HomeMy WebLinkAbout06-18-2023 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
June 26, 2023
Mans Killingstad
930 Cox Farm Rd.
Orono, MN
A Compliance inspection was completed for the existing on-site sewage treatment
system located on this property. The system consists of 2-1000 gallon septic tanks,
1 -1000 gallon pump tank & a pressurized mound system with a 10'x 55' rock bed
built in 1993' for a 3 bedroom home.
Soil boring #1 found mottled soil (redox features) at 1.5' into the original soil, & the
original soil at elev. 97.2 & the bottom of the rockbed at elev. 98.3 leaving 1.1' of
sand below the rock bed & a 2.6' separation from the bottom of the rock bed & redox
features. Soil boring #2 found mottled soil at 2.1' into the original soil & the original
soil at elev. 97.7 & the bottom of the rock bed at elev. 98.5 leaving .8' of sand & a
2.9' separation from the bottom of the rock bed & redox features. This system meets
the required separation from the bottom of the rockbed & redox features & is
classified as in compliance with Minnesota Chapter 7080 rules using the 15%
reduction allowed (2.6').
The tanks were pumped by Kothrade Sewer, Water & Excavating, Inc. & were found
to be compliant. Manhole risers were added to the 1st 2 septic tanks.
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 • MPCA Cert.No. 627
951 Katydid Lane NE - St. Michael, MN 55376 • (763) 4973566
FAX (763) 497-5011
State License #394
wwwsptesting.wastewater@comcast.net - schirmerswastewater.com
WUoG•0:7?
MINNESOTA POLLUTION Compliance inspection report form
CONTROL AGENCY
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 https://www.oc@.state.mn us/sites/defaultffiles/wq-wwists4-31a.pdf.
Property information Local tracking number:
Parcel iia# or Sec/Twp/Range: _ Reason for Inspection
Local regulatory authority info: [, t { ov 1� 0
Property address: -1 ';t) Go A 7Z)
Owner/representative:Owner's phone- pho ;, - 6300
� ne: "�� ��� ..
Brief system description: a - ego e 5y��•{� 4�N4� t g�� -�7xj , .fir ��G f� �� 4
I DaY�7
5�51'15 m uUI- r Or toX G 4-¢07IA20trl 14ol,•gir
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 1458.04, subdivision 8 is discovered or
a shorter time frame exists in Local Ordinance.)
°'iUote: 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 (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.
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 93) - 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,
inadegtrale maintenance, or future water usage.
By typing my name below, 1 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: Cj -
Inspector signature:Certification number.
'�i .� • �� License number: ?LI
(This document has been electronically signed) Phone: u M
�t�4�y � r.. •c
Necessary or locally required supporting documentation (must be attached)
® Soil observation logs System/As-Built ❑ Locally required forms 0 Tank Integrity Assessment
El Operating Permit
l2 Other information (list): S}�� '%'� �FMI•J Ac Gk),i
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Property Address;]::'
Business Name: Date:Jf
I. 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
the or surface waters.
System causes sewage backup into ❑ Yes* ® No
dwellinq or establishment.
Any "yes" answer above 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, ❑ Yesw ❑ No
cesspool, drywell, leaching pit,
or other it?
Sewage tank(s) leak below their ❑ Yes* ❑ No
designed operating depth?
If which sewage tanks leaks: f
Any "yes" answer above indicates the system
is failing to protect groundwater.
Describe verification methods and results:
16ciJF;
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
(mmtddlyyyy): (must be within three years)
(See form instructions to ensure assessment complies with
Minn. R. 7082.0700 subp. 4 6 (1))
❑ Tank is Noncompliant (pumping not necessary- explain below)
❑ Other:
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Property Address: e .
Business game: �_t k" ., 0_3
--- - __ bate: 'd-,
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' 0 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. P. 70802500?
*Yes to 3c or 3d - System is failing to protect groundwater.
Describe verification methods and results:
Attached supporting documentation: ❑ Not applicable ❑
❑ Yes" D No
,iii Yes" O'No N/4
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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Property Address: IJ30 C,®x M
Business Name: _ r ` 4 1 {� ---_._ __. Date: (i41!S-
5. Soil separation —Compliance component 95 of 5
Date of installation I 3 ❑ Unknown
(mmladlyyyy)
Shore Iand/WelIhead protectioniFood
beverage lodging?
Compliance
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, orlodging 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 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.
® Yes ❑ No Attached supporting documentation:
® Soil observation logs completed for the report
❑ Two previous verifications of required vertical separation
❑ Yes ❑ No" ❑ Not applicable (No soil treatment area)
11
❑ Yes ❑ No' indicate depths or elevations
A. Bottom of distribution media 5���-9 d. . '� Sib�g
545 Ir i I, r,,
' �� �� •� B. Periodically saturated soillbedrock 5,, 3 _ @,I
C. Systern separation 51C f- I - ar V , of
D. Required cornpllance separationovoA t S U�
*May be reduced up to 16 percent if allowed by Local
Ordinance.
❑ Yes ❑ No*
*Any "no" answer above indicates the system is
failing to protect groundwater.
Describe verification methods and results:
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 defrned 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.sptesting.wastewater@comcast.net— schirmerswastewater.com
Hans Killingstad
930 Cox Farm Rd.
Orono, MN
Soil borings completed with a bucket auger on 6-18-23
SOIL BORING #1 -- ELEV. 99.7 - MOTTLED SOIL PRESENT IN THE BORING AT
1.5' into the original soil.
0 - 10" Fill soil dark brown loam
10" - 30" Fill soil medium sand
30" - 48" Original soil very dark brown loam 2.5Y 312
48" - 54" Gray brown sandy loam 2.5Y 512 - distinct mottles 10YR 618
SOIL BORING #2 - ELEV. 100.3 - MOTTLED SOIL PRESENT IN THE BORING AT
2.1' into the original soil.
0 -
12"
Fill soil loam
12" -
32"
Fill soil medium sand
32" -
4$"
Original soil very dark brown clay loam 2.5Y 312
48" -
50"
Very dark gray clay loam 2.5Y 512 - distinct mottles 10YR 618
50" -
54"
Gray brown clay loam 2.5Y 512 - distinct mottles 10YR 618
SOIL BORING #3 - ELEV. 98.3 - MOTTLED SOIL PRESENT IN THE BORINGS
AT 2.2" into the original soil.
0 -
6"
Fill soil loam
6" -
26"
Original soil very dark brown clay loam 2.5Y 312
26" -
32"
Dark gray brown loam - distinct mottles 10YR 618
32" -
36"
Gray sandy clay loam 2.5Y 512 - distinct mottles
9
MINNESOTA POLLUTION Sewage tank integrity
CONTROL AGENCY g grity assessment form
520 Lafayette Road North Subsurface Sewage
St. Paul, MN 55155-4194 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:
his://Nww.pca-state.mn.us/waterlinspections.
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 lank 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 (wra-wwists4-31 b). This form can be found on
the MPCA website at https:/Avww. ca.state.mn.uE/Waterlinspections.
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. 7082.0700, subp. 4(8),(C),
and (D) and; Minn. R. 7083.0730(C).
Owner information
Owner/Representative Hans C Kil
Property address: 930 Cox Farm Rd, Orono MN 55356
Local Regulatory Authority: City of Orono Parcel Ila: 27-118-23-33-0013
System status
System status an date (mm/dd/yyyy): &— � = Z,�
�Isxertifcate of sewage tank compliance
Q a-! t1r1 Lko f V1
❑ 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" ftAo
The SSTS has a sewage tank that leaks below the designed operating depth -"Fa to Protect
Groundwater." ❑Yes' R90
The SSTS presents a threat to public safety by reason of structurally unsound (damaged, cracked,
or weak) maintenance hole cover(s) or fids or any other unsafe condition - "Imminent Threat to ❑ Yes'
Public Health 'or Safety."
Any "yes" answer above indicates sewage tank non-compliance.
Company information
Company name: Kothrade Sewer, Water & Excavating, Inc
Business license number: L192
Designated Certified Individual (DCI) information
Print name: Larry Bursch _
Certification number: C9199
1 personally conducted the work described above as a Designated Certified Individual of a Minnesota -licensed SSTS inspection,
maintenance, installation, or service provider Business. I 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 f ' orm.
Designated Certified Individual's signature: Date (mm/dd/yyyy):
(This documerg has besn electronically signed.)
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