HomeMy WebLinkAbout10-28-22 Septic Compliance Inspectioninspection MINNESOTA POLLUTION Compliance I CONTROL AGENCY p p tion report form
520 Lafayette Road North Existing Subsurface Sewage Treatment System (SSTS)
St. Paul, MN 55155-4194
Doc Type: Compliance and Enforcement
Instructions: Inspection results based on Minnesota Pollution Control Agency (MPCA) requirements and attached supporting
documentation — additional local requirements may also apply. Further information can be found here:
https://vwvw.pca.state mn us/sites/default/files/wa-wwists4-31a pdf.
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 Local tracking number:
Parcel ID# or Sec/Twp/Range: 28-118-23-32-0007 Local regulatory authority: City of Orono
Property address: 3105 6` Ave North, Orono MN 55356
Owner/representative: Ryan Klug Owner's phone:
Brief system description: Pre -cast Septic tanks pump tank and Above grade Drainfield Sized for 600 gpd
System status
System status on date (mm/dd/yyyy): 10/28/2022
® 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.
❑ Noncompliant —Notice of noncompliance
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.
Systems failing to protect ground water must be upgraded,
replaced, or use discontinued within the time required by local
ordinance.
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
(2) 1000 gallon pre -cast septic tanks (house), (1) 1000 gallon pre -cast pump tank, and a 10 x 50 foot rockbed above grade
Drainfield. Pump tanks every 3 years. RISER ON PUMP TANK IS CRACKED AND SHOULD BE REPLACED.
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 rocessing this form.
Business name: Chi 's tic S Certification number: 4761
Inspector signature: - License number: 2064
(This document has been electronically signed) Phone: 952-200-3176
Necessary or locally required supporting documentation (must be attached)
® Soil observation logs ❑ Locally required forms ❑ Tank Integrity Assessment
Operating Permit
❑ Other information (list):
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wq-wwists4-31b • 1/11/21 Page I of 4
1. Impact on public health — Compliance component #1 of 5
criteria:
System discharges sewage to theI ❑ Yes* ® No
ground surface
Attached supporting documentation:
❑ Other:
--__ ® Not applicable
System discharges sewage to drain ❑ Yes* ® No
tile or surface waters. _
System causes sewage backup into ❑ Yes* ® No
dwelling or establishment.
Any "yes" answer above indicates the system is an
imminent threat to public health and safety,
Describe verification methods and results:
ran pump to determine hydrolic loading of drainfield. No issues were observed at the time of inspection.I
2. Tank integrity — Compliance component #2 of 5
Compliance criteria:
System consists of a seepage pit, ❑ Yes* ® No
cesspool, drywell, leaching pit,
or other pit?
Sewage tank(s) leak below their ❑ Yes* ® No
designed operating depth?
If yes, which sewage tank leaks I
Any "yes" answer above indicates the system
is failing to protect groundwater.
Attached supporting documentation:
® Pumped at time of inspection
Chip's Septic
Name of maintenance business: Sevices
License number of maintenance business: 2064
Date of maintenance: 10/28/2022
❑ Existing tank integrity assessment (Attach)
Date of maintenance _ _
(mm/dd/yyyy): (must be within three years)
(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:
Tanks were camera inspected. Pump tanks every 3 years. Riser on pump tank is cracked and should be fixed
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wq-wwists4-31b • 1/11/21 Page 2 of 4
I 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?
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:
Visual
Attached supporting documentation: ❑ Not applicable
❑ Yes* ® No
❑ Yes* ® No
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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wq-wwists4-31b • 1/11/21 Page 3 of 4
5. Soil separation — Compliance component #5 of 5
Date of installation 11/9/1990 ❑ Unknown
(mm/ddtyyyy)
Shorel and/Wei I head protection/Food ® Yes ❑ No
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,
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*
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)
❑ 12 inches of sand under Rockbed
® Yes [:]No* Indicate depths or elevations
5c. 'Experimental" "Other-, or "Performance' ❑ Yes ❑ No*
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
saturated soil or bedrock
*Any "no" answer above indicates the system is
failing to protect groundwater.
Describe verification methods and results:
Used soil probe, and tile probe to complete soil borings.
A. Bottom of distribution media 12 inches of
sand
B. Periodical!y saturated soil/bedrock 20 inches
C. System separation 32 inches
D. Required compliance separation* 31 inches
*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, 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.
https://www.pca.state.mn.us
wq-wwists4-31b • 1/11/21
• 651-296-6300 800-657-3864 Use your preferred relay service Available in alternative formats
Page 4 of 4
Go 6
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this work -'as completed in accoi-dance with MN 7080 and any local reqs,
Designer Signature
Company
License #
Soil Lo # �
"Boring Li
Pit Elevation
!t9
Depth (in)
Textu
-e
fi•agment %
matrix color
redox
Depth to SHWT
color
consistence
grade
shape
<35
loose
loose
(' /(,8
35-50
>50
/
friable
firm
weak
single grain
granular blocky
�•
moderate
prismatic platy
rigid
strong
massive
<35
Ioose
loose
35-50
��
liable
weak
single grain
granular blocky
t d-
>50
moderate
prismatic platy
rigid
strong
b
massive
<35
loose
loose
�� ✓ 2 7(/
35-50
>50
friable
firm
weak
ngle grain
anular blocky
Iniassive
moderateismatic
platy
rigid
strong
b
<35
35 - 50�iw�z
,"a
loose
friable
loose
single grain
>50
firm
weak
granular bloclry
moderate
prismatic platy
rigid
strong
massive
<35
loose
loose
35-50
friable
weak
single grain
granular blocky
>50
firm
moderate
prismatic platy
rigid
strong
massive
-
Soil Lo M �--
Q!Boring
pit
Elevation
Depth to SHWT
Depth (in)
Textur
fi-agment %
matrix color
— redox color
consistence
grade
shape
<35
loose
loose
single grain
35-50
fi-iable
weak
granular blocky
>50
J
fnn
moderate
prismatic platy
E
rigid
strong
massive
<35
loose
loose
single grain
35-50
friable
weak
granular bloclry
16 •-1 �
� � (
>50
�
firm
moderate
prismatic platy
rigid
strong
massive
<35
loose
loose
single grain
�•
35-50
>50
friable
firm
weak
granular
blocky
moderate
prismatic
rigid
strong
massive
... _ ._..
<35 _ ..
— -v
loose
- — ---
loose
-----
single-grain-
ingle_grain_
35-50
35 - 50
elf
friable
weak
-
granular blocky
>50
firm
moderate
prismatic platy
rigid
strong
massive
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
>50
firm
moderate
prismatic platy
rigid
strong
massive
this work -'as completed in accoi-dance with MN 7080 and any local reqs,
Designer Signature
Company
License #