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HomeMy WebLinkAbout10-05-2020 Septic Compliance Inspectiont• Minnesota Pollution Control AgAgency Compliance Inspection Form C 520 Lafayette tioad North Existing Subsurface Sewage Treatment Systems (SSTS) St, Paul, MN 55155-4194 Doc Type; Compliance and Enforcement Inspection results based on Minnesota Pollution Control Agency (MPCA) For local tracking purposes: requirements and attached forms — additional local requirements may also apply. Submit completed form to Local Unit of Government (LUG) and system owner within 16 days System Status System status on date (mmldd/yyyy): _10- S -2,o Compliant — Certificate of Compliance (Valid for 3 years from report date, unless shorter time frame oullined in Local Ordinance.) ❑ Noncompliant — Notice of Noncompliance (See Upgrade Requirements on page 3.) Reason(s) for noncompliance (check all applicable) ❑ Impact on Public Health (Compliance Component #1) — Imminent threat to public health and safety ❑ Other Compliance Conditions (Compliance Component 113) — Imminent threat to public health and safety ❑ Tank Integrity (Compliance Component 112) — Failing to protect groundwater Other Compliance Conditions (Compliance Component 03) —t=ailing to protect groundwater ❑ Soil Separation (Compliance Component #4) — Failing to protect groundwater ❑ Operating permittmonitoring plan requirements (Compliance Component #5) — Noncompliant Property information Parcel 10# or Secfrwp/Range: i,} 1�1 1 `<.� &0. Property address: aaiijc 0 p Gly n �5 ��.SG. 212QO Reason for inspection: Property owner: 5c.,c��(•i 1 4. ��( iy�l_ Owner's phone: ��a-30S -) S1 al or Owner's representative: Representative phone: Local regulatory authority: Regulatory authority phone; °1 S;t ko00 Brief system description; a - ofd v /y� p` `� c, �,✓„yMS' �Cv-+S�r t.10J}SQ Comments or recommendations: 'rY; 4 IL�be` v1yt34T7 51z.t9p �o�rk c,�54:��i'nv�ryt opt f Certification I hereby certify that ail 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: ��:�/ ih\ (3 L�� � _ Certification number: _� ) Business name: License number: L. Inspector signature: �j� a Phone number: V123 Necessary or Locally ® Soil boring logs ❑ Other information (1131): Required Attachments System/As-built drawing ❑ Forms per local ordinance www.pca.state.mn.us 651.296-6300 - 800-657-3864 TTY 651.282-5332 or 800.657-3864 • Available in alternative formats wq-wWWA-31b • 614114 Poop 1 of i Property address: 2, (oo► O C SAX V.A-),4 Inspector initials/Date: � %o--1- as (mm/dd/yyyy) 1. Impact on Public Health — Compliance component #1 of 5 Hance cri System discharges sewage to the I ❑ Yes OR No System discharges sewage to drain ❑ Yes H No tile or surface waters. System causes sewage backup into (❑ Yes Q No dwelling or establishment. Any "yes" answer above indicates the system is an imminent threat to public health and safety. Comments/Explanation: Verification method(s); ❑ Searched for surface outlet Searched for seeping in yard/backup in home 1.,1C Excessive ponding in soil system/D-boxes �_W ❑ Homeowner testimony (See Commentwaxplana(lon) "Black soil" above soil dispersal system 140 ❑ System requires "emergency" pumping ❑ Performed dye test ❑ Unable to verify (See Comments/Explanation) ❑ Other methods not listed (See Comments/Explanaton) _2. Tank Integrity — Compliance component#2 of 5 _ Com liance criteria: System consists of a seepage pit, ❑ Yes ❑ No cesspool, dryweil, or leaching pit. Seepage pits meeting 7080.2550 may be compliant it 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. Camments/Explanation: Verification method(s): ❑ 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 Comm ents/Explanation) ❑ Other methods not listed (See Comments/Explanation) L 3. Other Compliance Conditions — Compliance component #3 of 5 a. Maintenance hole covers are damaged, cracked, unsecured, or appear to be structurally unsound. ❑ Yes* 0 No ❑ Unknown b. Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety. ❑ Yes* p No p 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 . *System is failing to protect groundwater. Explain: www.pca.state,mn.us - 651-296-6300 800-657-3864 TTY 651.282-5332 or 800-657-3864 wq-wwists4.31b • 614114 ❑ Yes* lid No • Available in alternative formats Property address: Al,�010 q �,��, .{�y�Inspector initial8IDate; ;��" IQ --e—,70 (mmlddlyyyy) 4. Soil Separation —Compliance component #4 of 5 Date Of installation: app oZ ❑ Unknown Verification method(s): (mmlddlyyyy) ShorelandNVei(head protectiontFood beverage Soil observation does not expire, Previous soil lodging? Q Yes [B No observations by two independent parties are sufficient, unless site Conditions have been altered orlocal Compliance criteria: requirements differ. For systems built prior to April 1, 1996, and Q Yes (] No not located in Shoretand 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 Non-periormance systems built April 1. ® Yes Q 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. M Conducted soil observation(s) (Attach boring logs) Q Two previous verifications (Attach boring logs) Q Not applicable (Holding tank(s), no drainfield) Q Unable to verify (See Comments/Explanation) Q Other (See commentsiExplanation) Comments/Explanation: Indicate depths or elevations A. Bottom of distribution media S. tis 'a • q, a a,a " 5'si�_ , B. Periodical!y saturated soil/bedrock s z l a - 5'i3ti 1- ,q C• System separation yV, f A . g,7' D. Required compliance separation" -�' o i "May be reduced up to 15 percent if allowed by Local Ordinance. 5. Operating Permit and Nitrogen BMP* — Compliance component #5 of 5 ® Not applicable Is the system operated under an Operating permit? Q Yes ❑ No If "yes", A below is required Is the systam required to employ a Nitrogen BMP? Q Yes Q 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: Have the Operating Permit requirements been met? ❑ Yes Q No b. Is the required nitrogen BMP in place and properly functioning? _[] Yes .❑ No Any "no" answer indicates Noncompliance, Upgrade Requirements (Minn. Stal. 9 1 i5.53) An imminent threat to public health and safety (!TANS) must be upgraded, replaced, orits 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 few, and has at least two teat 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. www.pca,state.mn.us • 651-296-6300 800-657-3864 TTY 651-282-5332 or 800-657.3864 • Available in alternative formats wq-wwists4-3 ib • 614114 Property address: �2 & l V r3 ? cr- ie., City: D ro Ac) State: M Parcel ID: Zip code: Si 3:570 Optional section: Sewage Tank Compliance Certification This form does not represent a complete system inspection report and only certifies sewage tank compliance status. Instructions: This section of the form may be completed and signed by a Designated Certified Individual (DCI) of a licensed SSTS Maintenance Business who personally conducts the necessary procedures to assess the compliance status of each sewage tank in the system, When this section of the 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 (wq-wwists4 31 b). This form can be found on the MPCA website at httos://www.t)ca..state,mn.us/water/ssts-and-msts-technical-and compliance criteria. The information and certified statement on this form is required when existing septic tank compliance status is determined by an individual other than the SSTS Inspector that submits the inspection report. It represents a third party assessment of SSTS component compliance and is allowable under Minn. R. 7082.0700, subp. 4 Item (B) subitem (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 Items B, C, and D; 7083.0730 Item C. ertificate of sewage tank compliance ❑ Notice of sewage tank non-compliance Affirmail ree statements: O'The SSTS does not contain a seepage pit, cesspool, ell, leaching pit, or other pit. It does not contain a sewage tank that was designed to be watertight, but subsequently leaks below the 9sigrfed operating depth. Olt does not represent an imminent safety threat by reason of unsecured, damaged, or weak maintenance hole covers) or other unsafe condition. Company information Company name: Duane's Septic Service Business license number: 654 Select all that apply: ❑ The SSTS has a seepage pit, cesspool, drywell, leaching pit, or other pit. } Q It has a sewage tank that was designed to be watertight, but subsequently leaks below the designed operating depth. ❑ It presents a threat to public safety by reason of unsecured, damaged, or weak maintenance hole covers) or other unsafe condition. j Designated Certified Individual (DCI) information Print name: ) /� lc;✓' Certification number: C2084 /persona//y conducted the work described above as a Designated CertifiedIndividual of Minnesota -licensed SSTS Maintenance Business. / personally conducted cessary procedures to assess the compliance status of each sewage tank In this SSTS. Designated Certified Individual's signature: Date (mm/dd/yyyy): www.pca.state.mn.us • 651-296-6300 800-657-3864 wq-wwists4-38 • 1127117 Use your preferred relay service Available in alternative formats Poo I of 7 -P TESTING, INC. „ Steven B. Schirmers • MPCA Cert.No. 627 951 Katydid Lane NE - St. Michael, MN 55376 • (763) 497-3566 FAX (763) 4.97-5011 State License #394 wwwsptesting.wastewater@comeast.net - schirmerswastewater.com fJ {94 -its I� a ��-s-��.1„•,�tl�tJ ._- r �$M :100.0 or l� qq.2 aoz ad Say v.! ��� SP TESTING INC. Steven B. Schirmers -951 Katydid Lane NE -St. Michael, MN 55376 Gert. No 627 - State License #394 - Phone 763-497-3566 - Fax 763-497-5011 www.sptesting.wastewater@comcast.net - schirmerswastewater.com October 14, 2020 Scott Brekken 2690 Deer Run Trail 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 pressurizedmound system with a 10' x 66' rock bed, built In 2002 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. 97.5 & the bottom of the rock bed at elev. 99.6 leaving 2.1' of sand below the rock bed & a 3.9' separation from the bottom of the rock & redox features. Soil boring #2 found mottled soil at 1.5' into the original soil & the original soil at elev. 97.0 & the bottom of the rock bed at elev. 99.2 leaving 2.2' of sand & a 3.7' separation. This system meets the required 3' separation from the bottom of the rock bed. The tanks were pumped by Duane's Septic Service & 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 2 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 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.sDtestine.wastewater@comcast net— schirmerswastewater.com Scott Brekken 2690 Deer Run Tr. Orono, MN Soil borings completed with a bucket auger on 10-5-20 SOIL BORING #1 - ELEV. 101.0 - MOTTLED SOIL PRESENT IN THE BORING AT 1.8' Into the original soil. 0 - 16" Fill soil loam 16" - 42" fill soil medium sand 42" - 56" Original soil dark brown loam 10YR 3/2 56" - 64" Gray brown loam 10YR 4/1 6401 - 6800 Gray brown clay loam 10YR 6/2 - distinct mottles 10YR 6/8 SOIL BORING #2 - ELEV. 101.0- MOTTLED SOIL PRESENT IN THE BORING AT 1.51 into the original soil. 0 - 12" Fill soil loam 12" - 48" Fill soil medium sand 48" - 66" Original soil very dark gray loam 10YR 2/1 66" - 72" Dark gray clay loam 10YR 4/2 -distinct mottles 10YR 618