ground water for other conditions as determined by inspector . ❑ Yes* ® No
*System is failing to protect groundwater.
Explain:
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Property address: 465 Hunter Pass, Orono Inspector initials/Date: JS 1 7/9/2020
(mm/dd/yyyy)
4. Soil Separation — Compliance component #4 of 5
Date of installation: 6/11/1998 _ ❑ Unknown Verification method(s):
(mm/dd/yyyy)
ShorelandiWelihead protection/FoodIddl beverage Soil observation does not expire. Previous soil
lodging? ❑ Yes ® No observations by two independent parties are sufficient,
unless site conditions have been altered or local
Compliance criteria: requirements differ.
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 Apill 1,
1996, or later or for non-performance
systems located in Shoreland or Wellhead
Protection Areas or serving a food,
beverage, or lodging establishment:
Drainfleld has a three-foot vertical
separation distance from periodically
saturated soil or bedrock.*
❑ Yes ❑ No ® 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 Comments/Explanation)
® Yes ❑ No Comments/Explanation:
Boring:
1-16 10 YR 212 Loam
17-26" 10 YR 4/4 Clay Loam
No Redox
"Experimental", "Other, or `Performance" ❑ Yes ❑ No
systems built under pre -2008 Rules; Type 1V
or V systems built under 2008 Rules (7080.
2350 or 7080.2400 (Advanced Inspector
License required)
Drainfieid meets the designed vertical
separation distance from periodically
saturated soil or bedrock.
Confirmed boring results from 4/19/2017 & 2019
compliance
Indicate deaths or elevations
A. Bottom of distribution media
12" plus
B. Periodically saturated soil/bedrock
over 26"
C. System separation
36" plus
D. Required compliance separation*
36"
Any "no" answer above indicates the system is *May be reduced up to 15 percent if allowed by Local
failing to protect groundwater. 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? 171 Yes El No
b. is the required nitrogen BMP in place and properly functioning? I ❑ Yes n 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
groundwater, 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
www.pca.state.mn.us • 651-296-6300 . 800.657-3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
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