HomeMy WebLinkAbout04-25-2021 Septic Compliance Inspection24910 Territorial Road, Rogers, Minnesota 55374 • 763-428-4489
info@endeseptic.com • www.endeseptic.com
Project: 3205 Graham Hill Rd Long Lake, MN 55356
A septic compliance inspection was completed, and the system is
Compliant according to the MPCA codes for Chapter 7o8o and
local codes for the City of Long Lake in Hennepin County. The
system the following attributes:
Date Home Built: 2012
Bedrooms: 5
Date Septic Built: 2012
Septic Tanks: 2 -l000 -gallon septic tanks, manhole cover to grade, inlet
and outlet baffles in place
Pump Tank: l000 -gallon tank, manhole cover to grade. 1/2 hp pump,
on/off float and alarm float in working condition during inspection.
Soil Treatment: Pressure fed mound system with a 2 ft sandlift and a
lo'x62.5' rockbed.
Ende Septic Service, LLC, has been hired to perform a compliance inspection of your ISTS for compliance
with local ordinances pursuant to Minn. State. Sec. 155.55 (2010). The compliance inspection covers only
the criteria required by Minn. Stat. Sec. 155.55, Subd. 5a (2010 and Minn. R. 7080.1500 (2011). A
Compliance inspection is a snapshot in time of your septic system and does not warrant the condition or
longevity of your septic system. Ende Septic Service, LLC, disclaims any use of the compliance inspection
beyond determining SSTS compliance pursuant to Minn. Stat. Sec. 155.55 (2010).
6? e C7I �G(o
MINNESOTA POLLUTION Compliance inspection report form
CONTROL AGENCY
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 (MPCA) requirements and attached supporting
documentation — additional local requirements may also apply. Further information can be found here:
https://www.pca.state.mn.us/sites/defauIt/files/wq-wwists4-31 a.pdf.
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 tracking number:
Parcel ID# or Secrrwp/Range:
Property address: 3205 Graham HIII Rd Orono, MN
Local regulatory authority: City of Orono
Owner/representative: Jacqueline Day _ Owner's phone: 612-670-0503
Brief system description: 2-1000 gallon septic tanks, 1000 gallon pump tank to a pressure fed mound system.
System status
System status on date (mm/dd/yyyy): 4/25/2021
® Compliant — Certificate of compliance* ❑ Noncompliant — Notice of noncompliance
(Valid for 3 years from report date unless evidence of An imminent threat to public health and safety (ITPHS) must be
an imminent threat to public health or safety requiring
upgraded, replaced, or its use discontinued within ten months of
removal and abatement under section 145A.04,
receipt of this notice or within a shorter period if required by
subdivision 8 is discovered or a shorter time frame exists
local ordinance or under section 145A.04 subdivision 8.
in Local Ordinance.)
Systems failing to protect ground water must be upgraded,
*Note: Compliance indicates conformance with Minn.
replaced, or use discontinued within the time required by local
R. 7080.1500 as of system status date above and
ordinance.
does not guarantee future performance.
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 permit/monitoring 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: Ende Sep ' Service
Inspector signature: T
('Mi docume s tronically signed)
Certification number: C9206
License number: L2654
Phone: 763-428-4489
Necessary or locally required supporting documentation (must be attached)
Soil observation logs ❑ Locally required forms j%t Tank Integrity Assessment
El 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 relay service Available in alternative formats
Page 1 of 4
1. Impact on public health — Compliance component #1 of 5
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 into ❑ Yes* ® No
Any "yes" answer above indicates the system is an
imminent threat to public health and safety.
Describe verification methods and results:
Attached supporting documentation:
❑ Other:
❑ Not applicable
2. Tank integrity— Compliance component #2 of 5
Compliance criteria:
System consists of a seepage pit, ❑ Yes ® No
cesspool, drywell, leaching pit,
or other pit?
Sewage tank(s) leak below their ❑ Yes- ® No
designed operating depth?
If
Any "yes" answer above indicates the system
is failing to protect groundwater.
Describe verification methods and results:
Attached supporting documentation:
® Pumped at time of inspection
Duane's Septic
Name of maintenance business: Service
License number of maintenance business: L654
Date of maintenance: 04/20/2021
❑ Existing tank integrity assessment (Attach)
Date of maintenance
(mmlddlyyyy): (must be within three years)
(See form instructions to ensure assessment complies with
Minn. R. 7082.0700 subp. 4 8 (1))
❑ Tank is Noncompliant (pumping not necessary - explain below)
❑ Other.
https://www.pca.state.mn.us 651-296-6300 • 800-657-3864 • Use your preferred relay service Available in alternative formats
wq-wwists4-31b • 1/11/21 Paget 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 to 3c or 3d - System is failing to protect groundwater.
Describe verification methods and results:
Attached supporting documentation: ® Not applicable ❑
❑ Yes, ® No
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 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. 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) ❑
h"ps://www.pca.state.mn.us 651-296-6300 800-657-3864 Use your preferred relay service Available in alternative formats
wq-wwists4-31b • 1/11/11 Page 3 of 4
5. Soil separation — Compliance component #5 of 5
Date of installation 2012 ❑ Unknown
(mm/dd/yyyy)
ShorelandMellhead protection/Food ❑ Yes ® No
beverage lodging?
Compliance criteria (select one):
5a. For systems built prior to April 1, 1996, ❑ Yes ❑ No*
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.
5b. 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.*
5c. "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.
Describe verification methods and results:
Attached supporting documentation:
® Soil observation logs completed for the report (Attach)
❑ Two previous verifications of required vertical
separation (Attach)
❑ Not applicable (No soil treatment area)
Indicate depths or elevations
A. Bottom of distribution media 24"
B. Periodically saturated soil/bedrock -12"
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.
httPs://www.pca.state.mn.us
wq-wwist54-31b • 1/11/21
651-296-6300 800-657-3864 Use your preferred relay service Available in alternative formats
Page 4 of 4
O
U
14
m
U
u
U
N
N
�
Q
4
••r
f0
f6
O
U
N
:J
y
v
Q
T
41
L
V
3
o
�T
YY
E
U
T
T
�
0
0
cQ
u
u
z
o
0
f
s
�
L
7
a+
N
N
R
N
�+
v
O
p
F
�hy1
Q
►
M1
C
O
p
C
O
N
C
y
y
O
W
c
N
M
y
L
►
O
N
M
i
m
'T
c
K
C
y
0
0
y
c
y
C
i'
i•
C
y
L
a
y
L
7
'o
F
o
'o
N
r
O
=
OHO
G
i
?L
u
y
Q
M
�
t
Ir
N
N
t
�
O
o
U
U
G!
4J
v
�
Q
4
•�
C
(o
w
ro
w
O
U
N
v
T
�T
YY
�
V
V
�
0
0
U
L
7
a+
N
N
R
Y
R
Y
O
p
F
V
�
►
U
C
�
C
y
W
y
O
c
N
M
i
0
0
Q
y
c
i'
c
Zv
y
L
a
k
U
'o
N
r
O
=
OHO
G
i
?L
u
y
Q
M
�
t
O
r
Garage'
Driveway ,
House
C2' tea
y 3205 Graha
Mound —1
SLS
ale Earth
Main Lip,-
2-1000
upo2-1000 Gallon
��. Septic Tank
10'x62.5' sb"t
Rockbed
1000 Gallon
�-- Pump Tank
Supply Line
A
IN