Loading...
HomeMy WebLinkAbout4645 Saint Andrew Street - Septic ComplianceMINNESOTA POLLUTION Compliance inspection report form CONTROL AGENCY p p 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/wq-wwists4-31a.pdf. Property information Local tracking number Parcel ID# or Sec/Twp/Range: 0611723310011 Reason for Inspection Property Transfer Local regulatory authority info: City Of Orono, (952) 249-4600 Property address: 4645 Saint Andrews Street, Orono Owner/representative: Holly & Chet Broman Owner's phone: 612-462-3285 Brief system description: 2-1300-gallon combination septic tanks, 1-1300-gallon lift station and 630 Square feet Rock bed per city records. System status System status on date (mm/dd/yyyy): 9/18/2025 ® 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.) ❑ 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 (ITFHS) must be upgraded, replaced, or its use discontinued within ten months of receipt *Note: Compliance indicates conformance with Minn. of this notice or within a shorter period if required by local ordinance or R. 7080.1500 as of system status date above and does not under section 145A. 04 subdivision 8. guarantee future performance. 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: Bottom of the rock bed. Elv.-100.0 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, 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 • wq-wwists4-31b • 412812021 Use your preferred relay service 0 Available in alternative formats Page 1 of 4 Property Address: 4645 Saint Andrews Street, Orono Business Name: Rusty Olson Soil & percolation Testing _ _ Date: 9/18/2025 1. 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 dwelling or establishment. Any "yes" answer above indicates the system is an imminent threat to ublic health and safes. Describe verification methods and results: Visual. Nothing was found Attached supporting documentation: ❑ Other: ® Not applicable 2. Tank integrity — Compliance component #2 of 5 Compliance criteria: System consists of a seepage pit, ❑ Yes- ® No cesspool, drywell, leaching pit, or other it? Sewage tank(s) leak below their ❑ Yes* ® No designed operating depth? If yes, which sewage tanker 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. 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 9/16/2025 (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: https://www.pca.state.mn.us 651-296-6300 800-657-3864 Use your preferred relay service Available in alternative formats wq-wwists4-31b 9 412812021 Page 2 of 4 Property Address: 4645 Saint Andrews Street, Orono _ Business Name: Rusty Olson Soil & percolation Testing Date: 9/18/2025 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: 4645 Saint Andrews Street, Orono Business Name: Rusty Olson Soil & percolation Testing__ S. Soil separation — Compliance component #5 of 5 Date of installation 5/20/2016 ❑ Unknown (mmlddlyyyy) ShorelandNVelihead protection/Food ❑ Yes ® No beverage lodging? Compliance_ criterialselect 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 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.* Date: 9/18/2025 Attached supporting documentation: ❑ Soil observation logs completed for the report ® Two previous verifications of required vertical separation ❑ Not applicable (No soil treatment area) ® Yes [:]No Indicate depths or elevations 5c. "Experimental, "Other", or "Performance" I ❑ Yes ❑ No 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. *Any "no" answer above indicates the system is failing to protect groundwater. Describe verification methods and results: A. Bottom of distribution media 100.0 B. Periodically saturated soil/bedrock 1 97.0 C. S�rstem 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 MMINNESOTA POLLUTION Sewage tank inte rity assessment form : CONTROL AGENCY 520 Lafayette Road North Subsurface Sewage St. Paul, MN 55155-4194 Treatment Systems (SSTS) Program Doc Type: Compliance and Enfoicement 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: httrs://wow. Dca. sta#e. m n. us/water/;nspecii qns. 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 tank in the system. Only a licensed maintenance business is authorized to pump the tank for assessment. A copy of this irr rmation should be submitted to the system owner and be maintained by the licensed SSTS business for a period of five (6) 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 lns2gcoga form - Existing system (wo-wwists4-31 b). This form can be found on the MPCA website at https://-w--ww-.Dca.state.mn.us/wat rfintions. 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 Nnat 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. 7083.0730(C). Owner information r. Owner/Representative 6rc �+^•� Property address: Yto 4T JVr Arc r...s 3`T, Loot Regulatory Authority. o rwt 0 Parcel ID: System status System status on date (mm/ddfyyyy): / 3 �ertiflcate of sewage tank co pliance ❑ Notice of sewage tank non-compliance Compliance criteria: The SSTS has a seepage pit, cesspool, drywell, leaching pit, or other pit - "Failure to Protect ❑ Yes. is 0 Groundwater." The SSTS has a sewage tank that leaks below the designed operating depth - "Failure to Protect ❑ Yes- 2-Ko'_ Groundwater." The SSTS presents a threat to public safety by reason of structurally unsound (damaged, cracked, or weak) maintenance hole covers) or lids or any other unsafe condition - "Imminent Threat to ❑Yes' ja-i'Oo� Public Health or Safety." 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 �1? Z l l'�► f'�c Business license number 14286 Certification number. I personally conducted the work described above as a Designated Certified Individual of a Minn t&-&tensed 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 inibnnatfon can be used for the pu►pose of p ng this form. 7 Designated Certified Individual's signature: Date (mm/dd/yyyy): (Th has been a 6dmnloWly signed.) www.pca.state.mn.us - 651-296-63W - 800-657-3864 • Use your preferred relay service wq-wwh s4-91 • S/10/21 Avallable in alternative formats Pope 1 of 1 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED � • ADDRESS �U2.�'� dry OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION m rs Ae r o 0 '1-i t ca �orl w qr ❑ FOOTING ❑ DEMO -FINAL ❑ SEPTIC FINAL qr ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI SITE INSPECTION ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION [I WOOD BURNER/FIREPLA ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT - SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO - SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNER=14 AACTOR TO MEET YOU: i- YES .,,_.,- NO y COMMENT& w ow rAwl If es a rl s� 1.1000" a 0 W o� Q W W o� W Q WORK SATISFACTORY: PROCEED Q PROJECT COMPLETE cc Q ❑ CORRECT WORK & PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY V 0 CORRECT WORK, CALL FOR REINSPECTION TEMPORARY BEFORE COHERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RE VRN O CITATION ISSUED ❑ STOP ORDER POSTED. CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. Can for the next Inspection 24 hours in adrranoe. (952) 249-4600 :m acwon site. _... r��,___! vm1w Cuff nspoctor's FIN► Cansry Copyffii'. Notice Logs of Soil Borings License #810 Location or Project: Lot 14, Blk 3 Borings made by: Rusty Olson's Soil and Perc testing 6/1/2014 Classification System: AASHO_______; USDS- USDS4CS X UnWied.; Other Auger used icheck two): Hand X , or Power , Flight, Bucket or Probe ) Boring Nur7ba: _1 Surface elevation _964.7 Mottled Soil at 1.7 feet 0"-8" Dark brown loam 1 Oyr3/2 H2O present at X 8"-20" Bros ;�t loam. 10yr414 20"-26" Rusty brown loam 10yr5/4 Boring Number _2__-, Surface elevation _„_964.7 Mottled Soil at 2.3 feet 0"-18" Dark brov/n loam 10yr3/2 H2O present at X 18"-28" Grown loam 10yr4/4 _ 28"-38" Rusty brown loam 10yr5/4 Boring Number 3y Surface elevation �959.2_ Mottled Soil at 1.2 feet 0"-14" Dark brown loam 10yr3/2 H2O present at� � 14"-20" Rusty brown loam 10yr4/3 Boring Number 4 Surface elevation ,,,_959.2 Mottled Soil at 1. = feet 0"-1 2" Dark brown loam 10yr3/2 H2O present at X 12"-20" Brown loam 10yr4/4 20"-28" Rusty brown loam 10yr4/4 Boring Number 5 Surface elevation ,.,_964.7 Mottled Soil at 2.2 feet 0"-12" Dark brown loam 10yr3/2 H2O present at X___ 12"-16" Brown Icam 1 Cyr4/4 16"-26" Brown !parr. 10yr5/4 26"-30" Rusty brown loam 10yr5/4 1Boring NNmbet 6_ Surface elevation ,_,957.4 Mottled Soil at feet 0"-12" Dark br,,.n i loam, 10yr3/1 —1.0 _ H2O present at X 12%2G" Rusty csc k brovin loam 10yr3/2 hC)4°26'25'•W 226,24 f t f�' r �C , �• U � 1 ` tea• ,' • - - _L - - . ,�� � ,�'- G-----r i 1 A(955.0)x_ _ i• rig , - r •'r 4-1 _.... �5 J_ r *N S te Copy City of Orono Septic Asbult Form ,address We 18,s* v2L Building Use Installer Hewes � �,�' License # L G L14 Date Septic Tanks 1.301 ' ' Pump Tank — 1 A r System Type fl II 0 III 0 ,Mound 0 Trenches 0 Pressure Bed 0 Other Draw detailed diagram with measurements indicating distances to tank risers using 2 paints from a permanent structure. Shaw location of drop foxes and Length of trenches. ..,........- 5 v AW, r +e- E5 t f p 2- 3 f Y 5'