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Home My WebLink About4565 Bayside Road - Septic Compliance��MINNESOTA POLLUTION Compliance inspection report form CONTROL AGENCY N 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: 0611723210010 Reason for Inspection Transfer of Title Local regulatory authority info: City of Orono - 612-249-4600 Property address: 4565 Bayside Road, Orono 55359- Owner/representative: Sewer Services Inc _ Owner's phone: 612-760-6101 - Brief system description: (2) 1300 Gallon Septic tanks, (1) 1300 gallon Pump tank, and a above grade 10 x 63 Rockbed with 12 inches of sand under the rockbed System status System status on date (mm/dd/yyyy): 6/23/2026 ® 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 Septic system was reviewed on this date and everything is working as designed and installed. New tanks installed in 2016, plus the rockbed was added onto by 23 feet at that time also. Orginal drainfield was installed in 1998. Maintain system by pumping septic tanks every 3 years. 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: Chp's c Services LLC - Certification number: 4761 Inspector signature: License number: 2064 (This docu ent has be�ekectroonicallysigned) Phone: 952-200-3176 -_ 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: 4565 Bayside Road, Orono 55359 Business Name: Chips Septic Services LLC 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 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: Date: 6/23/2026 Attached supporting documentation: ❑ Other: ❑ Not applicable Visual. Pumped tanks and camera inspected each tank through the 2 foot manhole. Raised both manhole risers 6 inches Pump tanks every 3 years. 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 tans) leaks_ Any "yes" answer above indicates the system is failing to protect groundwater. Describe verification methods and results: Attached supporting documentation: ® Empty tank(s) viewed by inspector Name of maintenance business: Sewer Services License number of maintenance business: Date of maintenance: 6/23/2026 ❑ Existing tank integrity assessment (Attach) Date of maintenance (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: Pumped tanks and camera inspected each tank through the 2 foot manhole. Pump tanks every 3 years. https://www.pca.state.mn.us 651-296-6300 wq-wwists4-31b • 412812021 • 800-657-3864 Use your preferred relay service Available in alternative formats Page 2 of 4 Property Address: 4565 Ba rside Road, Orono 55359 Business Name: Chip's Septic Services LLC Date: 6/23/2026 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: 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: 4565 Bayside Road, Or 55359 Business Name: Chip's Septic Services LLC Date: 6/23/2026 5. Soil separation — Compliance component #5 of 5 Date of installation 7/1/2016 (mm/dd/yyyy) Shoreland/Wel I head protection/Food beverage lodging? ❑ Unknown ❑ Yes ® No Attached supporting documentation: 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 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.* ❑ Soil observation logs completed for the report ® Two previous verifications of required vertical separation ❑ Not applicable (No soil treatment area) ❑ City has records on file. Orginal mound was installed in 1989, and then was added onto in 2016 ® Yes ❑ No' Indicate depths or elevations A. Bottom of distribution media 12 in of sand B. Periodically saturated soil/bedrock >24 inches C. System separation____________ >36 inches __ D. Required_ compliance separation* 31 inches *May be reduced up to 15 percent if allowed by Local Ordinance. 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. *Any "no" answer above indicates the system is failing to protect groundwater. Describe verification methods and results: Tile probe and soil probe. City records of certifiction of installed system 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 I I 101 so I I / FL•r� 164Q ( I ATEt rPTlc -- � ! i I sa i� 1S 8�-°-g 5-5 E\ RC PEHOLE 1 , _ _ / \ � , — — — — — - -- — \ - / Roar \ \ 1026.1 CKTOP I ' I AY O ...I PROPOSED (��•�.��jjj ...... �..............13`. ... �........ �. N ... / I MAWAY / \ \I \ \ PROPOSED 7.09 - ACRES TOTA ' •, ^-� i I /' wALK .834_ ACRES DRY \ Y_..` \� I 1 `oo ` .26' ACRES WET 1 PROPOSED �° \ I HOUSE #4565 (SSE. DETAIL) ) 1028— — \ \ \ ow: •�,. EGRESS WELL • N A0�5 i — — — - — -1024 LEST - SOL 1022-- TEST (10 .)X IT �,is.0 PROPOSEO SILT AND TREE PRO—/ p\ TECTION FENCE/ FOR \ \\ \ \ \ \ \ \ \ tires% / sa\ \ \ \ \ \ \ \ \ \ \\\\ \\ \ Ap(irrT / ............................................. N 89049' 43" W Minnesota Pollution Control Agency 520 Lafayette Road North St. Paul, MN 55155-4194 Compliance Inspection Form Existing Subsurface Sewage Treatment Systems (SSTS) Doc Type: Compliance and Enforcement Inspection results based on Minnesota Pollution Control Agency (MPCA) requirements and attached forms - additional local requirements may also apply. Submit completed form to Local Unit of Government (LUG) and system owner within 15 days L System Status System status on date (mm/dd/yyyy): 5/28/2020 ® Compliant — Certificate of Compliance (Valid for 3 years from report date, unless shorter time frame outlined in Local Ordinance.) For local tracking purposes: ❑ Noncompliant — Notice of Noncompliance (See Upgrade Requirements on page 3.) Reason(s) for noncompliance (check all applicable) ❑ Impact on Public Health (Compliance Component #1) - Imminent threat to public health and safety ❑ Other Compliance Conditions (Compliance Component #3) - Imminent threat to public health and safety ❑ Tank Integrity (Compliance Component #2) - Failing to protect groundwater ❑ Other Compliance Conditions (Compliance Component #3) - Failing to protect groundwater ❑ Soil Separation (Compliance Component #4) - Failing to protect groundwater ❑ Operating permit/monitoring plan requirements (Compliance Component #5) - Noncompliant Property Information Parcel ID# or Sec/Twp/Range: Property address: 4565 Bayside Road Reason for inspection: Sale Property owner: Tim & Mary Doubek Owner's phone: 612-801-3076 or - — - Owner's representative: - Representative phone. - Local regulatory authority: City Orono - Regulatory authority phone: Brief system description: 2- 1250 gallon septic tanks with 1250 gal pump tank & a mound system Comments or recommendations: The design has 4 different numbers for the sand depth of the mound, each page says something different. I went 24" on boring with no redox so mound will pass no matter which number was correct 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. Inspector name: Josh Swedlund Certification number: C1659 Business name: Sewer S ces I . License number: 2502 Inspector signature: _ Phone number: 952-873-3292 Necessary or Locally Required Attachments El Soil boring logs ® System/As-built drawing ® Forms per local ordinance ❑ Other information (list): www.pca.state.mn.us 651.296.6300 800-657-3864 TTY 651-282-5332 or 800-657-3864 Available in alternative formats wq-wwists4-31 • 3116112 Page 1 of 3 Property address: 4565 Bayside Road Inspector initials/Date: JS 1 5/28/2020 _ (mm/dd/yyyy) 4. Soil Separation — Compliance component #4 of 5 Date of installation: 3/5/2015 ❑ Unknown Verification method(s): (mm/dd/yyyy) Shoreland/Wellhead protection/Food beverage ❑ Yes ® NO lodging? Compliance criteria: 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. Non-performance systems built April 1, ® Yes ❑ No 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.* "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 (Advanced Inspector License required) 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. Soil observation does not expire. Previous soil observations by two independent parties are sufficient, unless site conditions have been altered or local requirements differ. ® Conducted soil observation(s) (Attach boring logs) ❑ Two previous verifications (Attach boring logs) ❑ Not applicable (Holding tank(s), no drainfie►d) ❑ Unable to verify (See Comments/Explanation) ❑ Other (See Comments✓Explanation) Comments/Explanation: Boring: 1-22" 10yr 2/2 loam 23-26" 10yr 4/4 Clay Loam No Redox Indicate depths or elevations A. Bottom of distribution media 12"+ B. Periodical) saturated aturated soil/bedrock 1 24"+ C._Systern separation __ 1 36"+ D. Required compliance separation' 1 36" `May be reduced up to 15 percent if allowed by Local Ordinance. 5. Operating Permit and Nitrogen BMP* — Compliance component #5 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? ❑ 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. Operating Permit number: Have the Operating Perm it-re_quirements been met? El Yes ❑ No b. Is the required nitrogen BMP inplace and_pjoperly functioning? _ ❑ Yes —El No Any "no" answer indicates Noncompliance. 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. www.pca.state.mn.us • 651-296-6300 800.657.3864 TTY 651.282-5332 or 800-657-3864 . Available in alternative formats wq-wwists4-31 • 3116112 Page 3 of 3 1-1 ="'°� City of Orono Septic Asbuilt Form Address Building Use S �` Installer S License # L b I - A) Date 7-1- It Septic Tanks Iguo 11300 Pump Tank j 0 C, System Type Jai [ill bill AMound ❑ Trenches ❑ Pressure Bed 0 Other Draw detailed diagram with measurements indicating distances to tank risers using 2 points from a permanent structure. Show location of drop boxes and length of trenches. Z X�-, rn Cn co T n: 0 M a Logs of Soil Borings License #810 Location or Project: 4565 Bayside Road Borings made by: Rusty Olson's Soil and Perc testing 2/26/2015 Classification System: AASHO USDS- USDS-SCS X ; Unified ; Other_ Auger used (check two): Hand _Xor Power_, Flight, Bucket or Probe _X_ Boring Number _1_ Surface elevation _1017.8_ 0-4" Fill 4"-14" Dark brown loam 10yr3/2 14"-20" Brown loam 10yr4/3 20"-30" Brown clay loam 10yr5/4 30"-36" Rusty brown clay loam 10yr5/4 Mottled Soil at _2.1 _ feet in original soils H2O present at _,X_ DATE TIME CITY OF ORONO INSPECTION NOTICE PERMIT NO. ADDRESS OWNER CONTRACTOR CALLED IN SCHEDULED COMPLETED _TELEPHONE NO. 9c ", G DESCRIPTION / u�� Z�K�4 214 16. ❑ FOOTING ❑ PLUMBING FINAL Q ❑ POURED WALL ❑ MECHANICAL RI y ❑ FRAMING ❑ MECHANICAL FINAL Z❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ FINAL ❑ SEWER HOOK-UP J ❑ DEMO - SITE ❑ SEPTIC MAINT. 44, ❑ DEMO - FINAL PTIC INSTALL ❑ PLUMBING RI ❑ SEPTIC FINAL 2 OWNER/CONTRACTOR O MEET YOU. _ YES _ NO COM ENTS: S ` 4f"4 y raorWi CC cc QC � C 0 W �� u �� c �wsti� z cc W C06 �, e W�;VORIK SATISFACTORY. PROCEED ECT WORK & PROCEED O C ] CORRECT WORK, CALL FOR REINSPECTION V BEFORE COVERING * CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN STOP ORDER POSTED. CALL INSPECTOR Ci INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. J--;v ❑ EXCAV/GRADING/FILLING ❑ LAKE SHOREIWETLANDS ❑ TREE REMOVAL ❑ SITE INSPECTION ❑ PROGRESS ❑ COMPLAINT ❑ FOLLOW-UP ❑ HARD COVER REMOVAL ❑ FOUNDATION/REMOVAL h 9 ! i PROJECT COMPLETE ISSUE CERTIFICATE OF OCCUPANCY TEMPORARY PERMANENT PHOTO TAKEN i CITATION ISSUED Call for the next inspection 24 hours in advance. (952) 249-4600 Inspector. on site: White Copy/Inspector's File Canary Copy/Site Notice