Loading...
HomeMy WebLinkAbout12-16-2021 Septic Compliance InspectionM 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 1. Impact on public health — Compliance component #1 of 5 criteria: System discharges sewage to the ground surface ❑ Yes' ® No System discharges sewage to drain( ❑ Yes' ® No tile or surface waters. System causes sewage backup into I ❑ Yes' ®No A .... Hinn nr neMhlieFmenl I Any "yes" answer above indicates the system is an imminent threat to public health and safety. Describe verification methods and results: Searched for surface outlet or ground discharge Checked for back-up 2. Tank integrity—Compliance component #2 of � System consists of a seepage pit, ❑Yes' ®No cesspool, drywell, leaching pit, nr nhYer nif9 Sewage tank(s) leak below their ❑ Yes' ® No designed operating depth? If yes, which sewage tank(s) leaks: I Any "yes" answer above indicates the system is failing to protect groundwater. Describe verification methods and results: Pumped & Inspected https://www.pca.state. mn, us wq-ww1sts4-31b • 1/11/21 Attached supporting documentation: ❑ Other: ® Not applicable ached supporting dol un Pumped at time of inspection Name of maintenance business: Sewer Services License number of maintenance business: 2502 Date of maintenance: 12/16/2021 Existing tank integrity assessment (Attach) Date of maintenance J (mm/dd/yyyy): ((must be within three years) (See form instructions to $$nsure assessment complies with Minn. R. 7082.0700 subp 4 8 (1)) Tank is Noncompliant (pu ping not necessary — explain below) Other: 651-296-6300 800-657-3864Use your preferred relay service Available in alternative formats Page 2 of 3. Other conditions — Compliance 3a. Maintenance hole covers appear to be structurally unsound (i ❑ Yes' ® No ❑ Unknown 3b. Other issues (electrical hazards, etc.) to immediately and adven *Yes to 3a or 3b - System is an imminent threat to public 3c. System is non -protective of ground water for other conditions 3d. System not abandoned in accordance with Minn. R. 7080.25( *Yes to 3c or 3d - System is failing to protect groundwate Describe verification methods and results: Inspected Attached supporting documentation: ® Not applicable 4. Operating permit and nitrogen BMP* — Comp Is the system operated under an Operating Permit? Is the system required to employ a Nitrogen BMP specified in the BMP = Best Management Practice(s) specified in the systel If the answer to both questions is "no" this section do Compliance criteria: a. Have the operating permit requirements been met? b. Is the required nitrogen BMP in place and properly function Any "no" answer indicates noncompliance. Describe verification methods and results: Attached supporting documentation: ❑ Operating nent #3 of 5 cracked, etc.), or unsecured? impact public health or safety? ❑ Yes* ® No ❑ Unknown dth and safety. determined by inspector? ❑ Yes* ® No ❑ Yes* ® No of 5 ® Not ❑ Yes ❑ N If "yes", A below is required design? ❑ Yes ❑ N If "yes", B below is required not need to be ❑ Yes ❑ No ❑ Yes ❑ No (Attach) ❑ https://www.pca.state.mn.us 651.296-6300 800-657-3864 Use your preferred relay service Available in alternative formats wq-ww1sts4-31b • 1/11/21 Page 3 oJ4 5. Soil separation — Compliance component #5 of 5 Date of installation 10/24/1989 ❑ Unknown (mn✓dd/yyyy) Shoreland[Wellhead protection/Food beverage lodging? 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 5b. Non-performance systems built April 1, 1996, or later or for non-performance systems located in Shore/and 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.* 5c. "Experimental, "Other", or "Performance" systems built under pre -2008 Rules; Type /V 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 G Nm ❑ Yes ❑ No* ® Yes ❑ No* ❑ Yes ❑ No* *Any "no" answer above indicates the system is failing to protect groundwater. Describe verification methods and results: Boring 1-10" 10yr 3/2 loam 11-14" 10yr 4/4 clay loam Redox @ 12" Upgrade requirements: (Minn. Stat. § 115.55) An imminent threat to F or its use discontinued within ten months of receipt of this notice or with system is failing to protect ground water, the system must be upgraded local ordinance. if an existing system is not failing as defined in law, an system need not be upgraded, repaired, replaced, or its use discontinue This provision does not apply to systems in shore/and areas, Wellhead beverage, and lodging establishments as defined in law. https://www.pca.state. mn.us 651-296-6300 800-657-3864 wq-wwists4-31b • 1/11/21 Attached supporting documentation: ® Soil observation logs completed for the report (Attach) ❑ Two previous verifications of required vertical separation (Attach) ❑ Not applicable (No soil treatment area) Fl Indicate depths or elevations or use d b 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. blic health and safety (ITPHS) must be upgraded, replaced, i a shorter period if require{ by local ordinance. if the re /aced its d' t'h d 7h' th t' p scon a ue w m e ema require y has at least two feet of design soil separation, then the d, notwithstanding any local ordinance that is more strict. 'rolect/on Areas, or those used in connection with food, Use your preferred relay service I • Available in alternative formats Page 4 cf4 a . A 6 , two ov V "r J2-! 39'(a Tou 4q I Ln I fai"" 7o' lv9' GS V SEPTIC SYSTEM INVENTORY Site Address: 745 Ferndale Rd N Owner Name: Karen Frey Owner Address: 745 Ferndale Rd N Wayzata MN 55391 BuildingTvpe: residence Date of Permit: 10/23/89 System Type: mound In Musa?: No PID 36-118-23-12-0007 Installer: Ritter Exc. BR's Designed for 5 Shoreland?: Yes SEPTIC TANKS: p5b tZK-o Material: precast concrete Capacity: �14W. 1000'AeOT� Tank Filter: �10 DRAINFIELD: Treatment Area: 90'40 Soil Boring: Yes DF Ht above Wt: 3 WELL DATA Setbacks -Well Tanks: 50 Well DF: 75 Report In File: Depth: 320 INSPECTION RECORDS PUMPOUT RECORDS Date Notes Date GallonsOfLiquid 8/1/2005 OK 5/17/2017 2500 8/7/2003 no surfacing 7/1/2014 2500' 7/25/2001 code system, no surfacing 5/1/2011 0 6/22/1998 compliant .i 5/19/2008 2500 5/23/1995 no surfacing -pump tanks 10/5/2006 2500 9/3/1992 no surfacing 8/1/2003 2000 7/2/1990 no surfacing, but DF moist (NW corner) 9/19/2001 1500 10/24/1989 installation 6/25/1996 2000 10/24/1989 installation 6/25/1996 2.000