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Home My WebLink About05-28-2020 Septic Compliance Cert.Mailing Address Street Address Certificate of Compliance P.O. Box 66 2750 Kelly Parkway Crystal Bay, MN 55323 Orono, MN 55356 Inspection Form y� N Phone: 952-249-4600 Fax: 952-249-4616 ��csno�ti website: www.ci.orono.mn.us New Subsurface Sewage Treatment Systems (SSTS) Inspection results based on Minnesota Pollution Control Agency (MPCA) requirements and attached forms System status on date 05/28/2020 Compliant —Certificate of Compliance Valid for 5 years from report date 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: Property address: 545 Lakeview Parkway Reason for inspection: New instalation Property owner: Owner's phone: or Owner's representative: Brad Hayes Representative phone: 763-479-1762 Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600 Brief system description: Comments orrecommendations: 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: Business name: Inspector signature: Roger Peitso Necessary or Locally Required Attachments ® Soil boring logs ® System/As-built drawing Certification number: License number: Phone number: C6683 952-249-4625 Page 1 of 3 Property address: 545 Lakeview Parkway 1. Impact on Public Health — Compliance component #1 of 5 Inspector initials/Date: RLP 05/28/2020 (mm/dd/yyyy) Compliance criteria: Verification method(s): System discharges sewage to the ❑ Yes ® No ❑ Searched for surface outlet round surface. ❑ Searched for seeping in yard/backup in home System discharges sewage to drain ❑ Yes ® No ❑ Excessive ponding in soil system/D-boxes tile or surface waters. ❑ Homeowner testimony (See Comments/Explanation) System causes sewage backup into ❑ Yes ® No ❑ "Black soil" above soil dispersal system dwelling or establishment. ❑ System requires "emergency" pumping Any "yes" answer above indicates the ❑ Performed dye test system is an imminent threat to public ❑ Unable to verify (See Comments/Explanation) health and safety. ❑ Other methods not listed (See Comments/Explanation) Comments/Explanation: Installation of new Type I Mound system 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: Inspected installation of new tanks ❑ 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 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* IN No *System is failing to protect groundwater. Explain: Page2of3 Property address: 545 Lakeview Parkway Inspector initials/Date: RLP 4. Soil Separation — Compliance component #4 of 5 Date of installation: 05/28/2020 ❑ Unknown (mm/ddlyyyy) Shoreland/Wellhead protection/Food beverage ❑ Yes ❑ No lodging? Compliance criteria: For systems built prior to April 1, 1996, and ❑ Yes M 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, ❑ 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. Verification method(s): 05/28/2020 (mm/ddlyyyy) 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) M Two previous verifications (Attach boring logs) ❑ Not applicable (Holding tank(s), no drainfield) ❑ Unable to verify (See Comments/Explanation) ❑ Other (See Comments/Explanation) Comments/Explanation: Benchmark: Survey Indicate depths or elevations A. Bottom of distribution media 994.1 B. Periodically saturated soil/bedrock 991.1 C. System separation 31 D. Required compliance separation* 31 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 Ooeratino Permit requirements been met? b Is the required nitrogen BMP in place and properly functioning? I L Yes LI 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. If the system is failing to protect ground water, the system must be upgraded, replaced, or its use discontinued within three years of receipt of this notice. 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. 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. Page 3 of 3 City of Orono Septic Asbuilt Form yV ��k£sttoak Address: 545 Lakeview Parkway Building Use: SFD Installer: Hayes and Sons Excavating License # L640 Date: 12/5/2019 Septic Tanks: 1-2250 Pump Tank: 1-1250 Date Finaled: 05/28/2020 Bedrooms # 5 System Type: ❑X I E] II F-� III ❑X Mound E] Trenches Pressure Bed ❑ Other Draw detailed diagram with measurements indicating distances to tank Risers. Use two(2) points from a permanent structure. Show locations of drop Boxes and length of trenches SEP SITE Y i� 1 2 3 4 5 6 7 8 9 10 11 12 Property Owner / project: Property Address / PID: Soil Observation Log Gonya Homes 545 Lakeview Parkway www.SepticResource.eom vers 12.4 Date 9/10/2019 6/1/2014 Parent matl's: R✓ Till ❑ Outwash ❑ Lacustrine ❑ Alluvium ❑ Organic ❑ Bedrock landscape position: ❑ Summit E] Shoulder n Side slope ❑ Toe slope soil survey map units: L40B slope 3-11 % direction- Linear Soil Log #1 Q Boring ❑ Pit Elevation 992.1 Depth to SHWT 12 inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-6 Topsoil <35 10yr4/2 Friable Moderate Blocky 6-12 Clay Loam <35 10yr5/4 Friable Strong Blocky 12-24 Clay Loam <35 10yr5/4 IOy4/8,1-6/10y Firm Strong Blocky <35 loose loose single grain friable weak granular blocky 35-50 firm moderate prismatic platy >50 rigid strong massive loose loose single grain <35 friable weak granular blocky 35-50 firm moderate prismatic platy >50 rigid strong massive Comments: 545 Lakeview Parkway Soil Log #2 Q Boring ❑ Pit Elevation 992.1 Depth to SHWT 16 inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-8 Topsoil <35 1Oyr3/2 Friable Moderate Blocky 8-16 Clay Loam <35 1 Oyr4/4 Friable Strong Blocky 16-24 Clay Loam <35 1Oyr5/4 I Oy4/8,1-6/1 Oy Firm Strong Blocky <35 loose loose single grain friable weak granular blocky 35-50 firn moderate prismatic platy >50 rigid strong massive <35 loose loose single grain friable weak granular blocky 35-50 firm moderate prismatic platy >50 rigid strong massive 545 Lakeview Parkway SoilLog #3 0 Boring ❑ Pit Elevation 992.1 Depth to SHWT 12 inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-6 Topsoil <35 1Oyr3/1 Friable Moderate Blocky 6-12 Clay Loam <35 1Oyr4/3 Friable Strong Blocky 12-24 Clay Loam <35 1 Oyr5/3 10y4/8,1 -6/10y Firm Strong Blocky <35 loose loose single grain friable weak granular blocky 35-50 firm moderate prismatic platy >50 rigid Strong massive loose loose single grain <35 friable weak granular blocky 35-50 firm moderate prismatic platy >50 rigid strong massive. I heZcertithis work was completed ire accordance with MN 7080 and any local reqs. Rusty Olson's Soil & Perc 810 signer Signature Company License # 545 Lakeview Parkway Soil Log #4 F], Boring ❑ Pit Elevation 989.8 Depth to SHWT 12 inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-8 Topsoil <35 1Oyr3/1 Friable Moderate Blocky 8-12 Clay Loam <35 1Oyr4/2 Friable Strong Blocky 12-20 Clay Loam <35 1 Oyr5/3 10y4/8,1-6/10y Firm Strong Blocky <35 loose loose single grain 35-50 friable weak granular blocky firm moderate prismatic platy >50 rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky firm moderate prismatic platy >50 rigid I strong massive 545 iLakeview Parkway Soil Log #5 P Boring ❑ Pit Elevation 989.8 Depth to SHWT 12 inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-8 Topsoil <35 10yr3/1 Friable Moderate Blocky 8-12 Clay Loam <35 1Oyr4/3 Friable Strong Blocky 12-18 Clay Loam <35 1Oyr5/4 IOy4/8,1-6/10y Firm Strong Blocky <35 loose loose single grain friable weak granular blocky 35-50 firm moderate prismatic platy >50 rigid strong massive <35 loose loose single grain 'blocky friable weak granular 35-50 firm moderate prismatic platy >50 rigid strong massive 1 hereby ce ify this work was completed in accordance with MN 7080 and ally local reqs. Rusty Olson's Soil & Pere 810 esigner Signature Company License # Soil Observation Log www.SepticResotirce.com vers 12.4 Owner Information Property Owner /project: Gonya Homes Date 9/10/2019 Property Address / PID: 545 Lakeview Parkway 6/1/2014 Soil Survey Information ❑ refer to attached soli survey Parent matl's: Till ❑ Outwash ❑ Lacustrine ❑ Alluvium ❑ Organic ❑ Bedrock landscape position: ❑ summit ❑ Shoulder 0 Side slope ❑ Toe slope soil survey map units: L40B slope 3-11 % direction- Linear Soil Log #6 Boring ❑ Pit Elevation 989.8 Depth to SHWT 12 inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-8 Topsoil <35 10yr3/l Friable Moderate Blocky 8-12 Clay Loam <35 1Oyr4/3 Friable Strong Blocky 12-18 Clay Loam <35 1Oyr5/4 I Oy4/8,1-6/1 Oy Finn Strong Blocky <35 loose loose single grain friable weak granular blocky 35-50 firm moderate prismatic platy >50 rigid strong massive <35 loose loose single grain friable weak granular blocky 35-50 firm moderate prismatic platy >50 rigid strong massive Comments: