HomeMy WebLinkAbout2715 White Oak Circle - Septic Compliance - 2023 NoncompliantMINNESOTA
POLLUTION
CONTROL
AGENCY
520 Lafayette Road North
St. Paul, MN 55155-4194
Compliance inspection report form
Existing Subsurface Sewage Treatment System (SSTS)
Doc Type: Compliance and Enforcement
Instructions: Inspector must submit completed form to Local Governmental Unit (LGU) and system owner wn 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/wg-wwists4-31a.pdfI
Property information
Parcel ID# or Sec/Twp/Range: 04-117-23-42-0026
Local regulatory authority info: City of Orono
Property address: 2715 White Oak Circle Orono, MN 55356
Owner/representative: Steven Jenniges
Local tracking number:
Reason for Inspection Property Transfer
Owner's phone:
Brief system description: 2-1000 gallon septic tanks and a 1000 gallon pump tank. Effluen lifted to an elevated trench system.
System status
System status on date (mm/dd/yyyy): 9/27/2023
❑ 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
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: Ende Septic Service Certification number: C9206
Inspector signature: Tristan Ende � License number: L2654
(This document has been electronically signed) Phone: 7634284489
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