12-16-2021 Septic Compliance Inspection

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M MINNESOTA POLLUTION Com liance inspection report form � CONTROL AGENCY p p p 520 Lafayette Road North Existing Subsurface Sewage Treatment System (SSTS) St. Paul, MN 55155-4194 Doc Tpe: compliance and Enforcement Instructions: Inspection results based on Minnesota Pollution Control Agency (MPGA) requirement and attached supporting documentation — additional local requirements may also apply. Further it formation can be found here: httos://www. oca. state. mn. us/sites/default/files/we-wwists4-31 a. odf. 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 Parcel ID# or See/Twp/Range: Local regu Property address: 745 Ferndale Rd North, Orono Owner/representative: Mike Frey Brief system description: 1250 & 1000 gal septic tanks with a 1250 gal p System status System status on date (mm/dd/yyyy): 12/16/2021 ®Compliant — Certificate of compliance* El No (Valid for 3 years from report date unless evidence of An an imminent threat to public health or safety requiring UM removal and abatement under section 145A.04, rec subdivision 8 is discovered or a shorter time frame exists /oc in Local Ordinance.) Syr *Note: Compliance indicates conformance with Minn. rep R. 7080.1500 as of system status date above and oro does not guarantee future performance. Reason(s) for noncompliance (check all applicable) ❑ Impact on public health (Compliance component #1) — Imminent thrc ❑ Tank integrity (Compliance component #2) — Failing to protect group ❑ Other Compliance Conditions (Compliance component #3) — Immine ❑ Other Compliance Conditions (Compliance component #3) — Failing ❑ System not abandoned according to Minn. R. 7080.2500 (Compliant ❑ Soil separation (Compliance component #5) — Failing to protect groL ❑ Operating permittmonitoring plan requirements (Compliance compos Comments or recommendations Called City 3 times to get original design for mound, was told they don't though it was in house well beyond when this was installed. Original de feet of sand. Certification I hereby certify that all the necessary information has been gathered to determination of future system performance has been nor can be made abuse of the system, inadequate maintenance, or future water usage. By typing my name below, l certify the above statements to be true at can be used for the purpose o7fp ssing this form. Business name: Sewer Se Inc Inspector signature: Necessary or locally rec ng docu :cry authority: City of Orono Owner's phone: 952-476-0301 no tank and a mound syst m :ompliant —Notice of noncompliance eminent threat to public health and safety (ITPHS) must be ided, replaced, or its use discontinued within ten months of ct of this notice or within a shorter period if required by ordinance or under section 145A. 04 subdivision 8. ems failing to protect ground water must be upgraded, cad, or use discontinued within the time required by local once. to public health and safety threat to public health and safety protect groundwater component #3) — Failing to protect groundwater fwater nt #4) — Noncompliant - local ordinance applies it because they out source septic inspections even hieght couldn't be confirmed but appears to be 2 mine the compliance statuo of this system. No to unknown conditions durng system construction, possible mact, to the best of my know/edge, and that this information Certification number: C1659 License number: 2502 Phone: 952-873-3292 ® Soil observation logs ® Locally required forms ® Tank Integrity Assessment ❑ Operating Permit ❑ Other information (list): https://www.pca.state.mn.us 651-296-6300 800-657-3864 wq-ww1sts4-31b • 1/11121 relay service I • Available In alternative formats Page 1 of 4