HomeMy WebLinkAbout07-13-2023 Septic ComplianceMINNESOTA POLLUTION Compliance inspection report form
CONTROL AGENCY p p p
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://www.pca.state.mn.us/sites/default/fiilestwq-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: 3111823330014 Local regulatory authority: City of Orono
Property address: 4680 Bayside Road Orono 55359
Owner/representative: Michael Sletten Owner's phone:
Brief system description: Pre -cast Septic tanks and above grade drainfield
System status
System status on date (mm/dd/yyyy): 7/13/2023
® 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
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, (1) 1000 gallon pump tank, and a 10X50 Rockbed drainfield. Pump tanks every 3 years.
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 duling 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 pu e o ssing this form.
Business name: Chip's a tic.8 Certification number: 4761
Inspector signature: License number: 2064
(This doc ent 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):
https://www.pca.state.mn.us 651-296-6300 • 800-657-3864 • Use your preferred relay service • Available in alternative formats
wq-wwists4-31b • 1/11/21 Page 1 of 4
1. Impact on public health — Compliance component #1 of 5
Compliance criteria: Attached supporting documentation:
System discharges sewage to the ❑ Yes* ® No ❑ Other:
ground surface
® 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 hydraulic loading of septic system and found it to function fine at the time of inspection.
2. Tank integrity — Compliance component #2 of 5
Compliance criteria: Attached supporting documentation:
System consists of a seepage pit, ❑ Yes' ONO ® Pumped at time of inspection
cesspool, drywell, leaching pit,
or other pit?
Sewage tank(s) leak below their ❑ Yes` ® No
designed operating depth?
If ves, which sewage tank(s) leaks:
Any "yes" answer above indicates the system
is failing to protect groundwater.
Describe verification methods and results:
Chip's Septic
Name of maintenance business: Sevices
License number of maintenance business: 2064
Date of maintenance: 7/13/2023
❑ 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 8 (1))
❑ Tank is Noncompliant (pumping not necessary — explain below)
❑ Other:
Tanks were camera inspected at found to be ok at the time of inspection. Pump tanks every 3 years.
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wq-wwists4-31b • 1/11/21 Page 2 of 4
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?
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:
Fixed electrical box and wires
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) ❑
https://www.pca.state.mn.us 651-296-6300 800-657-3864 Use your preferred relay service tAvailable in alternative formats
wq-wwists4-31b • 1/11/21 Page 3 of 4
S. Soil separation — Compliance component #5 of 5
Date of installation 6/30/1995
(mm/dd/yyyy)
Shoreland/Wellhead protection/Food
beverage lodging?
Compliance criteria (select one
❑ Unknown
I ►�
5a. For systems built prior to April 1, 1996, ® Yes ❑ No*
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*
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
(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 to complete soil borings and inspect mound
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)
❑ 24 inches of sand under rockbed.
Indicate depths or elevations
A. Bottom of distribution media 24 inches of
sand
B. Periodically saturated soil/bedrock 12 inches
L;. 5 stem separation 36 inches
D. Required compliance separation* I 24 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
14GSO 8�Cy Kd .
Owner / project:
Address / PID:
Soil Observation Log
www.SeDticResource.com vers 12.
Owner Information
4680 Bayside Rd, Orono
Date 7/12/2023
Soil Survey Information ❑ refer to attached soil survey
Parent matl's: 0 Till ❑ Outwash ❑ Lacustrine ❑ Alluvium ❑ organic ❑ Bedrock
landscape position: ❑ Summit C] Shoulder ❑ Side slope R Toe slope
soil survey map units: slope % direction- downhill
Soil Log #1
ring ❑ Pite'
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
>50firm
moderate
prismatic platy
Ict— /
rigid
strong
massive
<35
loose
loose
single grain
CL
friable
weak
granular blocky
>50
/
/� �Z
firm
moderate
prismatic platy
massive
rigid
strong
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
P i . ZAw
>50
%�
firm
moderate
prismatic platy
massive
rigid
strong
<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:
4680 Bayside Rd, Orono Soil Log #2
❑ 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
LI>50
d y2
firm
moderate
prismatic platy
rigid
strong
massive
<35
loose
loose
single grain
35-50
friable
weak
granular blocky
1 I
CL
>50
��/�
firm
moderate
prismatic platy
rigid
Strong
massive
<35
IOOSe
friable
IOOSe
weak
single grain
blocky
35-50
granular
C �—
>50
.5'
�0
�i �i/
firm
moderate
prismatic platy
massive
rigid
strong
<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
4680 Bayside Rd, Orono Soil Log #3
❑ 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
35-50
friable
weak
granular blocky
firm
moderate
prismatic platy
>50
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
35-50
friable
weak
granular blocky
>50
firm
moderate
prismatic platy
rigid
strong
massive
1 hereby certify this work was completed in accordance with MN 7080 and any local reqs.
`�7�
Chip Septic Servies LLC 2064
Designer ignature Company License #
CITY OF ORONO
INSPECTION NOTICE
PERMIT NO.
ADDRESS
DATE
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SCHEDULED
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DOWNSLOPE DIKE 'WIDTH
If landslope is 3`l6 or more, subtract rock Dyer width from
adsorption width to obtain minimum downslope dike toe
Z4 ft- /y ft = __J l- _ f t
Calculate mound height at edge of rock layer on downsloF?
side;
a. Determine depth of clean sand fill at upslope edge of rock
layer: Separation Z feet
1:). Multiply rock layer width by landslope to determine drop
in elevation; Slope Difference
X.
c. Add depth of clean sand depth of dean sand for
separation at downslope edge to depth of rock layer to
depth of soil backfill to get mound height at downslope
edge of rock layer;
Z ft + . 4- ft + _1— ft*__ftft
d. Enter table on page E-18 with landslope and downslope
dike ratio. Select dike multiplier of 4.7G�
e. Multiply dike multiplier by downslope mound height
to get downslope dike width. -I.7(.- ;tc �- - Z/ ft
g. Compare the values of step G.1 and Step G.21. Select the
greater of the two values as the dov%•nslope dike width;
Z/feet
h. Calculate upslope dike width using upslope mound
height and upslope dike multiplier from page E-18;
a4sx_ - =I-+— ft
i. Total mound width is the sum of upslope dike width plus
E-20
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rock layer width plus downslope d►ke width; If
I :tlR+-if - ft+ /� ft- -qt!s- ft Z6�q/r sc�r14 * Iq
3. If landslope is 2.9 percent or less, basal width includes both the-
upslope
heupslope and downslope dike widths.
a. Calculate downslope dike width using steps G.2.a.
through G.21; _ feet
b. Calculate upslope dike width using upslope mound
height and dike multiplier from Page E-18;
x h= ft
c. Add downslope dike width to upslope dike width to rock
layer width
Et+ h+ ft= ft
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