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Home My WebLink AboutSeptic Compliance Reportvt MINNESOTA POLLUTION inspection re CONTROL AGENCY p p p Com liance ins ort form 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.pca.state.mn.us/sites/default/files�/w Property information Local tracking number: Parcel ID# or Sec/Twp/Range: 3511823340014 Reason for Inspection Sale of property Local regulatory authority info: City of Orono - 612-249-4600 Property address: 1280 Lyman Ave, Orono, MN 55391 Owner/representative: Harlan Hansen Owner's phone: Brief system description: (2) 1000 Gallon Pre -cast Septic tanks (1) 1000 Gallon Pre -cast Pump tank, with a 1 Ox 50 foot rockbed with 24 inches of sand under rockbed. System status System status on date (mm/dd/yyyy): 3/18/2024 ® Compliant— Certificate of compliance* ❑ Noncompliant— Notice of noncompliance (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. 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 #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 Repaired outlet receptical and wires at pump station. 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 perfonnance 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: Ch Inspector signature: (This document" has been electronically signed) Certification number: 4761 License number: 2064 Phone: 952-200-3176 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.m n. us 651-296-6300 • 800-657-3864 Use your preferred relay service Available in alternative formats wq-wwists4-31b • 4/28/2021 Page 1 of 4 Property Address: 1280 Lyman Ave, Orono, MN 55391 Business Name: Chip's Septic Services Date: 3/18/2024 1. Impact on public health — Compliance component #1 of 5 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 dwellina or establishment_ Any "yes" answer above indicates the system is an imminent threat to public health and safety. Describe verification methods and results: Visual. Ran pump to determine hydrolic loading of system Attached supporting documentation: ❑ Other: ❑ Not applicable 2. Tank integrity — Compliance component #2 of 5 Compliance criteria: System consists of a seepage pit, cesspool, drywell, leaching pit, or other pit? Sewage tank(s) leak below their designed operating depth? If leaks: ] Yes' ® No Attached supporting documentation: ® Empty tank(s) viewed by inspector Name of maintenance business: Sewer Services ❑ Yes' ® No License number of maintenance business: 2502 Date of maintenance: 3/18/2024 ❑ Existing tank integrity assessment (Attach) Date of maintenance (mm/dd/yyyy): (must be within three years) Any "yes" answer above indicates the system is failing to protect groundwater. Describe verification methods and results: (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: Tanks were pumped and camera inspected at the time of inspection. 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: 1280 Lyman Ave, Orono, MN 55391 _ Business Name: Chip's Septic Services Date: 3/18/2024 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: 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-wwists4-32b • 4/28/1021 Page 3•of4 Property Address: 1280 Lyman Ave, Orono, MN 55391 Business Name: Chip's Septic Services Date: 3/18/2024 5. Soil separation — Compliance component #5 of 5 Date of installation ^7 ZQ E, j_ _ ❑ Unknown (mm dd/yyyy) ShorelandMellhead protection/Food ❑ Yes ® No Attached supporting documentation: beverage lodging? ❑ Soil observation logs completed for the report Compliance criteria select one): ® Two previous verifications of required vertical separation 5a. For systems built prior to April 1, 1996, and ❑ Yes ❑ No* ❑ Not applicable (No soil treatment area) not located in Shoreland or Wellhead Protection Area or not serving a food, ❑ 24 inches of sand under rockbed 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* Indicate or elevations April 1, 1996, or later or for non- -depths performance systems located in Shoreland A. Bottom of distribution media 24 in of sand or Wellhead Protection Areas or serving a food, beverage, or lodging establishment: _ B. Periodically saturated soil/bedrock 25 inches Drainfield has a three-foot vertical C. System separation >36 separation distance from periodically D. Required compliance separation* 31 saturated soil or bedrock.* *May be reduced up to 15 percent if allowed by Local Ordinance. 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 5 2,500 gallons per day; Advanced Inspector License required > 2,500 gallons per day) Drainfield meets the designed vertical separation distance from periodically ❑ Yes ❑ No* *Any "no" answer above indicates the system is failing to protect groundwater. Describe verification methods and results: Soil and tile probe and city records for documentation 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 • 651-296-6300 • 800-657-3864 • Use your preferred relay service Available in alternative formats wq-wwists4-31b • 4/28/2021 Page 4 of 4 Ave Z-1 11 S :ire 9C�k-- N •CERTIF,ICATION # 00627 Logs of Soil Borings L-13 Location, or Project Marc_ & Tracy Whitehead, 1220 Lyman Ave Lot,, I,Orono Borings made by S -P Testing, Inc. Steve Schirmers Date 11-12-90 Classifiction System: AASHO ; USDA -SCS X Unified Other ' Auger used (check two): Hand X , or Power Flight or Burkar x Depth, Boring number 1 Depth, Boring number 2 in feet Surface elevation 976.2 in feet Surface elevation 976.6 o- 0- _ Topsoil dark brown loam Topsoil dark brown 0 - 8 11loam 0 - 10" 1 - Brown clay loam 8" - 114" -MOTTLING 1 bra -rg yrda� a 10" - 1'2" -MOTTLING olive _ 1'10"�Eamnsg g 2 - 2 - Rustyolive brown clay loam strong 3 - 3 - Rusty olive brown clay loam strong 112" -3'10" 4 - 4 - Rusty olive brown clay loam 3110" - 4'10" 5 - 1'10" - 514" 5 Rusty olive brown loam Rusty olive brown loam 6 - 514" - 6' 6 - 4110" - 6' 7 - 7 - 8 - 8 - I End of boring at 6' feet. Standing water table: present at feet of depth, hours after boring. Not present in hole X Mottled soil: Observed at 1'4" feet of depth. Not present in hole Comments: End of boring at 6' feet. Standing water table: present at feet of depth, hours after boring. Not present in hole X Mottled soil: Observed at 1'2" feet of depth. Not present in hole Comments: L-13 CERTIFICATION it 00627 Logs of Soil Borings Location or Project Marc & Tracy Whitehead, 1220 Lyman Ave Lot,1 Orono Borings made by, -Testing, Inc. Steve Schirmers _ Date 11-12-90 Classifiction System: AASHO USDA -SCS X ; Unified Other Auger used (check two): Hand X , or Power , Flight , or Bucket X Depth, Boring number 3 Depth, Boring number 4 in in feet Surface e.l'evation .=974.1 feet Surface elevation 975.5 Topsoil dark brown loam 0 .- 8" 1 _ Brown clay loam 8" - 114" -MOTTLING 2 - Rusty olive brown ii clay loam strong 3 - I 314" 4 - Rusty -olive brown loam 5 - 6 - h 3 ' 4 " - 61 7 - 8 - End of boring at 6' feet. Standing water table: present at feet of depth, hours after boring. Not present in hole X Mottled soil: Observed at 1'4" feet of depth. Not present in hole Comments: 0 - Topsoil dark_ brown loam 0 - 8" 1 _ Brown clay loam 8" - 114"-MOTTLI 2 - Rusty olive brown clay loam strong 3 - 1'4" - 3' Rusty olive brown loam 4 - 3' - 4 1 211 HIT ROCK 5 - 6 - 7 - 8 - 1 End of boring at 412" feet. Standing water table: present at feet of depth, hours after boring. Not present in hole X Mottled soil: Observed at 1'4" feet of depth. Not present in hole Comments: OCT -22 2009 2:27PM Edina Realty Wayzata—RR3 N0,3565 P. 6 Parcel nui riber System status.ompliant (I Noncompliant (as determined y this form) Soil Separation Compliance and Other Compliance Compli nce lsslrte #3 of 4 Date of o ervation: I — 10 ! 01 Reason for observation: This infor ation on tt is form does not expire. Compllaf ,ce questionsleriteria: (Required) For syste s built prlo r to April 1, 1986, and not located In horeland )r Wellhead Protection Area or serving a food, beverage or lodging esteblsshmen : Does the gystem haw t at least a two -foot vertical separation die tance from periodically saturated soil_ or bedn )dc? For non-performance systems built April .1, 1996, or later or for non-performance systems located in Shoreland or Wellhead Protection Areas or serving a foc d, beverage or lodging establishment: Does the s'stem havt - a three-foot vertical separationdistance fr rn periodically saturated For reducseparatic n distance systems (i.e., "perbrman e" system s under old 7080.0172 or Type IV or Y system L )ider new 7080.2350 or Does the system mes: the designed vertical separation instance farm periodically saturated Any "no" aer wer indl rates that the system is falling to project ground wa Verification Method**: (optional) (Check the appropriate box) Conducted soil observatlon(s) (attach boring logs) ❑ Two previous verifications (attach boring logs) ❑ Other:'�e�L1� 1��3Q�" 1� _ 1. b &` It Soil observation does not expire. Previous observations by two independent parties are sufficient, unless site conditions have been altered. * May be reduced by up to 15 percent if allowed In local ordinance. No standard protocol exists. This list is not exhaustive, In sequential order, nor does it indicate which combinations are necessary to make this determination, Certific tion This form Is to be oom plated and attached to the Summary Form of the Minnesota Pollution Control Agency's- (MPGA) Compliance Inspection Form for 1xisting Subsurface Sauvage Treatment Systerns. Observations, tntorpretations, and conclusions must be completed I iy an lnsp4 ctor or designer. Completed form must be submitted to the local unit of povemment within 15 clays. Property ov iner name(s): Property address: r:2 LliaC#� Property oo ner's addr ass (if different): County: �� Phone: I hereby eelky that I p sr„onally made the obserratlons, Interpretations, and conciusions reported on this form and that they are correct. II Name: Business tic Dnse namr i and number. Name of local unit of g) Signature: Certification number. t`�1(o5q S lin(, _ _ or Date: wq-W-"SCS9#31 Compilance rnsDacrion Form fDr Existine .ISYS SEPTIC SYSTEM APPROVAL .1.04 S CCS "-P,'CTCW'S 0011 0 0. ,� . f... IN CITY of ORONO i G~�. Municipal Offices Street Address: .q Mailing Address: kE88�4' 2150 Kelley Parkway P.O. Box 66 Orono, MN 55356 " Crystal Bay, MN 55323.0066 Owner &R drfi-�PC7i u i fdE Zgc- Phone (Home) (Work) Address_to 11,1 A Vo ,ue! City 161,)dV 2a fm State qllv Zip z5�e' f Site Evaluator_ -f' I`;t�n� State License # I� i I Phone# W9 Type of Establishment: ingle Family_ Multi Family Commercial /`;1t? Garbage Disposal Yes >_ No No. Potential Bedrooms' Est. Gallons Per Day_ 6 0 C� Water Meter Required Yes_ No X- Soil Sizing Factor y.ac M t. -f 20 Perc Rates P-1 f j,_,,Z P-2 /�, P-317,1,, P-46,[ P-517, F, P-6 .30, V P-7 Restricting Layer Depth B-1 i(o'l B-2 W' B-3 r t," B-4 1 C B-5(2-- B-6 � a" Type of Treatment System: -- Standard X Experimental Alternative Pressurized Mound System_ X At -Grade System Gravity Trenches System Pressurized Trench System Gravity Trenches W/ Lift Pressurized Bed System Holding Tank W/ Alarm Septic Tank Size jc,00 # of Tanks 1- Lift Tank Size l 00C." Pump Brand YL r�P GPM_ qQ Head 2 0 Treatment System: Minimum (,n y5s")f(yb• 1N j Square Feet with _ inches of rock below pipe Type of covering ` Fabric_ Other THIS IS NOT A PERMIT. This is a design approval form which must accompany the site plan. A permit must be issued to a licensed septic contractor prior to installation. NOTICE TO INSTALLERS: Any changes to the approved plans must have prior approval of the inspector (249-4600) Call for inspection 24 hours in advance. ALL DRAINFIELD AREAS MUST BE FENCED OFF prior to building site excavation and fencing must remain in place until final site grading. Approval to pour footings will not be granted until the Inspections Department has verified the primary and alternate sites are protected. NO VEHICULAR TRAFFIC OF ANY KIND is allowed within 20' of tested drainfield sites ever. ACCEPTED DENIED By the City of Oron� subject to existing regulations and the following conditions:�„� i'rc�� Chris Pence, On -Site Systems Manager Is Bonn "I LLMRdiOM . AW INCREME #1 ilOf Telephone (612) 249-4600 • Fax (612) 249-4616 0kX CITY of ORONO Municipal Offices Street Address: Mailing Address: 2750 Kelley Parkway P.O, Boz 66 Orono, MN 55356 Crystal Bay, MN 553230066 To: The Current Owner of Address 1,2,50 L V,AA'A) City Ordinance requires that onsite sewage treatment systems in Orono be inspected on a periodic basis. The. onsite sewage treatment system at the above address has been inspected and the following is known about the system. A sketch of the known components of the system is available for most properties at the Orono City Hall. Imminent Public Health Threat Yes No If yes, please contact the Onsite Systems Manager at 952-249-4626 within 10 days of receipt of this notice. The septic system must be brought into compliance within 90 days. Failure to do so will result in referral to the City Attorney for legal action. System Identified as Non -Compliant Yes No If yes, system must be brought into compliance by: December 31, 2007 December 31, 2010 Other Septic Tank(s) Pump out Needed Yes !ZNo The City recommends the septic tanks) and/or lift tank be serviced and pumped out every three years. City records indicate the tank(s) were last pumped out on The tanlc(s) should be cleaned through the manhole and not through the inspection pipes, this allows for proper cleaning. Comments: Insp�� o Date of Inspection> Telenhone (952) 249-4600 • Fax (952)249-4616