HomeMy WebLinkAbout2605 Thoroughbred Lane - Septic Compliance - 2025�FMINNESOTA 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/defauii/riiesiwq-wwasis4-3 Ia.pdt.
Property information Local tracking number
Parcel ID# or Sec/Twp/Range: 0411723110022 Reason for Inspection Proper ry Transfer
Local regulatory authority info: City of Orono
Property address: 2605 Thoroughbred Lane
Owner/representative: Gary Gullo Owner's phone: 6127202-8122
Brief system description: 2-1250-gallon septic tanks, 1-1500-gallon lift station and 750 square feet of mound rock bed per city
records.
System status
System status on date (mm/dd/yyyy): 6/30/2025
M 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 (ITPHS) 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
This system is designed for a six bedroom house.
There is 2.0 feet of sand under the rock bed found. the system was designed with 1.4 feet of sand under the rock bed.
TBM: Top of the lift station manhole cover. ELV.-100.0
The soils were verified see soil boring reports.
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):
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Page 1 of 4
Property Address: 2605 Thoroughbred Lane
Business Name: Rusty Olson Soil & percolation Testing — Date: 6/30/2025
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 public 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 pit?
Sewage tank(s) leak below their �❑ Yes ® No
designed operating depth?
If yes, which sewage tank(s) lea ks._____ __
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 6/17/2025
(mmidd/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:
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Property Address: 2605 Thoroughbred Lane
Business Name: Rusty Olson Soil & percolation Testing Date: 6/30/2025
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 ariu 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 Jc or 3d - System is tailing to protect groundwater.
Describe verification methods and results:
Visual. Nothing was found
Attached supporting documentation: E 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) ❑
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Property Address: 26 Thoroughbred _Lane _
Business Name: Rusty Olson Soil & percolation Testing__
S. Soil separation — Compliance component #5 of 5
Date of installation 5/5/1998 ❑ Unknown
(mm/dd/yyyy) -
Shoreland/Wellhead protection/Food ❑ Yes ® No
beverage lodging?
Compliance criteria (select one):
5a. For systems built prior to April 1, 1996, and j ❑ 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 1 ® 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:
i
Drainfield has a three-foot vertical
separation distance from periodically
saturated soil or bedrock.*
5c. "Experimental', "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. 1
*Any "no" answer above indicates the system is
failing to protect groundwater.
Describe verification methods and results:
Date: 6/30/2025
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 101.6
B. Periodically saturated soil/bedrock 98.6
C. System separation 3.0pkm
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.
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L MINNESOTA POLLUTION Sewage tank integritye, assessment form
CONTROL AGENCY
520 Lafayette Road North Subsurface Sewage
St. Paul, MN 55155-4194 Treatment Systems (SSTS) Program
Doc Type. Compliance and Entomement
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 SOTS 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:
ttusa &MwA.state.mn.us,6MtertinsaeeMns.
Instructions: This form may be completed, and signed, by a Designated Certified Individual (DCI) of a licensed SSTS inspection,
mairmtermance, installation, or service provider business who personalty 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 tl'fs biormation 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 Eklating
System Compliance Inspection Report: Compliance Inspection forte; Existing system (wo-wwists4-31 b). This form can be found on
the MPCA webstte at hams://www.aca.state.mn.us/waterfinsaections.
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). 3 f a.ro i -S"
Owner information
Owner/Representative
Property address:
ON
Local Regulatory Authority: d) Ib el 0 &OF Parcel ID:
System status
System status on date (mmidd/yyyy):
rtificate of sewage tank c"lian6o ❑ Notice of sewage tank non-compliance
Compliance criteria:
The SSTS has a seepage pit, cesspool, dryweli, leaching pit, or other pit - Failure to Protect ❑ Yes"
Groundwater."
The SSTS has a sewage tank that leaks below the designed operating depth - `Failure to Protect ❑ Yes* 2r9,0^
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*
Public Health or Safety."
Any "yes" answer above indicates sewage tank non-compliance.
Company information Designated Certified Individual (DCQ information
Company name: DuanWs Septic Service LLC Print name:
Business license number: L42W Certification number C [ 1 zz.
i personally conducted the work described above as a Designated Certifed 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 statements to be true and correct, to the best of my knowledge, and that
this information can be used for the purpose of ing thl .
Designated CerbW Individuai's signature: Date (mm/dd/yyyy): i O
rum0`4
es been e/eofronkelly alp W.)
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w9-wwlsts4-91 • S/10h1 Page 1 of 1
License $810
Location or Project: 2605 Thoroughbred Larne
Borings mods by: Rusty Olson% soil and Pw c %sting 101W2010
Cls NWAion $yab : AASHO„_,__ _,; U$D$. USMSC8 x ; UMHed : Other
Auger used (check tmy. Hand _. ,,X , or Power_, F%M, Bacon or Probe . X
Bench mark is top of bawnerd concrefs slab. Mv.-100.00 Assumed
g Number 1,_,_ Surfaoe elevation 99.0
Dark brown loam 10yr3/2
" Brown loam 10yr4/4
8" BrOwr1 loam 1OyrW4
V Rusly brown silly loam 10yrW
Boring Number 2 Surface etevatior► 97.8
=12" Dark brown loam 10yr312
12"-1 it Brown loam 10yr4/4
18"-20" Brown loam JW-W Rusty Now losnn to day loam 10yr514
Top of lift station manhole cover Elv.-100.00 assumed
n of rock Elv: 101.2
gel grade Elv. 99.2
, is 2.0 feet of sand under the rock
MoMed Sod at 2.2--_ feet
H2O prosust at -,, A -
Mottled say at 1.7— feet
H2O Wasent at _,X—
�'
�605
Tirn9tib�� Lr,.
Cl: WI':. Uuu2*1 ;. Sui i HOL-inc
Location or Project Lot 12, Blk.21 Dickey Site, Orono
Borings made bye estinct, Inc. Steve Schirmers Date 4-18-94
Classifiction System: AASHO USDA-SCS X Unified Other
Auger used (check two): band X or Power , Flighty, or Bucket X
Depth, Boring number 1 Depth, Boring number 2
in in
feet Surface elevation 1022.7 feet Surface elevation 1023.2
J- _.. _ 0
Topsoil dark brown loam Topsoil dark brown loam
0 - 8" 0 - 10"
1 - 1 Brown clay loam
2 - 8" - 2'2"-MOTTLED 212"
Rusty olive brown.clay to
3 -
Z'2" - 3'
4 -
5 -
7 -
8 -
Rusty olive brown
loam
3' - 5'
End of boring at 5' feet.
Standing water table:
present at feet of depth,
hours of ter boring.
Not present in hole x
Mottled soil:
Observed at 212" feet of depth.
Not present in hole
Comments:
2 -
3 -
4 -
5 -
6 -
7 -
8 -
Brown clay loam
10" - 2'4"-MOTTLED 2'4"
Rusty olive brown
clay loam
214" - 314"
Rusty olive brown
loam
'4" - 5'
End of boring at 5' feet.
Standing water table:
present at feet of depth,
hours after boring.
Not present in hole x •
Mottled soil:
Observed at 214" feet of depth.
Not present in hole
Comments:
L- '....
CERTIVI,,::.';'i:;i: 4 UU627 too,.!-, of -Soil 1M�ri►��;:;
Location or Project Lot 12,Block 2, Dickey site, Orono
Borings made by 5--P estinQ, Inc. Steve Schirmers Date 4-18-94
Classifiction System: AASHU; USDA-SCS X Unified Other
Auger used (check two) : Iiand X or Power, Flight,, or 'Bucket X
Depth, Boring number3 Depth, Boring number 4
in in
feet Surface elevation 1022.5 feet Surface elevation 1022.4
0 _ 0
Topsoil dark brown
loam
0 - 1,
Topsoil dark brown
loam
0 - 1 '
Brown clay loam
Brown clay loam
2
1'--1'10"-MOTTLED 113001
1' - 1'10"-MOTTLED 1'
Rusty olive brown
Rusty olive brown
clay loam
clay loam
3
1110" - 314"
3 -
1'10" - 3'4"
4
Rusty olive brown
loam
4 "'
Rusty olive gray
silty loam
314" - 5'
314" - 5'
5 -
5 -
6 -
6 -
7 -
8 -
End of boring at 5' feet.
Standing water table:
present at feet of depth,
hours after boring.
Not present in hole X
Mottled soil:
Observed at 1_10"feet of depth.
Not present in hole:
Comments:
7 -
8 -
End of boring at 51
feet.
Standing water table:
present at feet of depth,
hours after boring.
Not present in hole X
Mottled soil:
Observed at 1'10" feet of depth.
Not present in hole
Comments:
CL
Uj
fT
or
04
AS
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CITY OF ORONO CALLED IN t�grilab
INSPECTION NO SCHEDULED j
PERMIT NO. COMPL A4^
ADDRESS- A _�m - - A .1)
OWNER ao CONTR.
TELEPHONE !1�^
3Z DESCRIPTION
1
01 FOOTING 11 MECHANICAL RI
18 EXCAV/GRADING/FILLING
.�
02 FRAMING 13 MECHANICAL FINAL
19 LAKESHORF./WETLANDS
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
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04 WALL BD. 12 WATER HOOK-UP
17 SITE INSPECTION
05 FINAL 14 SEWER HOOK-UP
06 PROGRESS
07 DEMO -SITE 27 SEPTIC MAINT,
21 COMPLAINT
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07 DEMO - FINAL
22 FOLLOW-UP
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09 PLUMBING RI 23 SEPTIC FINAL
35 HARD COVER REMOVAL
10 PLUMBING FINAL
36 FOUNDATION/REMOVAL
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OWNERICONTRACTOA TO MEEK OU:..,_, YES NO
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WORK SATISFACTORY: PROCEED
❑ PROJECT COMPLETE
4t
D CORRECT WORK & PROCEED
C ISSUE CERTIFICATE OF OCCUPANCY
❑ CORRECT WORK, CALL FOR REINSPECTION
TEMPORARY
V
BEFORE COVERING
PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN C CITATION ISSUED
O STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REOUIRED. CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 473-7357
OwnerlCof
Inspector.
Wtdto Copy/inspectoes File Canary Copy/Site Notice