HomeMy WebLinkAbout08-02-2021 Septic Compliance https://www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • Use your preferred relay service • Available in alternative formats
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Compliance inspection report form
Existing Subsurface Sewage Treatment System (SSTS)
Doc Type: Compliance and Enforcement
Instructions: Inspector must submit completed form to Local Governmental Unit (LGU) and system owner within 15 days of
final determination of compliance or noncompliance. Instructions for filling out this form are located on the Minnesota Pollution
Control Agency (MPCA) website at https://www.pca.state.mn.us/sites/default/files/wq-wwists4-31a.pdf.
Property information Local tracking number:
Parcel ID# or Sec/Twp/Range: 04-117-23-13-0010 Reason for Inspection Transfer of property
Local regulatory authority info: City of Orono
Property address: 2740 Deer Run Trail E, Orono, MN 55356
Owner/representative: Karen Constant Owner’s phone: (612) 237-5303
Brief system description: 2 - 1650 gallon septic tanks and 1 - 1250 lift pump tank to mound
System status
System status on date (mm/dd/yyyy): 8/2/2020
Compliant – Certificate of compliance* Noncompliant – Notice of noncompliance
(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.
Systems failing to protect ground water must be upgraded, replaced, or
use discontinued within the time required by local ordinance.
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.
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 Septic Service, LLC Certification number: L2654
Inspector signature: Tristan Ende License number: C9206
(This document has been electronically signed) Phone: 763-428-4489
Necessary or locally required supporting documentation (must be attached)
Soil observation logs System/As-Built Locally required forms Tank Integrity Assessment Operating Permit
Other information (list):
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Property Address: 2740 Deer Run Trail E, Orono, MN 55356
Business Name: Ende Septic Service, LLC Date: 8/2/2020
1. Impact on public health – Compliance component #1 of 5
Compliance criteria: Attached supporting documentation:
System discharges sewage to the
ground surface
Yes* No Other:
Not applicable
System discharges sewage to drain
tile or surface waters.
Yes* No
System causes sewage backup into
dwelling or establishment.
Yes* No
Any “yes” answer above indicates the system is an
imminent threat to public health and safety.
Describe verification methods and results:
2. Tank integrity – Compliance component #2 of 5
Compliance criteria: Attached supporting documentation:
System consists of a seepage pit,
cesspool, drywell, leaching pit,
or other pit?
Yes* No Empty tank(s) viewed by inspector
Name of maintenance business:
Kothrade Sewer
& Water
Sewage tank(s) leak below their
designed operating depth?
Yes* No License number of maintenance business: L192
Date of maintenance: 7/23/2021
Existing tank integrity assessment (Attach)
If yes, which sewage tank(s) leaks:
Date of maintenance
(mm/dd/yyyy):
(must be within three years)
Any “yes” answer above indicates the system
is failing to protect groundwater.
(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:
Describe verification methods and results:
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Property Address: 2740 Deer Run Trail E, Orono, MN 55356
Business Name: Ende Septic Service, LLC Date: 8/2/2020
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:
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 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)
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Property Address: 2740 Deer Run Trail E, Orono, MN 55356
Business Name: Ende Septic Service, LLC Date: 8/2/2020
5. Soil separation – Compliance component #5 of 5
Date of installation 2015 Unknown
(mm/dd/yyyy)
Shoreland/Wellhead protection/Food
beverage lodging?
Yes No Attached supporting documentation:
Soil observation logs completed for the report
Two previous verifications of required vertical separation
Not applicable (No soil treatment area)
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:
Drainfield has at least a two-foot vertical
separation distance from periodically
saturated soil or bedrock.
Yes No*
5b. 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 lodging establishment:
Drainfield has a three-foot vertical
separation distance from periodically
saturated soil or bedrock.*
Yes No* Indicate depths or elevations
A. Bottom of distribution media 36"
B. Periodically saturated soil/bedrock 0"
C. System separation 36"
D. Required compliance separation* 36"
*May be reduced up to 15 percent if allowed by Local
Ordinance.
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
(Intermediate Inspector License required ≤
2,500 gallons per day; Advanced Inspector
License required > 2,500 gallons per day)
Drainfield meets the designed vertical
separation distance from periodically
saturated soil or bedrock.
Yes No*
*Any “no” answer above indicates the system is
failing to protect groundwater.
Describe verification methods and results:
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.
Field Copy Soil Profile Description Last updated: 1/8/10
Observation # :
Equipment :
Limiting Layer :
Vegitation :
Weather :
Observation # : 1
Horizon
Depth Shape Grade Consistence
0-13 blocky weak friable
Observation # : 2
Horizon
Depth Shape Grade Consistence
0-14 blocky weak friable
Primary or Alternate Site Elevation:
Primary or Alternate Site Elevation:
loamy fill 10YR2/2 5YR5/8
Soil Texture Matrix Color Redox features
sb1 and sb2
Bucket Auger
0"
Grass
Sunny
Completed By :
Client / Project :
Landscape position :
Mapped soil type :
8/10/2021
2740 Deer Run Trail E Orono, MN
Ende Septic Service
Date Completed :
loamy fill 10YR2/2 5YR5/8
Till
Matrix ColorSoil Texture Redox features
Ende Septic Service, LLC, 24910 Territorial Road, Rogers, MN 55374
Phone: (763) 428-4489 info@endeseptic.com www.endeseptic.com
Mound Map Legend
2740 Deer Run Trail
100 ft
N
➤➤
N
2-1500 GallonSeptic Tanks
1250 GallonPump Tank
Force Main
MOUND
10'x62.5'Rockbed
sb1
sb2
HOUSE
GARAGE