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HomeMy WebLinkAbout2265 Devin Lane septic cert NONcompliant 2026M�MINNESOTA 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 https://www.pca.state.mn.us/sites/default/files/wq-wwists4-31a.pdf. Property information Local tracking number: Parcel ID# or Sec/Twp/Range: 0311723220018 Reason for Inspection Propery Transfer Local regulatory authority info: City of Orono__ Property address: 2265 D_evin Lane Owner/representative: Mark Hanson Owner's phone: 612-442-9512 Brief system description: Approximately 11250 gallon, 1-1000-gallon septic tanks, 1-1000-gallon lift station and 500 square feet of mound rock bed. System status System status on date (mm/dd/yyyy): 3/5/2026 ❑ 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 (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 The system was designed for a four bedroom house. The existing system shows that it effluent has been surfacing. The pump to the system needs to be turned off the and the tanks act as holding tanks until the system can be repaired There is 2.0 feet of sand under the rock bed. The original design soil borings are included. TBM: Top of the basement door threshold. ELV.-10&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: Rum Olson Soil & percolation Testing Certification number: C1255 __ __ Inspector signature: Joseph J. Olson License number: L810 (This document has been electronically signed) Phone: 763498-8779 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. 2265 Devin Lane Business Name: Rusty Olson Soil & percolation Testing Date: 3/5/2026 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 IE] Yes` ®No dwelling or establishment. Any "yes" answer above indicates the system is an imminent threat to public health and saw. Describe verification methods and results: Visual. Nothing was found 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? ■ Yes' ® No [-]Yes* ® No If yes, which sewage tank(s) 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 3/4/2026 (mm/dd/yyyy): (must be within three years) (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: 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: 2265 Devin Lane Business Name: Rusty Olson Soil & percolation Testing 3. Other compliance conditions — Compliance component #3 of 5 Date: 3/5/2026 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: Visual. Nothing was found 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 Available in alternative formats wq-wwists4-31b • 412812021 Page 3 of 4 Property Address: 2265 Devin Lane Business Name: Rusty Olson Soil 8 percolation Testing S. Soil separation — Compliance component #5 of 5 Date of installation 6/21/2016 ❑ Unknown (mm/dd/yyyy) Shoreland/Wellhead 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 ❑ 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. "Experimentar, "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 (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: Date: 3/5/2026 Attached supporting documentation: ® Soil observation logs completed for the report ❑ Two previous verifications of required vertical separation ❑ Not applicable (No soil treatment area) El Indicate depths or elevations A. Bottom of distribution media 97.6 B. Periodically saturated soil/bedrock 94.6 C. System separation 3.0 D. Reauired 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 Z�, MINNESOTA POLLUTION Sewage tank integrity assessment form ._j;J CONTROL AG2NCY g g Y 520 Lafayette Road North Subsurface Sewage 5t. Pau), MN 55155-4194 Treatment Systems (SSTS) Program Doc type: Compliance and Enforcement 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: httos:J1wvPa.pca. state. mn,usAvater/inspections. 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 information should be submitted to the system owner and be maintained by the licensed SSTS business for a period of five (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 (viol vvwists4-31 b). This form can be found on the MPCA website at https./lv"vw.oca.state.mn usl,vater/inspections. 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. 7083.0730(C). Owner information's Owner/Representative Property address: 7 Z (a6— O 2.yi n L h Local Regulatory Authority: 0 f'" rt D Parcel ID System status System=Ortificate n'date (mmldd/yyyy): �� z o z e 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 ❑ Yer C$fdtf— Groundwater." The SSTS has a sewage tank that leaks below the designed operating depth - "Failure to Protect I Yes" L3,Ivo 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 4o Public Health or Safety." Any "yes" answer above indicates seway8 tan;( non-compliance. Company information Designated Certified Individual (DCI) information Company name: Duane's Septic Service LLC Print name: �J --i - — ,c L -— _ Business license number: L4286 Certification number: Chi 7 Z— I personally conducted the work described above as a Designated Certified Individual of a Minnesota -licensed 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 information can be used for the purpose of p ing this rm. Designated Certified Individual's signature: _ Date (mm/dd/yyyy): 03 0 aZ v;L C (Thi ocument has been electronically signed.) www.pca.state.mn.us 651-296-6300 800-657-3864 • Use your preferred relay service Available in akernative formats wq-wwis s4-91 • 5110121 Page 1 of 1 Owner / project: Address / PID: Soil Observation Log ,Aw. .SepticResource.com vers 12.4 Owner Information Mark Hanson 2265 Devin Lane Date 3/3/2026 Soil Survey Information ❑ refer to attached soil survey Parent matl's: (2] Till ❑ Outwash ❑ Lacustrine ❑ Alluvium ❑ Organic ❑ Bedrock landscape position: ❑ Summit ❑ Shoulder 0 Side slope ❑ Toe slope soil survey map units: L36A slope % direction - Soil Log NA 91 Boring ❑ Pit Elevation 97.4 Depth to SHWT 12 inches Original grade Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-22 Mound sand fill <35 22-50 Loam <35 1Oyr2/1 Friable Strong Blocky 50-56 Clay Loam <35 1Oyr5/4 I Oy4/8,1-6/1 Oy Friable Strong Blocky <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 firm moderate prismatic platy >50 rigid strong massive Comments: -4 Orr fir n W tis10 Property Owner project: Property Address PID: Soil Observation Log romirr. 0 Owner Information Bruce Kokal 2265 Devin Lane Date 3%31/2016 Soil Survey Information ❑ refer to attached soil survey Parent matl's: C Till Outwash ❑ Lacustrine Alluvium ❑ organic ❑ Bedrock landscape position: �] Summit [ Shoulder L Side slope j Toe slope soil curve} map units: L36A slope 3-4 Oo direction- Linear Soil Log #1 Q Boring Pit Elevation 95.4 Depth to SHWT 1211 Depth (in) Texture fragment °o matrix color redox color consistence ggrade shape 0-22 Topsoil <3; 2.5 1 Loose Loose Single grain 22-42 Clay Loam <35 2.5N2.5 1 Firm Strong Prismatic 42-48 Clay Loam <35 2. %4 1 ION 8.1-610% Finn Strom_ Pnsmauc '3 loose loose single gram 35 - 50 triable Neak granular block_% SO firm moderate prismatic platy rigid strong massive <35 loose loose single grain 35 _ 50 triable weak granular block,, 50 tirn moderate prismatic plat rigid strong massi�r Comments: 2265 Devin Lane Soil Log #2 Boring J Pit Flevation 95.4 Depth to SHWT 12" Depth (in) Texture fragment °o matrix color redox color consistence grade shape 0-22 Topsoil P <35 2.5v2,5 - I Loose Loose Single grain 22-42 Clad Loam <35 2.5v2.5 1 Finn Strom Prlintatl 12-28 Clad Loam <35 2.5%"4 I ION4 8.1-6 10% Firm Strong Prismatic <;5 35 - 50 Finn Strom_ Prismatic .50 r3{ loose loose single grain 35 - {0 friable Nwak granular block-, >50 tinn moderate Prismatic plate rigid strong massi e 2265 Devin Lane Soil Log #3 Boring 17 Pit Elevation 94.6 Depth to SHWT 12" Depth (in) Texture fragment °o matrix color redox color consistence grade shape 0-2'- Topsoil <35 I Loose Loose Single grain 22-42 Cla} Loam <35 - 1"- 5 1 Firm Strong Prismatic 42-48 Clay Loam 35 2.5%4 1 1Ov4 8.1-6 10} Firm Strong Prismatic .r, 35 loose loose single _ram 35 - 50 friable weak eranular block. - >{0 finn moderate prismatic plate rigid strong massive c35 loose loose single grain i{ - {0 friable v�eak granular block\ 50 firm moderate prismatic plate rigid strong 'ttassi'c 1 her•eht certilr this titnrk thus ernmpleted in accordance with .tff -WYO and ant' local req's. Rusty Olson's Soil & Perc 810 Cfesigner Signature Company License -- D_.-]Aipr u0 r. 9 $4 All ja