HomeMy WebLinkAbout03-16-2022 Septic Compliance InspectionSP TESTING INC.
Steven B. Schirmers - 951 Katydid Lane NE -St. Michael, MN 55376
Cert. No 627 - State License #394 - Phone 763-497-3566 - Fax 763-497-5011
www.sptesting.wastewater@)comcast.net- schirmerswastewater.com
March 16, 2022
Jill Butler
3010 Somerset Lane
Orono, MN
A Compliance inspection was completed for the existing on-site sewage treatment
system located on this property for the sale of the home. The system consists of 11-
1250 gallon septic tank, 1 -1250 gallon pump tank, a pressurized mound system with
a 10' x 62' rock bed, built in 2018 for a 5 bedroom home. 2 previous soil verifications
have been completed. One by Rusty Olson on 5-26-2016 finding mottled soil at 12" &
the City of Orono on 7-24.2018.
If there is an iron filter in the house, it should be diverted out of the mound system &
into it's own trench.
Soil boring #1 found mottled soil (redox features) at 1' into the original soil & the
original soil at elev. 100.0 & the bottom of the rock bed at elev. 102.0 leaving 2.0' of
sand below the rock bed & a 3' separation from the bottom of the rock & redox
features. Soil boring #2 found mottled soil at 1' into the original soil & the original
soil at elev. 99.6 & the bottom of the rock bed at elev. 102.0 leaving 2.4' of sand & a
3.4' separation. This system meets the required 3' separation from the bottom of the
rock bed.
The tanks were pumped by Elmer J. Peterson Co. & were found to be compliant.
Nothing other than gray water (laundry, showers etc.) human waste & toilet tissue
should be disposed of into the septic tanks. Garbage disposals are not
recommended due to adding more solids & fine solids passing through into the
system. Iron filters are also not recommended & should be diverted out of the
system. Excessive amounts of soaps, antibacterial soaps, cleaning agents, shower
cleaners used every shower & chlorine agents may kill the bacteria you need living
in the system. Additives are not recommended. Recommend to pump & clean you
tanks through the manhole by a certified pumper every 3 years. Check with your
pumper to set up a schedule.
This certificate of compliance is no guarantee that this system will continue to
function indefinitely.
Steven B. Schirmers
S—P TESTING, INC. Steven B. Schirmers • MPGA Gert.No. 627
951 Katydid Lane NE - St. Michael, MN 55376 • (763) 497-3566
FAX (763) 497-5011
State License #384
wwwsptesting.wastewater@comeast.net - schirmerswastewater.com
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MINNESOTA POLLUTION
CONTROL AGENCY Compliance inspection report form
524 Lafayette Road North Existing Subsurface Sewage Treatment System (SSTS)
St. Paul, MN 55155-4194
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-pc2.state.mn.us/sites/default/files/wo-wwists4-31aodf.
Property information Local tracki I ng number:
Parcel ID# or Sec/Twp/Range: Reason for Inspection l
Local regulatory authority info: - $_)t7
Property address;
Owner/representative: ���t, ��L- y� — Owner's phone:�i
—010
Brief
Brief system description: 11L 6"Ic>vd�i S%�i1L��"si.lsl�� ) j ��Da1 X01 �ts4ri5 lL /� aic7 twCt,ass�7,j
t�>�Iz V rare # eTT" v�M NMS
System status
System status on date (mm/dd/yyyy): 3_t <1-a
@ Compliant •- Certificate of compliance*
(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, subdivisfon 8 is discovered or
a shorter time frame exists in Local Ordinance.)
"Nate. Compliance indicates conformance with Minn.
R. 7080.1500 as of system status date above and does not
guarantee future performance.
❑ Noncompliant- Notice of noncompliance
Systems failing to protect ground water must be upgraded, replaced, or
use discontinued within the time required by loco/ ordinance.
An imminent threat to public health and safety (ITPI-1S) 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, t 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: (; - 9 ;l i �,A 11 , I, r.,,i ({ a Cert fti b
Inspector signature:
(This document has been electronically signed)
i sca son num er._,(,_
License number:_ oy
Rhone:=t � , �4g_ r) . ?,
Necessary or focally required supporting documentation (must be attached)
9 Soil observation logs 31 System/As-Built ® Locally required forms .® Tank integrity Assessment
N Other information (list): c VM Q"" -A >4 617-%(94-
https://www.pca-state.mn.us 651-296-6300 800-657-3864 Use your preferred relay service
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❑ Operating Permit
Available in alternative formats
Page 1 of 4
Property Address:yi 0 6dti6 �
Business Name: S, - 'e N\, t Q L — Date: 3 1 r
1. Impact on public health — Compliance component #1 of 5
Compliance criteria:
System discharges sewage to the ❑ Yes` 9 No
ground surface
System discharges sewage to drain ❑ Yes' AR No
tile or surface waters.
System causes sewage backup into ❑ Yes' IM No
dwelling or establishment.
Any "yes" answer alcove indicates the system is an
imminent threat to public health and safety.
Describe verification methods and results:
Attached supporting documentation:
❑ Other:
❑ Not applicable
2. Tank integrity — Compliance component #2 of 5
Compliance criteria:
System consists of a seepage pit, ❑ Yes' ❑ No
cesspool, drywell, leaching pit,
or other it?
Sewage tank(s) leak below their ❑ Yes' ❑ No
designed operating depth?
If yes, which sewage tanks) leaks:
Any `yes" answer above indicates the system
is failing to protect groundwater.
Describe verification methods and results:
Attached supporting documentation:
❑ Empty tank(s) viewed by inspector
Name of maintenance business:
License number of maintenance business:
Date of maintenance:
❑ Existing tank integrity assessment (Attach)
Date of maintenance _
(mrnlddlyyyy): (must be within three years)
(See form instructions to ensure assessment complies with
Minn. R. 7082.0700 subp. 4 8 (1))
El Tank is Noncomptiant (pumping not necessary -explain below)
❑ Other:
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Property Address: 0 V 0 M e
Business Name:: j 1, Date: -)p
3. Other compliance conditions — Compliance component #3 of 5
3a. Maintenance hole covers appear to be structurally unsound (damaged, cracked, etc.), or unsecured?
❑ Yes" FIR 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?
3d. System not abandoned in accordance with Minn. R. 7080.2500?
*Yes to 3c or 3d - System is failing to protect groundwater.
Describe verification methods and results:
Attached supporting documentation: ❑ Not applicable ❑
❑ Yes* 0 No
1-1
Oyes" ,❑'No
4. Operating permit and nitrogen BMP* — Compliance component 44 of 5 0 Not appiicabie
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? fl Yes ❑ No
Any "no" answer indicates noncompliance_
Describe verification methods and results:
Attached supporting documentation: ❑ Operating permit (Attach)
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Property Address:
Business Name:
S. Soil separation — Compliance component 45 of 5
Date of installation Q- 1�14 - ;�O ❑ Unknown
(mm/dd/yyyy)
Shoreland/Wellhead protectionlFood ❑ Yes ❑ No
beverage lodging?
Compliance criteria (select one):
5a. 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.
5b.Non performance systems built ® Yes ❑ No"
April 1, 1996, or later or for non-
performance systems located in Shoreland
or Wellhead Protection Areas or serving a
food, beverage, orlodging establishment-
Drainfield has a three-foot vertical
separation distance from periodically
saturated soil or bedrock.*
5c. "Experimental", "Other'; or "Performance" ❑ Yes ❑ No*
systems built under pre -2008 Rules,-
Type
ules;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.
*Any "no" answer above indicates the system is
failing to protect groundwater.
Describe verification methods and results:
Date: -3 -TS�- ;� ;�
Attached supporting documentation:
❑ Soil observation logs completed for the report
® Two previous verifications of required vertical separation
❑ Not applicable (No soil treatment area)
0r0�,sC7 M �--' 501�
009 a,4 . - 1 a "
ox,�,
Indicate depths or elevations
1511411 - ) a a
A. Bottom of distribution media 5,o -A !o :z
4r
B. Periodical) saturated soil/bedrock 1 a
-
C. System separation z"r 1 3 .c
SVIR -3-
D.
,D. Required compliance separation* z,f31
`May be reduced up to 15 percent if allowed by Local
Ordinance.
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, orits 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.
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wq-wwists4-31b • 4/28/2021 Page 4 of 4
Q S"47
SP TESTING INC
Steven B. Schirmers —951 Katydid Lane NE—St. Michael, MN 55376
Cert. No 627 — State License #394 — Phone 763497-3566 — Fax 763-497-5011
www.sptesting.wastewaterL@comcast.net — schirmerswastewater.com
Jill Butler
3010 Somerset Lane
Orono, Mn
Soil borings completed with a bucket auger on 3-15-22
SOIL BORING #1 - ELEV. 104.0 - MOTTLED SOIL PRESENT IN THE BORING AT
17 into the original soil.
0 - 1077 Fill soil loam
1077 - 48" Fill medium sand
48" - 5297 Original soil dark brown loam
SOIL BORING #2 - ELEV. 103.5 - MOTTLED SOIL PRESENT IN THE BORING AT
17 into the original soil.
0 - 877 Fill soil loam
8}7 - 477' Fill soil medium sand
4773 - 5077 Original soil dark brown loam
Elmer I Peterson Co.
5921 Dague Ave.
Delano, MN 55628
Phone 763-972-2120
Fax 763-972-7217
MPCA License# 219
Patrick and Jill Butler
3010 Somerset Lane
Orono, MN
914-393-6695
Baffles: O /
Tank Capacity:
# of Tanks: 3
Type of Tanks:
OFF
Gallons Pumped:
Tank Report
Date: March 9, 2422
1-1250 Gallon Tank, 1-1000 Gallon Tank, 1-1250 Gallon Lift Station
Concrete
3000
Manholes to Grade: f9 / NO
Comments:
On March 9, 2022, Elmer J. Peterson Co. pumped septic tanks. 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.
MINNESOTA POLLUTION Sewage tank
CONTROL AGENCY g integrity assessment form
520 Lafayette Road North Subsurface Sewage
5t. Paul, MN 55155-4144 Treatment Systems (SSTS) Program
Doc Type; Compliance and Enforcement
Purpose: This form may be used to certify the compliance status of the sewage tank components of the SSTS. This form is not a
complete SSTS inspection report, only a tank integrity assessment, and may only certify sewage tank compliance status
when entirely completed and signed by a qualified professional. SSTS compliance inspection report forms can be found at:
https://www,oca.state,mn.us/water/inspections.
Instructions: This form may be completed, and signed, by a Designated Certified Individual (DCI) of a licensed SSTS inspection,
maintenance, installation, or service provider business who personally conducts the necessary procedures to assess the compliance
status of each sewage tank in the system. Only a licensed maintenance business is authorized to pump the tank for assessment, A
copy of this information should be submitted to the system owner and be maintained by the licensed SSTS business for a period of
five (5) years from the assessment date.
When this form is signed by a qualified certified professional, it becomes necessary supporting documentation to an Existing
System Compliance Inspection Report: Com fiance ins ection form - Existing system (wq-wwtsts4-31 b), This form can be found on
the MPGA website at https://www.pca.state.mn.us/water/inspections.
The information and certified statement on this form is required when existing septic tank compliance status is determined by an
individual other than the SSTS Inspector that submits an inspection report. This form represents a third party assessment of SSTS
component compliance and is allowable under Minn. R. 7082.0700, subp. 4(B)(1). This form is valid for a period of three years
beyond the signature date on this form unless a new evaluation is requested by the owner or owner's agent or is required according
to local regulations. Additional Administrative Rule references for this activity can be found at Minn. R. 7082.0740, subp. 4(B),(C),.
and (D) and, Minn. R. 7083.0730(0).
Owner information
Owner/Representative Patrick and Jill Butlet
Property address: 3010 Somerset Lane, Orono, MN
Local Regulatory Authority: _ Parcel ID:
System status
System status on date (mmlddlyyyy): 319/2022
® Certificate of sewage tank compliance 0 Notice of sewage tank non-compliance
Compliance criteria:
The SSTS has a seepage pit, cesspool, drywell, leaching pit, or olher pit - "Failure to Protect
Groundwater," ❑ Yes N No
The SSTS has a sewage tank that leaks below the designed operating depth - "Failure to Protect
Groundwater." ❑ Yes M No
The SSTS presents a threat to public safety by reason of structurally unsound (damaged, cracked,
or weak) maintenance hole cover(s) or lids or any other unsafe condition - "Imminent Threat to j ❑ Yes 0 No
Public Health or Safety,"
Any "ycss" answer above in idat'es seyvage tarsi€ non-cornpliartce.
Company information Designated Certified Individual (DCI) information
Company name: Elmer J. Peterson Co Print name: James L Braegeimann
Business license number: 219 Certification number:
1 personally conducted the warty described above as a Designated Certified Individual of a Minnesota -licensed SSTS inspection,
maintenance, installation, or service provider Business. 1 personally conducted the necessary procedures to assess the compliance
status of each sewage tank in this SSTS.
By typing/signing 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.
Designated Certified Individual's signature: James L Braegelmann Date (mmldd/yyyy): 319/2022
(This document has been electronically signed.)
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wq-wwist54-91 - 5/10/21 Page 2 of 1
G%,i4 carr t)v4o
Minnesota Pollution Control Agency Compliance Inspection Form
530 Lafayette Road North
Stpa,d,MN55155-4194 Existing Subsurface Sewage Treatment System (SSTS)
Doc Type: Compliance and Enforcement
Inspection results based on Minnesota Pollution Control Agency (MPGA) requirements and For local tracking purposes:
attached forms - additional focal 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 (mmlddlyyyy): 7/24/2018
p 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 by Local Ordinance.)
Reasons) 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 92) - 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: 3010 Somerset Lane
Property owner: Jill & Patrick Butler
or
Owner's representative:
Local regulatory authority: City of Orono
Brief system description: Type I Mound for 5 bedroom home
Comments or recommendations:
Certification
Reason for inspection: New System
Owner's phone:
Representative's phone:
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 the 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:
Inspector signature:
Necessary or Locally Required Attachments
Certification number: C6683
License number:
Phone number:16'Z_Z1 It
Soil Boring Logs ❑ SystemlAs-Built Drawings ❑ Forms Per Local Ordinance
Other Information (list):
wq-wwists4-37c - $14114 • www.pco. state. mn.us • Available in altemative f mtats • 651-286-6300 • 800-657-3864 • TTY 651-282-5332 of 130"57-3864 Paga f 03
Property address: 3010 Somerset Lane
4. Sail Separation - Comptiance component #4 of 5
Date of installation: 7/2412018 ❑ Unknown
(mrrtidd%W)
Shoreland/Wellhead ProtectlonlFood,
beverage, todgtng7
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-perlormance systems built April 1,
1996, or later or for non-performance
systems located in Shoreland or Wellhead
Protection Areas or serving food, beverage
or lodging establishment.
I
Drainfield has at least a three-foot vertical
separation distance from periodically
saturated soil or bedrock.
"Experimental" "Other" or "Performance"
systems built under pre -2008 Rules, Type 1V
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
❑ Yes ❑ No
[] Yes ❑ No
1511.�4 r1tr, iviijo ,
Inspector Initials/Date I 7/24/2018
(mmlddlyyyy)
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 appiicable (Holding tank(s), no drainfield)
❑ Unable to verify (See Comments/Explanation)
❑ Other (See Comments/Explanation)
Comments/Explanation:
New system verification done at review
Indicate depths or elevations
A. Bottom of distribution media
❑ Yes ❑ No
B. Periodically saturated soil/bedrock
C. System separation
D. Required compliance separation"
"Allay be reduced up to 15 percent if allowed by Local
Ordinance
Any "no" answer above indicates the system is
failing to protect groundwater.
5. Operating Permit and Nitrogen BAAP - Compliance component #5 of 5 ❑ Not applicable
Is system operating under an Operating Permit? ❑ Yes 0 No If "yes", A below is required.
Is the system required to employ Nitrogen BMP? ❑ Yes 0 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: LJ Yes ET No
Have the Operating Permit requirements been met?
b. Is the required nitrogen BMP in place and properly functioning? Yes UNo
Any "no" answer above indicates Noncompliance
Upgrade Requirements (Minn. Stat. § 115-55). An irnminent threat to public heafth 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 groundwater, the system must be upgraded, replaced, or its use
discontinued within the time required by tical 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 appty to systems in shoreland areas,
Wellhead Protection Areas, or those used in connection with food, beverage, and lodging establishments as defined In law.
wq-ww7sts4-31c • &4/14 • wwwpca.state ,mn.us • Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY651-282.5332 or800-657-3e64 Page 3 of
Soil Observation Log
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Owner Information
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1532.5
l,U,;FSt'
I t,UaG
wislgIc _•ruin
(i-I� l(ll�til`1i1
15
2013 2
11114
Friable
StrClsl•_
1'rn:illi,,:
1124 CA, Imam
_,- �
2514 ;
1Q44 5.1A I,
Flrlll
Irish
I'rhnrltl.
loo
�11t1.1C
5 50
friahO
eal
rral7t,l:,r h1c,41,t
311
line
moderate
plan
rigid
sirono
. 5
loo'e
louse
,nyle grdu,
35-50
fritabic
NNcak
o:IM0,'11 hi,>ti s
51
firm
11dcrate
I,f1,141;111c € 'lilt
1'I `�iAl
Mwn-
Illi he
j �7eY hti c2"/71f1" lllt,w ,I 1-,1'/ 1l cat
c'rrltlj lc'le'ri 113 ,a �'r,rcf,l,l:c
„'ffrl Ilk
ll,4tl l watt l„e
,tra ,al rc�!'.,.
Designer
Rum% Olson's Sod C, pel-c
810
S'ignmure
(-ttnll-ra,
l.icill5c •-