HomeMy WebLinkAbout11/01/2021 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: 04-117-23-31-0017 Reason for Inspection Transfer of property
Local regulatory authority info: City of Orono, Hennepin County
Property address: 2940 Fox Street, Orono, 55356
Owner/representative: Coldwell Banker - Andi Owner’s phone: 612-840-7791
Brief system description: 2 - 1300 gallon septic tanks and 1 - 1300 gallon lift tank to mound
System status
System status on date (mm/dd/yyyy): 11/1/2021
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 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: 2940 Fox Street, Orono, 55356
Business Name: Ende Septic Service Date: 11/1/2021
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:
Ende Septic
Service
Sewage tank(s) leak below their
designed operating depth?
Yes* No License number of maintenance business: L2654
Date of maintenance: 11/1/2021
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: 2940 Fox Street, Orono, 55356
Business Name: Ende Septic Service Date: 11/1/2021
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: 2940 Fox Street, Orono, 55356
Business Name: Ende Septic Service Date: 11/1/2021
5. Soil separation – Compliance component #5 of 5
Date of installation 5/31/2006 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 24"
B. Periodically saturated soil/bedrock -12"
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.
Jul 28 2016 10:OOPM HP FaxRusty Olson 7634988290 page 6
2940 Fox Street Soil Lo #2
C eor''9 P t Elevation 97.7 Depth to SHWT 34 inches
Depih(in)Texture fragment% matrix color redox color consistence grade shape
0-8 Fill 35 10yr3/2 Loose Loose Single grain
8-20 Topsoil 35 10yr4i? Loose Loose Single grain
20-24 ClayLoam 35 OyrS/4 Firm Strong Prismatic
35 loose 1o0S2 singlegrain
35 -SO friable weak anu ar blocky
50 fi 111oderate prismatic platy
i'igid strong
massi e
5
lOOSC oose sin le grain
35 -0
friable veak granular blocky
50 f rnoderate prismatic platy
rlgld stTonp massive
2940 Fox Street 5oil Lo #3
I] Boring Pit Elevation Depth to SHWT
Depth(in)Texture fragment% matrix color redox color consisience grade shape
35 loose lOOse single grain
35 -50 E'iable weak granular b ocky
50 moderate prismatic platy
rigid strong massive
35 loose oose
singlcgrain
35 -50 able weak granu nr blocky
50 fl moderate pr smacic platy
rigid strong
massive
0058 IOOSB singlegrain
35-50 friable weak granular blocky
50 m moderate pr smaiic plary
rigid suong
massive
35 loose loose
single grain
35 -SO friable weak granu]ar b o ky
50 f moderate p<ismacic piacy
Cigid strong
massive
5 IOOSe OOSC
single grain
3-50 friable weak granular btocxy
50 f moderate prismatic plary
rigid strong
massive
hereby certify this work was completed in accordance with MN 7080 and uny local req's.
Rusty Olson's Sail & Perc 81fl
G, esigner Signature Company License#
7"Q T ST NG, 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
I.OGS OF SOIL Qg(d,
Dennis Backes
2920 Fox St.
Orono, Henn. Co., MN
Borings completed on 5-2-05, with a hand bucket auger.
BORING NUMBER 1- Elev.971.9 - MOTTLED SOIL AT 26" - no standing water present
in boring.
0 - 10" Topsoil dark brown loam 10YR 312
10" - 14" Gray brown loam 10YR 5/2
14" - 20" Brown clay loam 10Y t 5/3
20" - 26" Yellowish brown clay loam 10YR 5/6
26" - 34" Rusty yellowish brown clay loam 10YR 5/G - mottles 10YR 7/1,6/8
34" - 40" Rusty pale brown clay loam 1QYR 6/3 - mottles 10YR 7/1,6/8
40" - 48" Rusty pale brown loam 10YR 6/3 -mottles 10YR 7/1,6/8
ORING NUMBER 2- Elev.972.3 - MOTTLED SOIL AT 20" - no standing water present
in the boring.
0 - 8" Topsoil dark brown loam 10YR 3/2
8" - 14" Gray brown loam 10YR 5/2
14" - 20" Yeliowish brown clay loam 10YR 5/4
20" - 32" Rusty yellowish brown clay loam 10YR 5/6 - mottles 10YR 7/1,6/8
32" - 44" Rusty pale brown clay loam 10YR 613 - mottles 10YR 711,6/8
44" - 48" Rusty pale brown loam 10YR 6/3 - mottles 10YR 7/1,6/$
BORING IU BER 3- EIev.972.0 - MOTTLED SOIL AT 72" - no standing water presen#
in the boring.
0 - 8" Topsoil dark brown clay loam 10YR 4/2
8" - 12" Yellowish brown clay loam 10YR 5i4
12" - 26" Rusty yellowish brown clay loam 10YR 5/6-mottles 10YR 7/1,6/8
26" - 36" Rusty gray brown clay loam 10YR 6/2 - mottles 10YR 7/1,6/8
36" - 48" Rusty pale brown loam 10YR 6J3 - mottles 10YR 7/1,8/8
Soil borings cont'd.
BORING.yUMBER 4- Elev.972.3 - MOTTLED SOIL AT 24" - no standing water present
in the boring.
0 - 8" Topsoil dark brown loam 10YR 3/2
8" - 24" Brown ciay loam 10YR 4/3
24" - 32" Rusty brown clay loam 10YR 5/3 - mottles 10YR 7/1,6/8
BORING NUMBER 5- Elev.971.8 - MOTTLED SOIL AT 22" - no standing water present
in the boring.
0 - 10" Topsoil dark brown Ioam 2.5Y 3/2
10" - 18" Gray brown loam 2.5Y 5/2
18" - 22" Gray brown clay loam 2.5Y 5/2
22" - 38" Rusty gray brown clay loam 2.5Y 5/2 - mottles 10YR 6/8
38" - 48" Rusty olive brown clay loam 2.5Y 5/4 - motties 10YR 7/1,6/8
BORING NUMBER 6_ Elev.973.6 - MOTTLED SOIL AT 14" - no standing water present
in the boring.
0 - 8" Topsoil dark brown loam 10YR 3/2
8" - 14" Brown clay loam 10YR 4/3
14" - 26" Rusty brown clay loam 10YR 5/3 - mottles 10YR 7/1,6/8
26" - 34" Rusty gray brown clay loam 10YR 6i2 - mottles 10YR 711,6/8
34" - 48" Rusty pale brown loam 10YR 6/3 - mottles 10YR 7/1,6/8
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