HomeMy WebLinkAbout05/17/2022 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.s,ptesting.wastewater@comcast.net- schirmerswastewater.com
May 17, 2022
Tara Sutton
2943 Farview 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 2-
1300 gallon septic tanks, 1- 1300 gallon pump tank & a pressurized mound system
with a 10' x 62' rock bed for a 5 bedroom home built on 9-8-03.
Soil Boring #1 found mottled soil (redox features) at > 2.8', the original soil at elev.
102.3 & the bottom of the rock bed at elev. 103.7 leaving 1.4' of sand below the rock
bed & a 4.2' separation from the bottom of the rock & redox features. Soil boring #2
found mottled soil at 2.7', the original soil at elev. 102.2 & the bottom of the rock bed
at elev. 103.6 leaving 1.4' of sand below the rock bed & a 4.1' separation from the
bottom of the rock & redox features. This system is classified as in compliance with
Minnesota Chapter 7080 rules.
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 2 years. Check with your
pumper to set up a schedule. IRON _FILTERS MUST NOT BE PUT INTO THE SYSTEM.
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 • MPCA Cert.No. 627
951 Katydid Lane NE • St. Michael, MN 56376 • (763) 497-3666
FAX (763) 497-5011
State License #394
wwwsptesting.wastewater@comcast.net - schirmerswastewater.com
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, MINNESOTA POLLUTION Cprp liance
CONTROL AGENCY p inspection report form
520 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 htt s://www. ea.state.mn.us/sites/default/files/w-wwists4-31a. df.
Property information Local tracking number:
Parcel ID# or Sec[Twp/Range: reason for Inspection
Local regulatory authority info: L.®%,o N-& �2
Property address: ,-A , t
Owner/representative: cc.60- 5qt�Y4— Owner's phone: Ot- Rgtp- 0116A .
Brief system description:
System status
System status on date (mm/dd/yyyy):
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, 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.
Ll [Noncompliant- Notice of noncompliance
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 (ITAI-IS) 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. '-
Inspector
Inspector signature:
(This document has been electronically signed)
Certification number: a")
License number: 3 �) 4
Necessary or locally required supporting documentation (must be attached)
❑ Soil observation logs ❑ System/Aa-Built ❑ Locally required forms ❑ TanK Integrity Assessment ❑ Operating Permit
❑ Other information (list):
https://www.pca.state.rnn,us 651-296-6300 800-657-3864
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Page 3 of 4
Property Address: �a -i 4 .
Business Name: - 4 ,� t u t r.. L
1. Impact on public heolth — Compliance component #1 of 5
Compliance criteria:
System discharges sew,
ground surface
to the t ❑ Yes* 2 No
System discharges sewagle to drain❑Yes* D No
tile or surface waters. I
System causes sewage backup into ❑ Yes* F No
dwelling or establishment.
Any "yes" answer above indicates the system is an
imminent threat to Public health and safetv.
Describe verification methods and results:
Date:
Attached supporting documentation:
❑ Other:
❑ Not applicable
z. Tank integrity — Conjlpliance component #2 of 5
I
Compliance criteria:
System consists of a seepage pit,
cesspool, drywell, leaching pit,
or other it?
Sewage tank(s) leak Belo their
designed operating depth;.
ff yes, which sewage to
Any "yes" answer
is failing to protect
❑ Yes* ❑ No
❑ Yes* ❑ No
indicates the system
dwater.
Describe verification m�thods 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
(mmlddlyyyy): (must be within three years)
(See form instructions to ensure assessment complies with
Minn. R. 7082.0700 subp. 4 B (l) )
❑ Tank is Noncompliant (pumping not necessary —explain below)
❑ Other:
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Property Address:
Business Name: �} -� ✓•(E �l 1 ► L. date:
3, Other compliance conditions — Compliance component #3 of 5
3a. Maintenance hole covers appear to be structurally unsound (damaged, cracked, etc.), or unsecured?
❑ Yes* 0 No ❑ Unknown
3b, Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety? ❑ Yes" [g 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* ❑ leo
*Yes to 3c or 3d - System is failing to protect groundwater. NJ
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", 8 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:
Business Name:
9w3
- `ti' 1 R.1
5. Soil separation -- Compliance component #5 of 5
Date of installation 9 _q - C7 ❑ Unknown
(mmlddlyyyy)
3horelandNVelIhead 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
saturated soil or bedrock.
5b.Non-performance systems built
April 1, 1995, or tater 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.*
Date: g'�1 -_;32.
® Yes ❑ No Attached supporting documentation:
N Soil observation logs completed for the report
❑ Two previous verifications of required vertical separation
❑ Yes ❑ No* ❑ Not applicable (No soil treatment area)
® Yes ❑ No* Indicate depths or elevations
A, Bottom of distribution media
Sc. "Experimental""Other", or "Performance" [:]Yes ❑ No*
systems built under pre -2008 Rules;
Type IV or V systems built under 2008
Rules 7080. 2350 or 7080.2400
(Intermediate Inspector License required f-
2,500
2,500 gallons per day; Advanced inspector
License required > 2,500 gallops 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:
B. Periodically saturated soillbedrock
D. Required cornoliance
5`r,f}--ro3.-7
5104 1 >
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*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 he 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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SP TESTING INC.
Steven B. Schirmers —951 Katydid Lane NE -5t. Michael, MN 55376
Cert. No 627 — State License #394 — Phone 763-497-3566 — Fax 763-497-5011
www.sgtesting.wastewater comcast.net— schirmerswastewater.tom
Tara Sutton
2943 Farview Lane
Orono, MN
Soil borings completed with a bucket auger on 5-2-22
SOIL BORING #1 - ELEV.105.0 - MOTTLED SOIL PRESENT IN THE BORING AT
> 2.8' into the original soil.
0 - 8" Fill soil loam
8" - 32" Fill soil medium sand
32" - 58" Eroded - original soil dark brown loam - 10YR 413
58" - 66" Very dark brown loam 2.5Y 312
SOIL BORING #2 - ELEV. 105.0 - MOTTLED SOIL PRESENT IN THE BORING AT
2.7' into the original soil.
0 -
12"
Fill soil loam
12" -
34"
Fill soil medium sand
34" -
40"
Eroded - original soil brown clay loam 10YR 413
40" -
50"
Eroded - brown loam 10YR 413
50" -
66"
Very dark brown loam 2.5Y 311
66" -
72"
Very dark brown clay loam 2.5Y 411
Tank Report
Elmer J. Peterson Co.
5921 Dague Ave.
Delano, MN 55328
Phone 763-972-2.1.20
Fax 76.1-972-77217
Ml'CA License# 219
Gary Wilson
2943 Farview Lane
Orono, MN 55356
612-296-6240
Baffles: ON OFF
Tank Capacity: 3-1300 Gallon Tanks
# of'Tanks: 3
Type of'Tanks;
Gallons Pumped:
Concrete
3500
Manholes to G rade: YES / NO
Comments:
Date: Mav 9, 2022
On May 9, 2022, Elmer J. Peterson Co, uncovered 2'd manhole (10 inches deep) and pumped tanks. 1" tank
manhole and lift station manhole to grade. No cracks or water leaking in tanks at the time of pumping.
NOM This is only a tank report. This is riot a compliance inspection for point ofsale nor does it
replace a compliance inspection_
MINNESOTA 710N
CONTROL AGENCY Sewage tank integrity assessment farm
520 Lafayette Road North Subsurface Sewage
St. Paul, MN 55155-4194 Treatment Systams (SETS) Program
Doc Type: Compliance and Enforooment
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 SETS 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.Dca,state.mri.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: Compliance inspection form - Existing system w-vwuists4-31 b). This form can be found on
the MPCA website at https://www.pcastate.mn u. /water/inspections.
The information and certified statement an 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(13)(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. 7082.0700, subp. 4(B),(C),
and (D) and; Minn. R. 7083.0730(C).
Owner information
OwnerlRepresentative Gary Wilson
Property address: 2943 Farview Lane, Orono, MN 55356
Local Regulatory Authority:
System status
System status on date (mmidd/yyyy):
5/9/2022
Parcel ID:
® Certificate of sewage tank compliance ❑ Notice of sewage tank non-compliance
Compliance criteria:
The SSTS has a seepage pit, cesspool, drywell, leaching pit, or other pit - "Failure to Protect
Groundwater." ❑ Yes- 0 No
The SSTS has a sewage tank that leaks below the designed operating depth - "Failure to Protect El Yes- No
Groundwater."
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 ❑ Yes` Z No
Public Health or Safety."
Any "yes" answer above indicates sewage tank non-compliance.
Company information
Company name: Elmer J. Peterson Co
Business license number: 219
Designated Certified Individual (DCI) information
Print name: James L Braecielmann
Certification number:
1 personally conducted the worts described above as a Designated Certified individual of a Minnesota -licensed SSTS inspection,
maintenance, installation, or service provider Business. l personally conducted the necessary procedures to assess the compliance
status of each sewage tank in this SSTS.
By typing/signing my name below, l 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
(This document has been eiectronicafly signed.)
www.pca.state.mn.us 651-296-6300 • 8570-657-3864
w4q-wwists4-91 • 5110/21
Date (mmldd/yyyy): 5/9/2022
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