HomeMy WebLinkAbout04-20-2021 Septic Compliance inspection reportMINNESOTA POLLUTION
CONTROL AGENCY Compliance i' liance insYlreport rern�ort form
520 Lafayette Road North Existing Subsurface Sewage Treatment System (SSTS)
St. Paul, MN 55155-4194 Doc Type: Compliance and Enforcement
Instructions: Inspection results based on Minnesota Pollution Control Agency (MPGA) requirements and attached supporting
documentation — additional local requirements may also apply. Further information can be found here:
httos://www. pca. state. m n. us/sites/default/files/wa-wwists4-31 a. odf.
Inspector must submit completed form to Local Governmental Unit (LGU) and system owner within 15 days of final
determination of compliance or noncompliance.
Property information Local trackina number
Parcel ID# or Seo/Twp/Range: Local regulatory authority: City of Orono
Property address: 3350 Fox Street Long Lake
Owner/representative: Steve Barret Owner's phone: 407-274-3033
Brief system description: reused 1500 gal septic 2-1600 gal septic & 1000 gallon pump tank with a mound system
System status
System status on date (mm/dd/yyyy): 4/20/2021
® Compliant — Certificate of compliance*
(Valid for 3 years from report date unless evidence of
an imminent threat to public health or safety requiring
removal and abatement under section 145A.04,
subdivision 8 is discovered or a shorter time frame exists
in Local Ordinance.)
*Note: Compliance indicates conformance with Minn.
R. 7080.1500 as of system status date above and
does not guarantee future performance.
❑ Noncompliant — Notice of noncompliance
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 or under section 145A.04 subdivision 8.
Systems failing to protect ground water must be upgraded,
replaced, or use discontinued within the time required by local
ordinance.
Reason(s) for noncompliance (check all applicable)
❑ Impact on public health (Compliance component #1) — Imminent threat to public health and safety
❑ Tank integrity (Compliance component #2) — Failing to protect groundwater
❑ Other Compliance Conditions (Compliance component #3) —Imminent threat to public health and safety
❑ Other Compliance Conditions (Compliance component #3) — Failing to protect groundwater
❑ System not abandoned according to Minn. R. 7080.2500 (Compliance component #3) — Failing to protect groundwater
❑ Soil separation (Compliance component #5) — Failing to protect groundwater
❑ Operating permittmonitoring plan requirements (Compliance component #4) — Noncompliant -local ordinance applies
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.
By typing my name below, I certify the above statements to be true and correct, to the best of my knowledge, and that this information
can be used for the purpose of processing this form.
Business name: Sewer rVic nc Certification number: C1659
/�,
Inspector signature: ./ A License number: 2502
(Tris cumene as been electrKnIpally signed) Phone: 952-873-3292
Necessary or locally required supporting documentation (must be attached)
® Soil observation logs ® Locally required forms ® Tank Integrity Assessment ❑ Operating Permit
❑ Other information (list)
https://www.pca.state.mn.us
wq-wwists4-31b * 1/11/21
651-296-6300 800-657-3864 Use your preferred relayservice Available in alternative formats
Page 1 of 4
1. Impact on public health — Compliance component #1 of 5
Compliance criteria:
System discharges sewage to the
ground surface
Yes' ® No
discharges sewage to drain I ❑ Yes' ® No
System causes sewage backup into I ❑ Yes' ® No
Any "yes" answer above indicates the system is an
imminent threat to public health and safety.
Describe verification methods and results:
Searched for surface outlet or ground discharge
Checked for back-up
Attached supporting documentation:
❑ Other:
® Not applicable
2. Tank integrity— Compliance component #2 of 5
Compliance criteria: Attached supporting documentation:
System consists of a seepage pit, ❑ Yes' ®No ® Pumped at time of inspection
cesspool, drywell, leaching pit,
or other oit?
Sewage tank(s) leak below their ❑ Yes* ® No
designed operating depth?
If yes. which
Any "yes" answer above indicates the system
is failing to protect groundwater.
Describe verification methods and results:
Pumped & Inspected
Name of maintenance business: Sewer Services
License number of maintenance business: 2502
Date of maintenance: 4/20/2021
❑ Existing tank integrity assessment (Attach)
Date of maintenance
(mm/dd/yyyy): (must be within three years)
(See form instructions to ensure assessment complies with
Minn. R. 7082.0700 subp. 4 B (1))
❑ Tank is Noncompliant (pumping not necessary - explain below)
❑ Other:
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wq-wwists4-31b • 1/11/21 page 2 of
3. Other compliance conditions — Compliance component #3 of 5
3a. Maintenance hole covers appear to be structurally unsound (damaged, cracked, etc.), or unsecured?
❑ Yes` ® No ❑ Unknown
3b. Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety? ❑ Yes* ® No ❑ Unknown
*Yes to 3a or 3b - System is an imminent threat to public health and safety.
3c. System is non -protective of ground water for other conditions as determined by inspector? ❑ Yes" ® No
3d. System not abandoned in accordance with Minn. R. 7080.2500? ❑ Yes' ® No
*Yes to 3c or 3d - System is failing to protect groundwater.
Describe verification methods and results:
Inspected
Attached supporting documentation: ® Not applicable ❑
4. Operating permit and nitrogen BMP* — Compliance component #4 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 specified in the system design? ❑ Yes ❑ No If "yes", B below is required
BMP = Best Management Practices) specified in the system design
If the answer to both questions is "no" this section does not need to be completed.
Compliance criteria:
a. Have the operating permit requirements been met? ❑ Yes ❑ No
b. Is the required nitrogen BMP in place and properly functioning? ❑ Yes ❑ No
Any "no" answer indicates noncompliance.
Describe verification methods and results:
Attached supporting documentation: ❑ Operating permit (Attach) ❑
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5. Soil separation — Compliance component #5 of 5
Date of installation 11/1/2011 ❑ Unknown
(mm/dd/yyyy)
ShorelandMell head protection/Food
beverage lodging?
Compliance criteria (select one):
5a. 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:
Drainfeld has at least a two -foot vertical
separation distance from periodically
saturated soil or bedrock.
51b. 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/odging establishment:
Drainfield has a three-foot vertical
separation distance from periodically
saturated soil or bedrock.*
5c. "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)
Drainfeld meets the designed vertical
separation distance from periodically
® Yes ❑ No Attached supporting documentation:
® Soil observation logs completed for the report (Attach)
❑ Two previous verifications of required vertical
[I Yes El No* separation (Attach)
❑ Not applicable (No soil treatment area)
11
® Yes ❑ No*
❑ Yes ❑ No*
*Any "no" answer above indicates the system is
failing to protect groundwater.
Describe verification methods and results:
Boring
1-1-12" 10yr 2/2 Loam
13-25' 10 yr 4/4 Clay Loam
No Redox
Indicate depths or elevations
A. Bottom of distribution media
15"
B. Periodically saturated soil/bedrock
21" design
boring
C. System separation
36"
D. Required compliance separation*
36"
*May be reduced up to 15 percent if allowed by Local
Ordinance.
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.
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Page 4 of
02/21/12 09:59
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OLSONCON5TRUCTION 9529885289
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CITY OF ORONO
INSPECTION N'O7ic�'e DD�� SCHEDULED
PERMIT NO. O/1— COMPLETED
35a riX. S__
CALLED IN
ADDRESS
OWNER
CONTRACTOR
DESCRIPTION
TIME
wo 10 4
TELEPHONE NO. 452 qi GO
❑ FOOTING
❑ PLUMBING FINAL
❑ POURED WALL
❑ MECHANICAL RI
❑ FRAMING
❑ MECHANICAL FINAL
❑ INSULATION
❑ WOOD BURNER/FIREPLACE
❑ RADON SLAB
❑ WATER HOOK-UP
❑ FINAL
❑ SEWER HOOK-UP
O DEMO - SITE
❑ SEPTIC MAINT,
❑ DEMO - FINAL
SEPTIC INSTALL
❑ PLUMBING RI
❑ SEPTIC FINAL
OW NERICONTRACTOR TO MEET YOU: _ YES _ NO
COMMENTS:
❑ EXCAV/GRADING/FILLING
❑ LAKESHOREIWETLANDS
❑ TREE REMOVAL
❑ SITE INSPECTION
❑ PROGRESS
❑ COMPLAINT
❑ FOLLOW-UP
❑ HARD COVER REMOVAL
❑ FOUNDATION/REMOVAL
;1- l Coo L.- t S. E.o 4� Cr o
0x &`3 R ( V_Oed
KWIRK SATISFACTORY: PROCEED
❑ CO RECT WORK 8 PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION
BEFORE COVERING
❑ CORRECT UNSAFE CONDITION WITHIN HOURS.
INSPECTOR WILL RETURN
O STOP ORDER POSTED. CALL INSPECTOR
C; INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
I I PROJECT COMPLETE
I ISSUE CERTIFICATE OF OCCUPANCY
TEMPORARY
PERMANENT
IJ PHOTO TAKEN
I I CITATION ISSUED
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on
Inspector.
White Copylinspsctor's File Canary Copy/Site Notice
A. Calculate Clean Sand Lift: 3 feet mints Depth to Limiting C y tif�i* ft n tl
3.0 ft 2.1 ft m 1.0 ft -sign Sand Uft (optional): 1.25
B. CalaAate Upslope Haight: Clean Sand Lift (4.A) + medto de, lth p ft.) + cover (1 ft.) - Upslope Height
1.3 k 7.d ft 1.0 ft - 3.3 ft
rL„_.I-. isl:loas.1tarsat..1. _.__
n n
!'• ,1>,'i'•.VI
1: :a3';e:ll
tvyai i.._ +S-:ai.3'.li.%J�i.S•, i.•rl: P,i iii. :,r- GI.
+ 1
I::'m.6 1' ' 20 21 21 E.!
5i'Bici-7". '<i,wi:e 1i,.:l-''-
t'.�'nifs:'•. 'r �'� :) i'11>J +ltI.lA�a yxii 55"-315,h'a+I-.Ni.li ii'le.•llwi-'i-t�Ip,iil il.i;la.+illi is"I'- ij't'rI•a
Seled Upsiope Berm Multiplier
(based on land slope): 3, 33 (figure t •34)
D. Calculate Upsfope Berm Width: Multiplier (4.C) X UpslOpe Mound Height (4.8) a Upslope Berm Width
3.33 ft X[3.3 ft - 10.8 ft
I- Calculate Drop in Elevatlon Under Bed: lied Width (2.0) X mid 5100 (1.0) r 100 - Drop (ft)
10.0 ft XC 5,0 X s 100 = 0.50 ft
P. Calculate Dowrelope Mound Height: Upsf (4.8) + DropUOn {4.E)�ope Haight
3.3 ft . C 0.50 ft = 3.8 ft
Setea Downslope Berm Multiplier
CL (based on land slope): 5.OD (figure 11-34)
H. Calculate Dmvnsiape Berm W)dth: Multiplier (4.G) X Dowse lope Height (U) a Downstope Berm Width
5.00 x [ 3.8 ft = 1B.B ft
I, Calculate MlMmum Berm to Cover Absorption Area: Downs ope Absorption Width (3.B or 3.C) + 4 ft. - ft
17.0 ft 'C ft 21.0 ft
J. Design downslope Berm - greater of 4H and 41: [ 21.0 ft
K, Select Endslope Berm Multiplier: 4.00 (usuall) 3.0 or 4.0)
L Calculate EndsXoPc' Berm (4.K) X Dmmslope Mound Haight (4.F) = Erdslojor Berm Width
4.00 ft X[ 3.B ft • 15.0 ft
A1. Calculate Mound Width: Upslope, Berm Width (4.o) + Bed N idth (2.8) * Downstope Berm Width (4.J) - ft
10.8 ft 10.07 ft. 21.0 ft - F 41,8 ft
H. Calculate mound Length: EtRWope Berm Width (41) + Bed Length (2•C) + fi dsiope Berm Width (41) - ft
15.0 ft 63 E] ft + 15.0 ft 93.0 ft
0. If using a registered product, enter the Component Length: in. 12 ft.
P. Musing a registered product: enter the Component Width: Cin. _ 12 ft.
Q. Number of Components per Row - tied Length (2.C) divide d by Component Length (4.0) (Round up)
G3 -C�•C=
R, Number of Rows - Bed W1dth (2.3) divided by Component Width (4.P) (Round up)
AtUust Contour Loading Rate on Design Summary page unci this number is a whole number
S. Total Humber of Components - Number of Components pe t Row X Number of Rows
�XO.C= ;7a or-
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