HomeMy WebLinkAbout07-29-2019 Septic Compliance Inspectionemp, Minnesota Pollution Compliance Inspection Form
Control Agency N
520 Lafayette (toad North Existing Subsurface Sewage Treatment Systems
St. Paul, MN 55155-4194 (SSTS)
Doc Type: Compliance and Enforcement
Instructions: 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 15 days
System Status
System status on date (mm/dd/yyyy): _ 7/29/2019
® Compliant - Certificate of Compliance ❑ Noncompliant - Notice of Noncompliance
(Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3)
frame outlined in Local Ordinance.)
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 #3) — Imminent threat to public health and safety
❑ Tank Integrity (Compliance Component #2) — Failing to protect groundwater
❑ Other Compliance Conditions (Compliance Component #3) — Failing to protect groundwater
❑ Soil Separation (Compliance Component #4) — Failing to protect groundwater
❑ Operating permit/monitoring plan requirements (Compliance Component #5) — Noncompliant
Property Information Parcel ID# or Secfrwp/Range: 3211823240003
Property address: 485 Stubbs Bay Road, Orono, MN Reason for inspection: Property Transfer
Property owner: John Will Owner's phone: 763-458-5557
or
Owner's representative: Representative phone:
Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600
Brief system description: 2-1000 Ballo_ n septic tanks,1-1000 gallon lift station and 500 square feet of mound rockbed.
Comments or recommendations:
1.5 feet of sand under the rock bed on the North side.
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.
Inspector name: Joseph J Olson
Business name: Rusty Olson's Soil & Perc. Testing
Inspector signature:
Necessary or Locally Required Attachments
® Soil boring logs ® System/As-built drawing
❑ Other information (list):
www.pca.state.mn.us
wq-ww1sts4-31 • 1/24/12
651-296-6300 -
800-657.3864
Certification number: 1255
License number: 810
Phone number: 763-498-8779
❑ Forms per local ordinance
TTY 651-282-5332 or 800.657-3864
• Available in alternative formats
Page 1 of 3
Property address: 485 Stubbs Bay Road, Orono, MN Inspector initials/Date: J. O. 7/29/19
1. Impact on Public Health —Compliance component #1 of 5
liance criteria:
System discharge sewage to the i ❑ Yes ® No
System discharge sewage to drain tile ❑ Yes ® No
or surface waters.
System cause sewage backup into I ❑ Yes ® No
dwelling or establishment.
Any "yes" answer above indicates the system is
an Imminent Threat to Public Health and Safety.
Comments/Explanation:
2. Tank Integrity —Compliance component #2 of 5
Compliance criteria:
System consists of a seepage pit, ❑ Yes ® No
cesspool, drywell, or leaching pit.
Seepage pits meeting 7080.2550 may be
compliant if 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.
Comments/Explanation:
Elmer J. Peterson pumped the tanks. See report.
Verification method(s):
® Searched for surface outlet
® Searched for seeping in yard/backup in home
❑ Excessive ponding in soil system/D-boxes
❑ Homeowner testimony (See Comments/Explanation)
❑ "Black soil' above soil dispersal system
❑ System requires "emergency" pumping
❑ Performed dye test
❑ Unable to verify (See Comments/Explanation)
❑ Other methods not listed (See Comments/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 Comments/Explanation)
® Other methods not listed (See Comments/Explanation)
3. Other Compliance Conditions —Compliance component #3 of 5
a. Maintenance hole covers are damaged, cracked, unsecured, or appear to structurally unsound. ❑ Yes* ® No ❑ Unknown
b. Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety. []Yes* ®No ❑ 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 ❑ Yes* ® No
*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 . Available in alternative formats
wq-wwists4-31 • 1124112 Page 2 of 3
Property address: 485 Stubbs Bay Road, Orono, MN Inspector initials/Date: J. O. 7/29/19
4. Soil Separation —Compliance component #4 of 5
Date of installation: 8/03/99 ❑ Unknown
ShorelandNVelihead protection/Food Beverage ❑ Yes ® No
Lodging?
liance criteria:
For systems built prior to April 1, 1996, and ❑ Yes ❑ No
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.
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.*
Verification method(s):
Soil observation does not expire. Previous soil
observations by two independent parties are sufficient,
unless site conditions have been altered or local
requirements differ.
® Conducted soil observation(s) (Attach boring logs)
❑ Two previous verifications (Attach boring logs)
❑ Not applicable (Holding tank(s), no drainfield)
❑ Unable to verify (See Comments/Explanation)
❑ Other (See Comments/Explanation)
® Yes ❑ No Comments/Explanation:
"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 fo Protect Groundwater.
Indicate depths of elevations
A. Bottom of distribution media
92.9
B. Periodically saturated soillb_edrock
90.0
C. System separation
2.9
D. Required compliance separation*
2.6
*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? ❑ Yes ❑ No If "yes", A below is required
Is the system required to employ a Nitrogen BMP? ❑ 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.
a. Operating Permit number: _
Have the Operating Permit requirements been met? ❑Yes F1 No
b._ Is the required nitrogen BMP in place and properly functioning? 1 ❑ Yes C-1 No
Any "no" answer indicates Noncompliance.
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.
www.pca.state.mn.us . 651-296.6300 • 800-657.3864 TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
wq-wwists4.31 • 1124112 Page 3 of 3
lAnk Reart
Date: July 23, 2019
Elmer I Peterson Co.
5921 Dape Ave.
Delano, MN 55328
Phone 763-972-2420
Fax 763-972-7217
MPGA License# 219
John Will
485 Stubbs Bay Road N
Orono, MN
763-458-5557
Baffles: OON/ OFF
Tank Capacity: 3-1000 Gallon Tanks Per City Records
# of Tanks: 3
Type of Tanks: Concrete
Gallons Pumped: 2500
Manholes to Grade: YES / NO
Comments:
On July 23, 2019, Elmer J. Peterson Co. pumped tanks. Homeowner uncovered manholes to pump (1 st &
2"d both 6 inches deep, lift station to grade). No cracks or water leaking in tanks at the time of pumping.
NOTE: This is only a tank report. This is not a compliance inspection for point of sale nor does
it replace a compliance inspection.
Property address: 485 Stubbs Bay Road N
Inspector initials/Date: 7/23/19
1. Impact on Public Health — Compliance component #1 of 5
System discharge sewage to theJ ElYes El No
,round surface, j
System discharge sewage to drain the I ❑ Yes ❑ No
System cause sewage backup into( ❑ Yes El No
dwelling or establishment.
Any "yes" answer above indicates the system is
_an Imminent Threat to Public Health and Safety.
Comments/Explanation:
2. Tank Integrity — Compliance component #2 of 5
t-om fiance criteria: _
System consists of a seepage pit, ❑ Yes ® No
cesspool, drywell, or leaching pit.
Seepage pits meeting 7080.2550 maybe
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.
Comments/Explanation:
On 7/23/19, Elmer J. Peterson Co. pumped tanks.
Verification method(s):
❑ Searched for surface outlet
❑ Searched for seeping in yard/backup in home
❑ Excessive ponding in soil system/D-boxes
❑ Homeowner testimony (See CommentalExplanation)
❑ "Black soil' above soil dispersal system
❑ System requires "emergency" pumping
❑ Performed dye test
❑ Unable to verify (See Comments/Explanation)
❑ Other methods not listed (See Comments/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 Comments/Explanation)
❑ Other methods not listed (See Comments/Explanation)
3. Other Compliance Conditions —Compliance component #3 of 5
a. Maintenance hole covers are damaged, cracked, unsecured, or appear to structurally unsound. ❑ Yes* []No ❑ Unknown
b. Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety. ❑ Yes* [:]No 0 Unknown
*System is an imminent threat to public health and safety
Explain:
c. System is non -protective of groundwater for other conditions as determined by inspector ❑ Yes• ❑ No
*System is failing to protect groundwater
Explain:
•_..••.N�a.bLa.CJIII I.U5 657-Ly6-6JUU 800-657.3864 TTY 651-282-5332 or 800-657-3864 Available in alternative formats
wq-wwists4-31 • 1124112
Paw 2of3
Property Owner / project:
Property Address / PID:
Soil Observation Log
www. Sept icResource. com vers 12.4
Owner Information
John Will
485 Stubbs Bay road N
Date 7/26/2019
Soil Survey Information ❑ refer to attached soil survey
Parent tnatl's: Till ❑ Outwash ❑ Lacustrine ❑ Alluvium ❑ Organic ❑ Bedrock
landscape position: ❑ Summit ❑ Shoulder n Side slope ❑ Toe slope
soil survey map units: L37B slope % direction -
Soil Log #1
E] Boring ❑ Pit Elevation 94.9 Depth to SHWT 60 Inches
Depth (in) Texture fi-agment % matrix color redox color consistence grade shape
0-44
Fill
<35
44-60
Topsoil
<35
10yr2/1
Friable
Moderate
Blocky
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
firm
moderate
prismatic platy
>50
rigid
strong
massive
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
firm
moderate
prismatic platy
>50
rigid
strong
massive
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
firm
moderate
prismatic platy
>50
rigid
strong
massive
Comments: TBM: Top of the garage slab at rear door
485 Stubbs Bay road N Soil Log #2
Q Boring ❑ Pit Elevation 94.7 Depth to SHWT 55 Inches
Depth (in) Texture fragment % matrix color redox color consistence grade shape
0-38
Fill
<35
38-51
Topsoil
<35
1Oyr2/1
Friable
Moderate
Blocky
51-55
Clay Loam
<35
1Oyr4/3
Friable
Moderate
Blocky
55-60
Clay Loam
<35
1Oyr5/4
I Oy4/8,1-6/1 Oy
Firm
Strong
Blocky
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
firm
moderate
prismatic platy
>50
rigid
strong
massive
485 Stubbs Bay road N Soil Log #3
❑ Boring ❑ Pit Elevation Depth to SHWT
Depth (in) Texture fragment % matrix color redox color consistence grade shape
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
firm
moderate
prismatic platy
>50
rigid
strong
massive
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
fine
moderate
prismatic platy
>50
rigid
strong
massive
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
>50
itnn
moderate
prismatic platy
rigid
strong
massive
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
>50
fine
moderate
prismatic piny
rigid
strong
massive
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
firm
moderate
prismatic platy
>50
rigid
strong
massive
I hereby cert • , this work was completed in accordance with
4e�signer Signature
AIN 7080 and any local reqs.
Rusty Olson's Soil & Petc 810
Company License 9
Ln S st o 66s gqy N 11/
5t��6s Q9Y R�
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