The URL can be used to link to this page

Home My WebLink About05-22-2023 Septic ComplianceMMINNESOTA POLLUTION CONTROL AGENCY Compliance inspection report form 520 Lafayette Road North Existing Subsurface Sewage Treatment System (SSTS) 5t. Paul, MN 55155-4144 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 (MPGA) website at httpsalwww.pca.state.mn.us/sites/default/files/wq-wwists4-31a.pdf. Property information Local trackina number: Parcel ID# or SecfFwp/Range: 0611723210007 Reason for Inspection Property Transfer Local regulatory authority info: City Of Orono,9( 52) 249-4600 Property address: 4461 Bayside Road, Orono Owner/representative: Patrick & Monica Steiner Owner's phone: 612-229-7046 Brief system description: 1-1250-gallon septic tanks, 1-1000-gallon septic tank and 1-1250-gallon lift station and 630 Square feet Rock bed System status System status on date (mm/ddlyyyy): 5/22/2023 ® 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 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 (1TPHS) 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 The system is designed for a five bedroom house. There is 2.0 feet of sand under the rock bed. TBM: Top of the garage floor concrete slab. Elv.-100.0 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: Rusty Olson Soil &percolation Testing Certification number; C1255 Inspector signature: Joseph J. Olson License number: L810 (This document has been electronically signed) Phone: 763-498-8779_ Necessary or locally required supporting documentation (must be attached) ® Soil observation logs ® System/As-Built ❑ Locally required forms ® Tank Integrity Assessment ❑ Operating Permit ❑ Other information (list): https://www.pca.state.mn.us 651-296-5300 800-657-3864 wq-wwists4-31b • 4/28/2021 Use your preferred relay service Available in alternative formats Page 1 of 4 Property Address: 4461 Bayside Road, Orono Business Name: Ruses Olson Soil & percolation Testing 1. Impact on public health — Compliance component #1 of 5 Compliance criteria: System discharges sewage to the ❑ Yes* ® No ground surface 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: Visual. Nothing was found Date: 5/22/2023 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 pit? 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: Albin's septic pumping pumped the tanks. 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 6/24/2021 (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: https://www.pca.state.mn.us 651-296-6300 800-657-3864 Use your preferred relay service Available in alternative formats wq-wwists4-31b • 4/28/2021 Page 2 of 4 Property Address: _4461 Bayside Road, Orono _ Business Name: Rusty Olson Soil &_percolation TestinJi� _ Date: 5/22/2023 3. 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? ❑ Yes* ® No 3d. System not abandoned in accordance with Minn. R. 7080.2500? ❑ Yes* ® No *Yes to 3c or 3d - System is failing to protect groundwater. Describe verification methods and results: Visual. Nothing was found 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", 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) ❑ https;//www.pca.state.mn,us 651-296-6300 800-657-3864 Use your preferred relay service Available in alternative formats wq-wwists4-316 • 4/28/2021 Page 3 of 4 Property Address: _ 4461 Bayside Road, Orono Business Name: Rusty Olson Soil & percolation T 5. Soil separation — Compliance component #5 of 5 Date of installation 9/2/1999 ❑ Unknown (mm/dd/yyyy) 5horelandlWelihead protection/Food ❑ Yes ® No beverage lodging? Com Ip iance 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, or lodging 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 IV or V systems built under 2008 Rules 7080. 2350 or 7080.2400 (intermediate Inspector License required s 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: 5/22/2023 Attached supporting documentation: ® Soil observation logs completed for the report ❑ Two previous verifications of required vertical separation ❑ Not applicable (No soil treatment area) Indicate depths or elevations A. Bottom of distribution media 104.2 B. Periodically saturated soil/bedrock 101.2 C. System separation 3.0 D. Required compliance separation* _ 2.55 *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 (1TPHS) 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 651-296-6300 • 800-657-3864 • Use your preferred relay service • Available in alternative formats wq-wwists4-31 b • 4/28/2021 Page 4 of 4 2021 SEPTIC MAINTENANCE REPORT Site address: 4461 Bayside Rd (Pat & Monica Steiner) Number of tanks: 3 Date last pumped: 06/24/2021 Gallons pumped: 2600 Name of pumper/maintenance provider: Albin's S9 tic Pum in LLC Are tanks watertight?: SNO {please circle ane} Is the system functioning property? Yes (ie slow drainage, wetness in the drainfleid?) ❑o you have any specific concerns or Issues that you'd like to discuss with the SSTS Program Manager? No If so, please Indicate best time and telephone number(s) to be reached between 8 am and 4:30 pm. Best Times Telephone Numbers) RETURN IN THE ENCLOSED ENVELOPE AS SOON AS POSSIBLE Alicia Johnson CITY OF ORONO PO BOX" CRYSTAL BAY MN 35323-00" Patrick & Monica Steiner Property eddreas: 4461 Bayside Rd Parcel it)_ 0611,723210007 city: Orono _ state: MN _ zip code:_ 55359` Optional section: Sewage Tank Compliance Certification This form does not represent a complete system inspection report and only certifies sewage tank compliance status. Instruedons: This secdion of the form may be oompleted and signed by a Designated Certified Individual (DCI) of a licensed SSTS Maintenance Business who personally conducts the necessary procedures to assess the compliance status of each sewage tank in the system. When this section of the form is signed by a qualified certified professional, it becomes necessary supporting documentation to an Existing System compliance Inspection Report. Compliance inspection form - Existing;ystem (wm-wwistj! �:3 2i. This form can be found on the MPCA rmbsite at httos-llwww oca state m uslwaterNsts-and-mets-technical-and-comptlance-criteria. The information and certified statement on this form is required when existing septic tank compliance status is determined by an Indhddual other than the SSTS Inspector that submits the Inspection report. It represents a third party assessment of SSTS Component compliance and is allowable under Minn. R. 7082.0700, subp. 4 Item (i3) subitem (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 kxcal regulations. Additional Administrative Rule references for this activity can be found at Minn. R. 7082.0700, subp. 4 Items B, C, and D; 7083.0730 Item C. ® Certificate of sevrags tank compliance Affirm all three statements: The SSTS does not contain a seepage pit, cesspooi, drywall, teaching pit, or other pit. it does not contain a sewage tank that was designed to be watertight, but subsequently teaks below the designed operating depth. ® It dices not represent an imminent safety threat by reason of unsecured, damaged, or weak maintenance Dole cover(s) or other unsafe oondition. Company Informaticon Company name: Albin's Septic Pumping, LLC Business license number: 3348 ❑ Notice of sewage tank non-compllance Select all that apply: ❑ The SSTS has a seepage pit, cesspool, drywall, leaching pit, or other pit. ❑ It has a sewage tank that was designed to be watertight, but subsequently leaks below the designed operating depth. ❑ It presents a threat to public safety by reason of unsecured, damaged. or weals maintenance hole cover(s) or other unsafe oondition. Designated Certified Individual (DCI) Information Print name: Peter Peterson Certification number: 9227 ! person* conducted rite work desraibed above as a Designated Cedded inditridual of a Minnesote4censed SSTS Maintenw= Business. I personally conducted the ry procedures to assess the compflance status of each sewage tank in this SSTS: Designated Certified Individual's signature: ! Date (mmlddryyyy): _ 06/24/2021 www.pca.state.mn.us 651-296-6300 • 800-657.3864 Use your preferred relay service Available in attemattve formats wq•ww1sts4.38 • 912711;r Page 3 of 3 Soil Observation Log www.SepticResource.com vers 12.4 Owner Information Property Owner / project: Patrick & Monica Steiner Date 5/22/2023 Property Address / PID: 4451 Bayside Road Soil Survey Information ❑ refer to attached soil survey Parent matl's: 0 Till ❑ Outwash ❑ Lacustrine ❑ Alluvium ❑ Organic ❑ Bedrock landscape position: ❑ Summit ❑ Shoulder ❑ Side slope 2 Toe slope soil survey map units: L40B slope % direction - Soil Log 91 El Boring ❑ Pit Elevation 105.3 Depth to SHWT 54 Inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-41 Mound sand fill <35 41-48 Loam 1 Oyr2,1 Friable Strong Bloch} 48-54 Clay Loam 35 10yr4/3 Friable Strong Blocky <35 loose loose single grain 35-50 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 Comments: TBM: Top of the garage floor concrete slab Elv-100.0 4461 Bayside Road Soil Log #2 El Boring ❑ pit Elevation 105.0 Depth to SHWT 48 Inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-36 Mound sand fill <35 36-46 Loam _, -, IOyr211 Friable Strong BlockN 46-48 Clay Loam <35 1Oyr4/3 Friable Strong Blocky <35 loose loose single grain 35-50 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 4461 Bayside Road Soil Log 43 ❑ Boring ❑ pit Elevation Depth to SHWT Depth (in) Texture fragment % matrix color redox color consistence grade shape <35 loose loose single grain 35-50 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 <35 loose loose single grain 35 -SQ friable weak granular blocky >50 film moderate prismatic platy rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky >SQ firm moderate prismatic platy rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky >S0 firm moderate prismatic platy rigid strong massive 1 hereby certi is work was completed in accordance with MN esigner Signature 7080 and any local reqs. Rusty 4lsor's Soil & Perc 810 Company License 4 gg61 B,4-�Sros- &.. N s--