HomeMy WebLinkAboutSeptic info 07/28/2015 9: 17AM FAX �0001/0004
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� �t,.��°"��°� Compliance Inspectian Farm
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����� Existing SubsurfaCe Sewage Treatment $ystems (SSTS)
S�.,R�ul�01�'1'�75�r4794F Doc Type.�Compliance end Enioraement
Inspection resu{ts based on Minnesota Pollution Control Agency(MPGA) �or local tracking purposes:
requirements and attached forms—additional local requirements may also apply.
Submit completed#orm to Local Unit of Government(LUG)and system owner
wifhin 15 days
System Sfiatus
System stetus on date(mmlddlyyyy): 7/27/2015
� Compllant—Certificate of Campliance ❑ Noncompliant— Notice of Noncompliance
(Valid for 3 years frorn report date, un/ess shwter time (Se�Upgrade Requirementa on page 3.)
frame outlfned in Loca!brdinance.}
Reason(s)for noncompliance(check all applicable)
r]Impact on Public Health(Compllance Componenf#i)—Immfnent threat to public hpalfh and safety
❑Other Compliance Condltions(Compliance Component#3)—lmminent threat to public health and sefety
❑Tank Integrity(Compliance Gattponenf#t2)—Failing to protectgroundwafer
❑Othe�Comp(iance Conditions(Complrance Component#3)—Failing fo pn�tect groundwater
❑Soil Separation(Compliance Component#4)—Failing to protecf gn�undweler
❑ Operating permlVmonitoring plan requirements(Compllance Component#5)—Noncom�lrant
Property Information Parcel ID#or Sec/Twp/Range: _
Property address: 710 Big island,prono,MN 55331 Reason for inspectlon; Sale
Properry owner; Gerald 5cane pwner's phone: 612-743-2723
or
Owner's reprBsentative: _ _ _ Representative phone:
LoCal regulatory autho�ity; Clty of Orono . _ Regulatory authority phone: _ _
grief system description: This is an elevated chamber system with 2-1000 gallon septic tanks and a 1000 galion pump tank.
Comments or recommendations:
7he drainfield needs approximately 8"of bl�ck dirt covering the areas that have been eroded.
Certification
I hereby certify thet al!the necessary informatial has been gathered to determine tha compliance status of thrs system.No
determfnatfon of future syst�m perfiarrnance has been nor can be made�iue to unknown eondifrons during system consiruction,
possib/e�buse of Phe sys�`erm,.xnadet�ua7�!mma�hrtenance, or fulure waler usage.
Inspectorname: JoshSwedtund , Certification number: C1659
Business name: Swedh3nd S t"rc� 'ae License number. 2502
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Inspactor signatu►e: _._._._ � Phone number: 952-873-3292
Necessary or Locally Required Attachments
� So31 boring logs �System/As-builf drawing �Forms per lacal ordinanca
❑ Other information{list); _ _ _
www.pcastate.mn.us • 651-Z96-6300 • 840-657-3864 . M 651•z82-533z or B00-657-38b4 • Avaiiable 1n alternative formats
wq-wwists4-31 • 3!16l 11 Paqe 1 of 3
07/28/2015 9 : 17AM FA'/, f�0002/0004
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Property address: 710 Blg Island,Orono,MN 55331 Inspector initialslDate: JS 7/27/2015 ''
(mm/dd/YYYY) —
1. tmpact oh Publi� Health —Compliance component#1 of 5
Compllance criteria: _ Verification method(S):
5ystem discharges sewage to the ❑Yes �fVo �Searched for sutface outfet
ground surtace. �Searched for saeping fn yard/backup in hame
System discharges sewage to drain ❑Yes �No ❑Excessive ponding in soil systemJD-boxes
tile or surface waters.
❑Homeowner testlmony(5ea CommentslExplanafJon):
System causes sewege backup into ❑Yes �C] No ❑"Biack so1P'above soii dispersal system
dwelling or esta6lishment.
❑System requires"emergency"pumping
Any"yes"answer above indicat�es the [�Performed dye test
sysiem fs art imminent threa!to publlc ❑U118b1e to vgrlfy(Sec Comments/Explanation)
healfh dlid Safety. ❑Other methods not listed (Scs Comments/Explanat�on)
Comments/�xplanation:
2. Tank Integrft --Compliance component#2 vf 5 I
Compliance criterie: Verlflcation method(s):
System consists of a seepage plt, ❑Yes 0 No ❑Probed tank(s)bottom
cesspool,drywell,or leaching pit. �
�EXamined GOnSt1'Uotion racords
Seepage pits meeting 7080.2550 mAy be �
compliant!t aUowed in local ordinance. ❑Examined Tank Integrity Form(Attach)
Sewage tank(s)leak below their ❑Yes �No �Observed liqufd level below operating depth I
designed operating depth. ❑ Examined empty(pumped)tanks(s)
If yes,which sewage tank(s)leaks: �Probed ovtslde tank(s)for"black soil"
Any"yes"answer above indicates fhe ❑U�,able to verify(Sae Comments/Explanation) !
syst�em is failing to profect groundwater. ❑Other methods not listed (See Comments/Explanation)
CommentslExplanation:
3. Other Com 11dt1[e Cond1�10f15—Compliance component#3 of 5
a. Malntensnce hole eovers arE damac�ed,cracked,unsecured,or appear to be st�ueturally unsound. Q Yes" �No ❑Unknown
b. Other issues(electrica!hazards,etc.)to Immediately and adversely impact public health or safely. Q Yes" �No ❑Unknown
*System is an imminent threat to publlc hea/th and safety, i
Explain:
c- System is non-proteclfve of ground water for other conditfdns as deternlfned by inspgCtor. ❑Yes^ �No I
"Sysiem is fail;ng to protecf groundwater.
Explain: �
www_pca.state.mn.us • 651-Z96-6300 � 890-657-3864 . TTY 651-282-533z vr 800-657-38G4 • Available in alternative formats
wq-wwists4-31 . 3/16/1�
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07/28/2015 9: 17AM FAX f�0003/0004
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property address. 710 Big lsland�Orono,MN 55331 _ Inspactor initlals/bata: JS � 7/28/2015 I
(mm/dd/yyy��
4. Soil Separation— Compliance component#4 of 5 '
D�te of insta[lation: _ _ � Unknpwn Vel'ification method(s):
(mm/dd/yyyy)
ShorelandlWel[head rotectlon/Food bevera e Spi/ObselVetion d0es not expire.Pl�eVious soil
P g �Yas ❑No observafions b lWo inde endent erties arg Sufficientf
IQdgingT Y P P
unle5s Slte Co»ditionS have been altered orlocal
Com Ilance criteria: requ;�ements di(fer. �
For systems builf pnor to Aprll 9, 9996,and ❑Yes [J No �Conducted soil observation(s)(Attach boring logs)
npt locefed in 5ho�eland or Wellhead �Two previous verifications(Arrach boring logs)
Protection Area or not serving a food,
beveraga or lodging est�blishment: ❑Not applicable(Holding rank(sJ,no drai�tf]eld)
Drainfleld has at le�St a tW0-foot vertiCal ❑Undhle to verify(See Comm�nts/Explanallon) I
sep�iration distance trom periodically ❑ Qther(See Comments/Explanalion) '
saturated soil or bedrock_
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Non-perlormance syStems built April 1, �Yes q No Comments/Explanation:
f986,orlater or for non-perfo�mance
systems loc�ted in Shore/and or'WellheaU Boring: ,
Protection Areas orserving a food, 1-14"10YR 2/2 Loam mixed SOils '
beverdge,orlodgingestablfshment
15-60"10YR 4/4 Clay Loam
Drainfield has a three-foot verticat �
separafion distance from periodically Light mottiing at 57"
saturated soil or bedroCk."
"Experrmental; "Other°or "Parformsnce" ❑Yes Q No Indicate de ths or elevations
sysiems buJk under pre-2008 Rules; Type IV ,
pr V sysfems built under 2008 Rules(7080. A_ gottom of cllstri6ut�on media 20"
2350or7080_2q00 (Advanced InSpector —
License requfred) B. Periodically saturated aoilPoedrock 60"
Drainfield meets thp designed vertical C, S stem se aration 36"
separation dlstence from periodlcally
safurated soil or bedrock.
_ D. Required com liance se arstion' 36"
Any"no"answer above Indicatetis the system!s °May be reduced up to 15 percent iP allowed by Local;
fall►ng to protecf groundwater. o�d�r,a�,�e.
i
5. Operatin Permit and N9trogen BMP*-- Compliance component#5 of 5 � Not appllcable
Is the system operated under an Operetfng Permit? ❑Yes ❑ No If"yes",A below is requ(red
Is the system requlred to employ a Nitrogen eMP7 ❑Yes ❑Na If"yes",B below is required
BMP=Best Management Practicg(SJ specrfied in d�e system design
!f fhe answer to both puestions Is "no'; this section does npt need to be completed.
Compliance critetia
a. �psrating Permit number:
❑Yes ❑No
Have the Qperaling Permit reqUiYements been met?
b. Is the requfred nitrogen BMP In place and properly functioning? ❑Yes ❑No
Any"rro"answer Indicates Non�ompliance. '
Upgrade Requlrements(M/nn_StaL§195.55)An lmminent throat to public heafth and sefety(lTPHS)must be upgraded,replaceci,or its use
discontlnued within ten months nfrece;pf of this notica or wrthin a siiorter penod if iequlrad 6y local oro'inance.!f the system Is falJing h�protect
ground wafer.the system ntust be upgraded,replaced,or its use discontlnuad within the tlme required byloca!ordinance.!f an exlsling system
is not fai(ing as dcllned in law,and has at least hvo(eet o/design soi!separatlon,then the system need not be upgraded,repaired,replaced,ar
!ts use d7scontinued,nohvlthsfanding anyloca!o,dinance tltai!s mae stnct. Thls prov;sion does nvt apply�o systerns In shoreland aroas,;
WeAhead Protection Areas,ur thosB used I�i Connecfion with fDOd,bcverage,end lodglqg establighll'IBl1fS�S defined In!&W.
www.pca.state_mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 . Availablein alternative fonnats
wq-wwiscs4-.3f • 3/ibl 12 Page 3 of 3
07/28/2015 9: 17AM FA� �0004/0004
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