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Home My WebLink About4315 Lakeview Court septic certMINNESOTA 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 htt s://www. ca.state,mn.us/sites/default/fiiles/W-wwists4-31a. df. Property information Local trackina number: Parcel ID# or SeclTwp/Range: 0611723430015 Reason for Inspection Pro erty Transfer Local regulatory authority info: City Of Orono, (952) 249-4600 Property address: 4315 Lakeview Court, Orono Owner/representative: Alexander Cauwels _ Owner's phone: 609-462-2498 Brief system description: 1-2250-gallon combination septic tanks, 1-1300-gallon lift station and 630 Square feet Rock bed System status System status on date (mm/dd/yyyy): 8/21/2024 ® 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 (ITPNS) 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 1.8 feet of sand under the rock bed. The soils were verified by the city inspector. TBM: top of the garage floor concrete slab. Elv.-100.0 Certification 1 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 + 651-296-6300 • 800-657-3864 Use your preferred relay service Available in alternative formats wq-wwists4-31b • 412812021 Page 1 of 4 Property Address: 4315 Lakeview Court, Orono _ Business Name: Rusty Olson Soil & percolation Testing Date: 8/21/2024 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: Visual. Nothing was found 2. Tank integrity — Compliance component #2 of 5 Compliance criteria: Attached supporting documentation: System consists of a seepage pit, ❑ Yes- ®No ❑ Empty tank(s) viewed by inspector cesspool, drywell, leaching pit, or other nit? Sewage tank(s) leak below their ❑ Yes' ® No designed operating depth? leaks: Any "yes" answer above indicates the system is failing to protect groundwater. Describe verification methods and results: Duane's Septic Service pumped the tanks. Name of maintenance business: License number of maintenance business: Date of maintenance: ® Existing tank integrity assessment (Attach) Date of maintenance 8/19/2024 (mmiddiyyyy): (must be within three yea (See form instructions to ensure assessment complies with Minn. R. 7082.0700 subp. 4 B (1)) ❑ Tank is Noncompliant (pumping not necessary T 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 • 412812021 Page 2 of 4 Property Address: 4315 Lakeview Court, Orono Business Name: Rusty Olson Soil & percolation Testing _ Date: 8/21/2024 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: 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-wwists4-31b • 412812021 Page 3 of 4 Property Address: 4315 Lakeview Court, Orono Business Name: Rusty Olson Soil & percolation Testing Date: 8121 /2024 5. Soil separation — Compliance component #5 of 5 Date of installation 7/15/2019 ❑ Unknown (mm/dd/yyyy) ShorelandlWellhead protectionlFood ❑ Yes ® No beverage lodging? Compliance 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" systems built under pre-2008 Rules; Type 1V 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' *Any "no" answer above indicates the system is failing to protect groundwater. Describe verification methods and results: Attached supporting documentation: ❑ Soil observation logs completed for the report ® Two previous verifications of required vertical separation ❑ Not applicable (No soil treatment area) Indicate det)ths or elevations A. Bottom of distribution media 103.4 B. Periodically saturated soillbedrock 100.4 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 (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 • 412812021 Page 4 of 4 ri`MINNESOTA POLLUTION Sewa a tank integrity assessment form Il CONTROL AGENCY g g Y 520 Lafayette Road North Subsurface Sewage St. Paul, MN 55155-4194 Treatment Systems (SSTS) Program Doc Type_ Compliance and Enforcement Purpose: This form m&y 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: htti)s:/Avww.i)ca.state.mn.us/waterfinspect[ons. Instructions: This form may be completed, and signed, by a Designated Certified Individual (DCl) 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 tank 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 fire (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 w-wwists4-31 b . This form can be found on the MPCA website at t tl s://www. ca.state.mn-usiwa!gyins ections. 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(B),(C), and (D) and; Minn. R. 7383.0730(C). Owner information Owner/Representative. C.CAt"We Property address: _ `�'J I S La 7L�V Lt..� C_ Local Regulatory Authority: �r,>Aa System status Parcel 10: System status on date (mm/dd/yyyy): 09I_____ !�z � Certificates of sewage tank compliance ❑ Notice of sewage tank non-compliance Compliance criteria: The SSTS has a seepage pit, cesspool, drywell, leaching pit, or other pit - "Failure to Protect I ❑ Yes--'-- o Groundwater." )9-- The SSTS has a sewage tank that leaks below the designed operating depth -"Failure to Protect ❑ Yes* o Groundwater." )?< The SSTS presents a threat to public safety by reason of structurally unsound (damaged, cracked, or weak) maintenance hole cover(s) or lids or any other unsafe condition -'Imminent Threat to ❑ Yes" JUA0 Public Wealth or SafiDty." j Any "yes" answer above indicates sewage tank non-compliance. Company information Designated Certified individual (DCQ information Company name: Duane's Septic Service LLC Print name: , c,INo A FAvAe Business license number: L4286 Certification number 1 463 1 personally conducted the work described above as a Designated Certilred Individual of a Minnesota -licensed SSTS inspection, maintenance, installation, or service provider Business. l 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 grace Designated Certified Individual's signature: Date (mm/dd/yyyy): d SS t c, Za This dWument has been electronically signed.) i - 1300 www.pca.state.mn.us 651-296-6300 800-657-3864 Use your preferred relay service Available in alternative formats wq-wwists4-91 • 5110121 Page 1 of 1 Letter View From: rpeitso@ci.orono.mn.us Sent: 04/16/2019 - 11:02 AM To: mikek@swansonhomes.com,blake@swansonhomes.com CC: ahentges@ci.orono.mn.us,Cmattson@ci.orono.mn.us Subject: Inspection Report individual CITY OF ORONO 2750 KELLEY PARKWAY ORONO, MN 55356 PH: (952) 249-4600 FAX: (952) 249-46 1 6 Inspection Report 4316 LAKEVIEW CT Permit Number: RPS19-000039 Site Address: 4315 LAKEVIEW CT, MOUND, 4N 55364 Property Owner: SOURCE LAND DEVELOPME JT INC Description: Construct a new home at 4315 Lakeview Ct in Lakeview Orono. Inspection Date: 04/16/2019 Inspection Type: Septic Verification Inspection Results: Correct Work. Call for Reinspection Inspection Status: Complete 1. 0-6 topsoil 10yr 3-2 blocky firm 6-12 10yr 4-3 & 4-4 with depletions 10yr 3-2 stratified Clay loam 1 112 ribbon blocky strong 12- 18 10yr 5-4 firm blocky platety Clay loam some consecrations 18-24 10yr 5-4 strong blocky clay loam more consecrations 24- 30 10yr 5-4 strong blocky clay loam consecrations and depletions redox 2.5yr 3-6 Redox at 24 2. Not enough sun to complete soils verification will reinspect next week 3. Soils boring completed between previous borings 1 and 2 on contour 982. Boring agrees with the design Inspection Status: Re -inspection Required 1. Due to close proximity of new home to septic sites high visibility fencing must be in stalled before permit can be issued. Sincerely, �_ r Roger Peitso Building Official 952-249-4625 htq)s://www.citizenserve.com/.,./WorkOrderpocuments?Action=ViewDocument&sre—PORI'ALREPORTSDOC&Document_ID=219895825[8/15/2024 1:30:34 PM] Soil Observation Log v►%yw.SenlicResource.com vers 12, Owner Information Property Owner / project: Swanson Homes Date 6/1/2014 Property Address ! PID: 4315 Lakeview Court Soil Survey Information ❑ refer to attached soil survey Parent matl's: El Till ❑ Outvwash ❑ Lacustrine ❑ Alluvium ❑ Organic ❑ Bedrock landscape position: ❑ Summit ❑ Shoulder J Side slope ❑ Toe slope soil survey map units: L41 L2 slope 6-14 % direction- Linear -Convex Soil Log #1 0 Boring ❑ Pit Elevation 981.8 Depth to SHWT 24 inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-6 Topsoil <35 10yr4/2 Friable Moderate Blocky 6-24 Clay Loam <35 10yr5/4 Friable Strong Blocky 24-30 Clay Loam <35 10yr5/4 10y4/8.1-6r10y Friable Strang Blocky <35 loose loose single grain 35-50 friable weak granular blocky - >50 firm moderate prismatic plat), rigid strong massive <35 loose loose single grain 35 - 50 friable weak granular blocky >50 firm moderate prismatic platy rigid strong massive Comments: 4315 Lakeview Court Soil Log 42 [] Boring pit Elevation 981.8 Depth to SHWT 16 inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-4 Topsoil <35 10yr4/2 Friable Moderate [Bocky 4-16 Clay Loam <35 1Oyr5/4 Friable Strong Blocky 16-20 Clay Loam <35 10yr5/4 lOy4/8.1-6/1Oy 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 I strong massive 4315 Lakeview Court Soil Log #3 0 Boring ❑ Pit Elevation 985.3 Depth to SHWT 14 inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-4 Topsoil <35 IOyr4/2 Friable Moderate Blocky 4-14 Clay Loam <35 10yr5/4 Friable Strong Blocky 14-20 Clay Loam <35 lOyr5/4 IOy4/8,1-6/1Oy Friable Strong Blocky <35 loose loose single grain 35 - 50 friable weak granular blocky >50 firm moderate prismatic Plat) - rigid strong massive <35 loose loose single grain 35 - 50 friable weak granular blocky >SO firm moderate prismatic platy rigid I strong massive I hereby certi)j, this work was completed in accordance with AIN 7080 and arty local reg's. Rusty Olson's Soil & Perc 810 De ' er Signature Company License # 4315 Lakeview Court Soil Log #4 ❑ Boring ❑ Pit Elevation 985.4 Depth to SHWT 20 inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-6 Topsoil <35 IOyr4/2 Friable Moderate Blocky 6-20 Loam <35 10yr4/4 Friable Strong Blocky 20-26 Loam <35 10yr5/3 I Oy4/8,1-61'l Oy Friable Strong Blocky <35 loose loose single grain 35 - 50 friable weak granular blocky firm m moderate prismatic platy rigid strong massive <35 loose loose single grain 35-50 friable weak granular blocky >50 finn moderate prismatic platy rigid I strong massive 4315 Lakeview Court Soil Log 95 Boring ❑ pit Elevation 977.7 Depth to SH WT 18 inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-6 Topsoil <35 10yr4/2 Friable Moderate Blocky 6-18 Clay Loam <35 10yr5/4 Friable Strong Blocky 18-24 Loam <35 10yr5/4 IOy4/8,1-6/10y Friable Strong Blocky <35 loose loose single grain 35-50 friable weak granular block - >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 herehY cent{6, this work was completed in accordance with MN 7080 and anY meal req's. Rusty Olson's Soil & Pere 810 D er Signature Company License ## Soil Observation Log ww. .SeptieResource.com vers 12.4 Owner Information Property Owner / project: Swanson Homes Date 6/ 1 /2014 Property Address / PID: 4315 Lakeview Court Soil Survey information ❑ refer to attached soil survey Parent matYs: Till ❑ Outwash ❑ Lacustrine C Alluvium ❑ organic ❑ Bedrock landscape position: ❑ summit ❑ Shoulder R] Side slope ❑ Toe slope soil survey map units: L41C2 slope 6-14 % direction- Linear -Convex Soil Log #6 0 Boring ❑ pit Elevation 985.4 Depth to SHWT 16 inches Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-6 Topsoil <35 10yr4/2 Friable Moderate Blocky 6-24 Clay Loam <35 10yr4/4 Friable Strong Blocky 24-30 Loam <35 10yr5/3 IOy4/8,1-6110y 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 >i0 firm moderate prismatic platy rigid strong massive Comments: R-11 +\ / �97 98gnu 993.3 \ 4.$ 98131 \ - = 7995 a.9 975�1a a . r / / 996,fi \ ffmK ,q, p •/ //I \ 965,6 �`. 55 \` 1. �1 9715 ""o�\ 9822 B ll r /4y, 98XI l' , 5a7 (lam ¢71 a - J r 9E �� ` i �` t `�..•Bl.a� ` .g 1S A OV \ I o yo�r C, •?'no �y � � �` � 4e. � I ^1 � � i �` n ` 9ea+� 97A i �) >` / -x 976 x 9>os l J!� : 98c 9 97e -,' E 9'" 982.8 py .977 4 x972E\ 3.'41' .x 3:ie �C•� k 14 6a.] ` J 1`%j 9683 '1 5� 347c/q'A I- N... 866.E 1 l ','U,"\4+ �' a °,1 73,e\ Nq �/ 5 •465.' j ?�' : b� ��2; iC9:2� 9f Q c9E699, LO 9674 (n %s g` 96�3 _ .J�F[k7[- n s' `A p >{ I "Y 967, I A \ _t - 965 \ _ � � ` \ - •`, ' 2 maf 9 9545 \\\``% .6Z5\ �r%✓�5\L65:`967.i x46b a \`\ 9�3TOs• 96i 665 5 \ x IN 9 \ �! 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