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Home My WebLink About12-14-2018 Septic Compliancez Minnesota Pollution Control Agency Compliance Inspection Form ti 520 Lafayette Road North 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. New System System Status System status on date (mm/dd/yyyy): 12/14/2018 ® Compliant — Certificate of Compliance (Valid for S years from report date, unless shorter time frame outlined in Local Ordinance.) Reason(s) for noncompliance (check all applicable) ❑ Noncompliant — Notice of Noncompliance (See Upgrade Requirements on page 3.) ❑ 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 Sec/Twp/Range: Property address: 1140 Wyndmere Road Reason for inspection: New System Property owner: Owner's phone: or Owner's representative: Local regulatory authority: Metro General Service Inc. of Orono Brief system description: Type I Mound Comments or recommendations: Mound Repair Certification Representative phone: 763-428-2938 Regulatory authority phone: 952-249-4600 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: Roger Peitso Business name: Olt r Inspector signature: Necessary or Locally Required Attachments M Soil boring logs ❑ Other information (list): ® System/As-built drawing Certification number: #6683 License number: Phone number: 952-249-4625 ❑ 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-wwists4-31b • 614114 Page 1 of 3 Property address: 1140 Wyndmere Road 1. Impact on Public Health — Compliance component #1 of 5 Compliance criteria: System discharges sewage to the ❑ Yes ® No round surface. System discharges sewage to drain ❑ Yes ® No the or surface waters. System causes sewage backup into ❑ Yes ® No dwelling or establishment. Any "yes" answer above indicates the system is an imminent threat to public health and safety. Comments/Explanation: New system installation 2. Tank Integrity — Compliance component #2 of 5 Hance 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: Brand new tanks Inspector initials/Date: RLP 1 12/14/2018 (mm/dd/yyyy) 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 be 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-wwists4-31b • 614114 Page 2 of 3 Property address: 1140 Wyndmere Road Inspector initials/Date: RLP 1 12/14/2018 (mm/dd/yyyy) 4. Soil Separation — Compliance component #4 of 5 Date of installation: 12/14/2018 ❑ Unknown Verification method(s): (mm/ddlyyyy) Shoreland/Wellhead protection/Food beverage ❑ Yes ® No lodging? Compliance criteria: 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. 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.* "Experimental, "Other, or "Performance" 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. ❑ Yes ❑ No 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: New system installation ❑ Yes ❑ No Any "no" answer above indicates the system is failing to protect groundwater. Indicate denths or elevations A. Bottom of distribution media B. Periodically saturated soil/bedrock C. System separation D. Required compliance separation* *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. Compliance criteria a. Operating Permit number: Have the Operatinq Permit requirements been met? b. Is the required nitrogen BMP in place and properly fu Any "no" answer indicates Noncompliance. ❑ Yes ❑ No riamookilne 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-wwists4-31b • 614114 Page 3 of 3 city of Orono Septic Asbuilt Form Q.ilrfina Use: Residence Address: 1140 Wyndmere Road License # L1546 Date: 5/14/2018 Installer: Metro General Services Inc # 4 Septic Tanks: 2250 pump Tank: 1250 Date Finaled: Bedrooms El III F-71 Mound [—]Trenches 0 Pressure Bed Mother System Type: E-x� I I � I ces to tank Risers. Use two(2) points from a permanent Draw detailed diagram with measurements indicating distances to tank Risers. Use tVVUtr-j Istructure. Show locations of drop Boxestrenches 3 4*332 z 6 7__ 8--- 9-- 10 11 12 PMPMTY LINE use" arm ws NORTH Area Reau" fi; pro Pump Tank AN Elevations Will! 172. Proposed 60. upptv be dW Upon Una ampka" of excavilan of Propoiod 25W Walkout Ga#w Sefdc Proposed Proposed 2W Main Lkla Tonk F—F House (P out Soil Observation Log www.SeptieResource.com vers 12.4 Owner Information Owner / project: David Gange Date 11/1/2017 Address / PID: 1140 Wyndmere Rd. Soil Survey Information refer ti) attached soil survey Parent matl's: R1 Till ❑ Outwash ❑ Lacusrrine ❑ Alluvium ❑ Organic [] Bedrock landscape position: ❑ Summit ❑ Shoukier ❑ Side slope ❑ Toe slope soil survey map units: L22D2 slope 12 % direction- downhill L22C2 Soil Log #1 F11 Boring ❑ Pit Elevation Depth to SHWT 15" Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-10 sandy loam <35 10YR3/3 Loose Moderate granular 10-17 sandy loam <35 10YR4/6 Friable Weak granular 17-26 sandy loam X35 10YR3/4 Loose Loose single grain 26-36 sand <35 10YR3/4 5YR5/8 Loose Loose Single grain <35 loose loose single grain friable weak granular blocky 35-50 firm moderate prismatic platy >50 rigid strong massive Comments: 1140 Wyndmere Rd. Soil IAg #2 0 Boring ❑ Pit Elevation Depth to SHWT 24" Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-11 sandy loam <35 10YR3/2 Friable Weak Granular 11-17 sandy loam <35 10YR4/6 Friable Weak Granular 17-21 loamy sand <35 IOYR4/6 Friable Weak Granular 21-34 sand <35 10YR3/4 Loose Loose Single grain 34-42 loamy sand <35 IOYR3/4 5YR5/8 Friable Weak Granular 1140 Wyndmere Rd. Soil Log #3 Q Boring ❑ Pit Elevation Depth to SHWT Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-7 sandy loam <35 IOYR3/3 Friable Weak Granular 7-18 sandy loam <35 IOYR4/6 Friable Weak Granular 18-22 sand <35 I OYR4/6 5yR5/8 Loose Loose Single grain 22-28 sand <35 10YR3/4 5YR5/8 Loose Loose Single grain <35 35-50 >50 loose fi iable fir In rigid loose weak moderate strong single grain granular blocky prismatic platy massive I hereby certify this work was completed in accordance with AdN 7080 and any local reqs. Designer Signature Ende Septic Service C9206 Company License # 1140 W dmere Rd. Soil Log #4 RI Boring ❑ Pit Elevation Depth to SHWT 18" Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-6 loam <35 10YR3/2 Friable Moderate Blocky 6-18 loam <35 10YR4/4 Friable Moderate Blocky 18-22 clay loam <35 10YR4/6 5YR5/8 Loose Moderate Blocky 22-30 clay loam <35 10YR5/4 5YR5/8 Friable Strong Blocky <35 loose loose single grain friable weak granular blocky 35-50 firm moderate prismatic platy >50 rigid strong massive 1140 W dmere Rd. Soil Log #5 Q Boring ❑ Pit Elevation Depth to SHWT 20" Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-11 loam <35 10YR3/2 Loose Weak Blocky 11-20 clay loam <35 10YR4/4 Friable Strong Blocky 20-30 clay loam <35 10YR4/6 5YR5/8 Friable Moderate Blocky �5 loose loose single grain 35-50 friable weak granular blocky firm moderate prismatic platy >50 rigid strong massive <35 loose loose single grain friable weak granular blocky 35-50 firm moderate prismatic platy >SO rigid among massive 1 hereby certify this work was completed in accordance with AN 7080 and any local reqs. -- Ende Septic Service C9206 Designer Signature Company License # UNIVERSITY OF MINNESOTA 96.0 Septic System Management Plan for Above Grade Systems The goal of a septic system is to protect human health and the environment by properly treating wastewater before returning it to the environment. Your septic system is designed to kill harmful organisms and remove pollutants before the water is recycled back into our lakes, streams and groundwater. This management plan will identify the operation and maintenance activities necessary to ensure long- term performance of your septic system. Some of these activities must be performed by you, the homeowner. Other tasks must be performed by a licensed septic maintainer or service provider. However, it is YOUR responsibility to make sure all tasks get accomplished in a timely manner. The University of Minnesota's Septic System Owner's Guide contains additional tips and recommendations designed to extend the effective life of your system and save you money over time. Proper septic system design, installation, operation and maintenance means safe and clean water! Property Owner David Gange Email Property Address 1140 Wyndmere Rd. Orono property, ID2611823410014 System Designer Ende Septic Service Contact Info 763-428-4489 System Installer /7e,b �o 6 ��U�� r2UV`lGP/ �� Contact Info -70-1[Z8 Z��g Service Provider/Maintainer Ende Septic Service Contact Info 763-428-4489 Permitting Authority City of Orono Contact Info 'g5z--Z-�,?— X600 Permit# �5618-- 9)ng0041- Date Inspected )z �/�`4 Keep this Management Plan with your Septic System Owner's Guide. The Septic System Owner's Guide includes a folder to hold maintenance records including pumping, inspection and evaluation reports. Ask your septic professional to also: • Attach permit information, designer drawings and as -built of your system, if they are available. • Keep copies of all pumping records and other maintenance and repair invoices with this document. • Review this document with your maintenance professional at each visit; discuss any changes in product use, activities, or water -use appliances. For a copy of the Septic System Owner's Guide, visit www.bookstores.umn.edu and search for the word "septic" or call 800-322-8642. For more information see http://septic.umn.edu Version: August 2015 -1-