HomeMy WebLinkAbout08-06-2021 Septic ComplianceSP TESTING INC.
Steven B. Schirmers ̶ 951 Katydid Lane NE ̶ St. Michael, MN 55376
Cert. No 627 ̶ State License #394 ̶ Phone 763-497-3566 ̶ Fax 763-497-5011
www.sptesting.wastewater@comcast.net ̶ schirmerswastewater.com
August 12, 2021
Patty Welty
510 Deborah Dr.
Orono, MN
A Compliance inspection was completed for the existing on-site sewage treatment
system located on this property for the sale of the home. The system consists of 2-
1000 gallon septic tanks, 1 -1000 gallon pump tank, a pressurized mound system
with a 10’ x 62’ rock bed, built in 2006 for a 5 bedroom home.
Soil boring #1 found mottled soil (redox features) at 1.8’ into the original soil & the
original soil at elev. 94.3 & the bottom of the rock bed at elev. 95.7 leaving 1.4’ of
sand below the rock bed & a 3.2’ separation from the bottom of the rock & redox
features. Soil boring #2 found mottled soil at 2’ into the original soil & the original
soil at elev. 94.4 & the bottom of the rock bed at elev. 95.4 leaving 1’ of sand & a 3’
separation. This system meets the required 3’ separation from the bottom of the
rock bed & is classified as in compliance with Minnesota Chapter 7080 rules.
The tanks were pumped by Kothrade, Sewer, Water & Excavating, Inc. & were found
to be compliant.
Nothing other than gray water (laundry, showers etc.) human waste & toilet tissue
should be disposed of into the septic tanks. Garbage disposals are not
recommended due to adding more solids & fine solids passing through into the
system. Iron filters are also not recommended & should be diverted out of the
system. Excessive amounts of soaps, antibacterial soaps, cleaning agents, shower
cleaners used every shower & chlorine agents may kill the bacteria you need living
in the system. Additives are not recommended. Recommend to pump & clean you
tanks through the manhole by a certified pumper every 3 years. Check with your
pumper to set up a schedule.
This certificate of compliance is no guarantee that this system will continue to
function indefinitely.
Steven B. Schirmers
S—P TESTING, INC. .,Steven B. Schirmers • MPCA Cert. No. 627
951 Katydid Lane NE • St. Michael, MN 55376 . (763)497-3566
FAX (763) 497-5011
State License #394
wwwsptesting.wastewater@comcast.net - schirmerswastewater.com
SCBM : tiflo,a 1 0� ��
_��"�_ �_7�ta_''S?h•� 143'_. rra�(�o �'�.
MINNESOTA POLLUTION
CONTROL AGENCY Compliance inspection report 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 (MPCA) requirements and attached supporting
documentation - additional local requirements may also apply. Further information can be found here:
htt s://www. ca.state.mn.us/sites/default/ iles/w-wwists4-31a. df.
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 SecfTwp/Range: Local regulatory authority: U 4 0< -
Property
Property address: X10 j r3-1 -
Owner/representative: i�4 Owner's phone: 2 -
Brief system description: - t ovv 0 �5 5 L ��s,4 S , I 1y 4 �� ,4 r�-{r^ ti� ,��ct� M u z, {-,.�01,6
System status \/Jv'''' (� a ` x �a , ruvf,� zi�� s; v s li vrU" '�vr
System status on date (mm/dd/yyyy): c6 -(z --A1
[' 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 undersection 945A.04,
subdivision 8 is discovered or a shorter time frame exists
in Local Ordinance.)
*Note, Compliance indicates conformance with Minn.
R. 7080.9500 as of system status date above and
does notguarantee future performance.
❑ Noncompliant - Notice of noncompliance
An imminent threat to public health and safety (1TPHS) 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 945A.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 41) -- 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: -- 4i�y�.51, 11,4 Certification number: t-Pa�
Inspector signature: cf(xj�j�d� License number:
(This document has been electronically signed) Phone: - Lk g D --
Necessary or locally required supporting documentation (must be attached)
IT Soil observation logs ❑ Locally required forms Tank Integrity Assessment
El Operating Permit
® Other information (list): %�,W
https://www.pca,state,mn.us 651-296-6300 800-657-3864 Use your preferred relay service Available in alternative formats
wq-wwists4-31b • 1111121 Page 1 of
1. Impact on public health — Compliance component #1 of S
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 into ❑ Yes' p No
dwellin ores#ablishment.
Any "yes" answer above indicates the system is an
imminent threat to public health and safef .
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 yes, which sewa a tanks leaks:
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
Name of maintenance business:
License number of maintenance business:
Date of maintenance:
[] 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 651-296-63oc 800-657-3864 Use your preferred relay service Available in alternative formats
wq-wwfsts4-31b • 1/11/21 Page 2 0f4
� 10 'Q 0'40 ,5r,>a 4 :��.
3. Other compliance conditions — Compliance component #3 of 5
3a. Maintenance hole covers appear to be structurally unsound (damaged, cracked, etc.), or unsecured?
0 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* ONO
3d. System not abandoned in accordance with Minn. R. 7080.2500? 0 Yes* ❑ ko
*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 M� Not appllcable
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)
https://www.pca.state.mn.us 651-296-6300 500-657-3864 Use your preferred relay service Available in alternative formats
wq-wwists4-31b • 1111121 Poge 3 of 4
5. Soil separation Compliance component 45 of 5
Date of installation st0� i,q ❑ Unknown
(mm/dd/yyyy)
ShorelandtWel[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:
Drainfield has at least a two -foot vertical
separation distance from periodically
5b. Non-performance systems built April 1,
1996, or later or for non-performance
systems located in Shoreland or Wellhead
Protection Areas orserving a food,
beverage, or lodging establishment:
Drainfield has a three-foot vertical
separation distance from periodically
saturated soil or bedrock.*
❑ Yes M No
❑ Yes ❑ No*
IM Yes ❑ No*
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:
2 Soil observation logs completed for the report (Attach)
❑ Two previous verifications of required vertical
separation (Attach)
❑ Not applicable (No soil treatment area)
El
Indicate depths or elevations
A. Bottom of distribution media
B. Periodically saturated soillbedrod
C. System separation
D, Required compliance separation*
513411 _1161
Sys -
-3.
55'a a� — �, D,
3,[71
*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 651-296-6300 800-657-3864 Use your preferred relay service Available in alternative formats
wq-wwists4-31b • 1/11/21
Page 4 of 4
SP TESTING INC'.
Steven B. Schirmers — 951 Katydid Lane NE —St. Michael, MN 55376
Cert. No 627 — State License #394 — Phone 763-497-3566 — Fax 763-497-5011
www.sptesting.wastewater@comcast.net— schirmerswastewater.com
Patty Welty
510 Deborah Dr.
Orono, MN
Soil borings completed with a bucket auger on 8-6-21
SOIL BORING #1 - ELEV. 97.6 - MOTTLED SOIL PRESENT IN THE BORING
AT1.8' into the original soil.
0 - 16" Fill soil loam
16" - 40" Fill soil medium sand
40" - 48" Original soil dark brown loam 10YR 312
48" - 54" Dark brown clay loam 10YR 412
54" - 62" Brown clay loam 10YR 513
62" - Brown clay loam 10YR 513 - distinct mottles 1 OYR6/8,10YR7/1
SOIL BORING #2 - ELEV. 98.2 - MOTTLED SOIL PRESENT IN THE BORING AT
2' into the original soil.
0 -
22"
Fill soil loam, clay loam
22" -
45"
Fill soil medium sand
45" -
56"
Original soil dark brown loam 10YR 312
56" -
62"
Dark brown clay loam 10YR 412
62" -
69"
Brown clay loam 10YR 513
69" -
72"
Brown clay loans 10YR 513 - distinct mottled I OYR618,1OYR7/1
MINNESOTA POLLUTION Sewage tank integrity assessment form
CONTROL AGENCY g
520 Lafayette Road North Subsurface Sewage
5t. Paul, MN 55155-4194 Treatment Systems (SSTS) Program
Doc Type. Compliance end Enforcement
Purpose: This form may be used to certify the compliance status of the sewage tank components of the SSTS. This form is not a
complete SSTS inspection report, only a tank integrity assessment, and may only certify sewage tank compliance status
when entirely completed and signed by a qualified professional. SSTS compliance inspection report forms can be found at:
htt s:llwww. ca.state.mn. siwaterfins ections.
Instructions. This form may be completed, and signed, by a Designated Certified Individual (DCI) of a licensed SSTS inspection,
maintenance, installation, or service ,provider business who personally conducts the necessary procedures to assess the compliance
status of each sewage tank in the system. Only a licensed maintenance business is authorized to pump the tank for assessment. A
copy of this information should be submitted to the system owner and be maintained by the licensed SSTS business for a period of
five (5) years from the assessment date.
When this form is signed by a qualified certified professional, it becomes necessary supporting documentation to an Existing
System Compliance Inspection Report: Compliance inspection form - Existing system w-wwists4-31 b). This form can be found on
the MPCA website at Mips:Jiwww...pca_state.mn.us/waterfinspections.
The information and certified statement on this form is required when existing septic lank compliance status is determined by an
individual other than the SSTS Inspector that submits an inspection report. This form represents a third party assessment of SSTS
component compliance and is allowable under Minn. R. 7082.0700, subp. 4(8)(1). This form is valid for a period of three years
beyond the signature date on this form unless a new evaluation is requested by the owner or owner's agent or is required according
to local regulations. Additional Administrative Rule references for this activity can be found at Minn. R. 7082.0700, subp. 4(B),(C),
and (D) and; Minn. R. 7083.0730(C).
Owner information
Owner/Representative Christopher & Patricia Welty
Property address: 510 Deborah Dr, Orono MN 55359
Local Regulatory Authority: City of OronoParcel ID: 31-118-23-23-0006
System status
System status on date (mmiddlyyyy): t f Z ( _?-1 000'tr-+iiE R,-5 -F iwo - ,�.�C � �r rr a ( e." j'a -4-
-1117-11; t..lSPalrtf eb-,dI �-.,. .>
`,Certificate of sewage tank compliance ❑ Notice of sewage tank non-compliance
Compliance criteria:
The SSTS has a seepage pit, cesspool, drywell, leaching pit, or other pit - "Failure to Protect
Groundwater." ❑ Yes` ONo
The SSTS has a sewage lank that leaks below the designed operating depth - "Failure to Protect Yes' I tQ
Groundwater." El
The SSTS presents a threat to public safety by reason of structurally unsound (damaged, cracked,
or weak) maintenance hole cover(s) or lids or any other unsafe condition -"Imminent Threat to ❑ Yes" E�-hlo
Pubiic Health or Safety."
Any "yes" answer above indicates sewage tank non-compliance.
Company Information
Company name: Kothrade Sewer, Water & Excavating, Inc
Business license number: L192
DesIgnated Certified Individual (DCI) information
Print name: _Larry Bursch
Certification number: C9199
1 personalty conducted the work described above as a Designated Certified Individual of a Minnesota -licensed SSTS inspection,
maintenance, installation, or service provider Business. I personally conducted the necessary procedures to assess the compliance
status of each sewage tank in this SSTS.
By typinglsigning my name below, 1 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 ofprocessjgV this form.
Designated Certified Individual's signatur Date (mmlddlyyyy): 15 `(/- '? l
{This documatnt has been electronically signed.)
www.pca.state.mn.us 651-296-6300 - 800-657-3864 * Use your preferred relay service Available in alternative formats
wq-ww1sts4-91 - 5/10/2.1 Pagel of I