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Home My WebLink AboutSeptic Complaiance Inspection Form 02-20-2016 Feb 22, 2016 04:35PM HP FaxRusty Olson 7634988290 page 2 MinnesotaPollution Compliance Inspection Form Cantrol Agency 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems St.Paul,MN 55t 55-4194 ($ST$� Doc Type:Compliance and Enior�ement lnsiructions: Inspection resuits based on Minnesota Pollution Control Agency(MPCA) j �or lacal tracking Rurposes: requirements and attached forms-additional local requirements may also apply. I FE6 2 2 2016 Submit completed form to Local Unit of Government(LUG)and system owner within 15 days ' System Status Sysbem status on date(mmldd/yyyy�: 2J20/2016 � Campliant—Ce�tificate of Compliance ❑ Noncornpliant— Notice af Noncompliance (Valid for 3 years from�eport date, unless shorter time (See Upgrade Requrrements on page 3) frai»e outlined in toca!Ordinance.) Reason(s)tor noncompliance (check alf applicable) ❑ Impact on Public Health (Compliance Component #1}-lmminent fhreaf to public health and safety ❑Other Compliance Conditions(Compliance Component#3)-Imminentthreat to public health and safety ❑Tank Integrity(Gompliance Component #2)-Failing to protectgroundwater ❑Other Compliance Conditions(Complrance Component#3)-Failing to protect groundwater ❑Soil Separation (Compliance Component #4)-Failing to prorect groundwater ❑ Operating permiUmonitoring plan requirements(Compliance Component #5)-Noncompliant Property Information Parcel ID#or SeclTwplRange: 04-117-23-34-0003 Property address: 2811 Fairview Lane, Orono, MN Reason for inspection: Property Transfer Property owner: Kate Tabner Owner's phone: 917-864-6666 or Owners representative Representative phone: Local regulatory authariiy� City of Orono Regulatory authority phone: 952-249-4600 2-1Q00 gallon septic tanks,l-1000 gallon lift station and 500 squa�e feet of mound rockbed, per city Brief system description: records Comments or recommendations: Certification !hereby certify that al!the necessary informat�"on has been gafhered to determine the compliance status of thrs system. No determination of future system performance has been nor can be made due to unknown conditions dunng system construction, possiWe abuse of the system,inadequate marntenance, orfufure waterusage. Inspector name: Joseph J Olson Certification number: 1255 Business name: Rust son's Soil&Perc.7estin License number: 810 Inspector signature: _ Phone number: 763-498-8779 Necessary or ocally Required Attachments � Soil boring logs � System/As-built drawing ❑ Forms per(ocal 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 • f/24/12 Page 1 of 3 Feb 22, 2016 04:35PM HP FaxRusty Olson 7634988290 page 3 Property address: 2811 Fairview Lane, Orono, MN Inspector initials/pate: J. O.2/20I16 1. Impact on Public Health—Compliance component#1 of 5 Compliance criteria: _ Yerification method(s); System discharge sewage to tl�e ; ❑Yes � No � Searched for surface ouilet �ound surface. � Searched for seeping in yardlbackup in home System discharge sewage to drain tile ! ❑Yes � No � Excessive ponding in soil system/D-boxes or surface waters. ❑ Homeowner testimony (See CommentslExplanat�on) ❑ `Black sail"above soil dispersal syslem System cause sewage backup into ❑Yes � No � Sysiem requires"emergency"pumping dwelling or establishment. Any"yes"answei above indicates the system is � Performed dye test an lmminent Threat to Public Health and Safety. ❑ Unable to verify(See CommentsiExplanation) ❑ Other methods not listed(See Commenfs/Explanation) CommentslExplanation: 2. Tank Integrity—Compliance component#2 ot 5 Cem liance criteria: Verificati�n method(s): System consists of a seepage pii, ❑Yes � No ❑ Probed tank(s)bottom cesspool,drywell, or�eaching pit. ❑ Examined construction records Seepage pits meeting 7080.2550 may be ❑ Examined Tank Integrity Form(AttachJ complianf rf allowed in local ordinance. Sewage tank(s)leak below their ❑Yes �No � Observed liquid ievel below operating depth designed operating depth. � ❑ Examined ernpty(pumped)tanks(s) If yes,which sewage tank(s)leaks: i ❑ Probed outside tank(s)for"bfack soil° Any "yes"answer above indicates the ❑ Unable to verify(See Commenhs/Explanation) system is Failing to Protect Groundwater. �Other methods not listed(5ee Commenfs/Explan&tion) Comments/Explanation: Peterson Company pumped the tanks 3. Othe� COI'1'1p11dnC2 COnd1t1011S—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to struduraHy unsound. C Yes' �No ❑ Unknown b. Other issues(e�ectrical hazards,etc.)to immediately and adversely impact public heafth or safety. ❑Yes' �No ❑ Unknowr "System is an imminent threat to public healfh and safeiy Explain: c. System is non-protective of ground water for other conditions as determined by inspector ❑Yes• �No 'Sysfem is failing to protect groundwai�er Explain: Nnvw.pca.state.mn.us • 651-296•6300 • 800-b57-38b4 . TTY 651•282-5332 or800-657-3864 • Available in alternative formats wq-ww�srsa-.�r . 1124/12 Paqe 2 of 3 Feb 2� 2016 04:35PM HP FaxRusty Olson 7634988290 page 4 Property address: 2811 Fairview Lane, Orono,MN _ __ Inspector initials/Date: J. O.2/20/16 4. Soi) Separation —Compliance component#4 of 5 Date of installation: 8l06/1987 ❑ Unknown Verification method(s): Sotlrelan�dlWellhead protectioNFood Beverage �Yes � No Soi!observa6on does not expire. Pr�vious sor! g 9 observations by two independent parties are sufficient, Compllance Criteria: unless site Condilrons have been altered orlocal requirements difi`er. For systems 6uilt pnor ta Apn/i, 1996, and ', �Yes ❑ No not(ocated in Shoreland or Wellhead � Conducted soil observation(s){stttach boring logs) Protecfion Area o�notserving a food, ❑ Two previous verifications {Anacn bonnglogs) beverage orlodging establishment: ! ❑ Not applicable(Holding tank(s),no d�a,r,field) Drainfeld has at least a two-foot vertical ❑ Unable to verify(See Comments�xp�anation) separation distance from periodically ❑ Other{See Comments/Explana6on) saturated soil or bedrodc. Non-performance systems built Apn!1, ❑Yes ❑ No Commenfs/Fxplanafion: 1996, or Iater or for non-perfom�ance systerns located in Shorelard or Wedhead � Protecfion Areas or serving a food. � beverage, or lodging establishmenf: I Drainfield has a three-foot vertical separaiion distance from periodically ' saturated soil or bedrock."' �I `Expenmenta!", °Other�, or `Performance" I ❑Yes ❑ No Ind'ICate depths of elevations sysfems built under pne-2008 Rufes; Type IV --� or V systems built under 2008 Rules(7080. A. Bottom of distribution media ' 92.9 2350 or 7080.2400 (Advanced Inspector ! License required) ', B. Periodically saturated soillbedrock I'I 90.9 Drainfield meets the designed�ertical ; C. S tem se aration 2,Q separation distance frorn periodically saturated soil or bedrock. I D. Required compliance separation" 2.0 Ally"l10"answer above indieates the system is 'May be reduced up to 15 percent if allowed by Local� Failing to Protect Groundwater. 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 emplay a Nitrogen BMP? ❑Yes ❑ No If"yes", B below is required BMP=Best Managemerrt Practice(s)speciFed in the system design If fhe answer to both questions is "no", this section does not need to be comp/eted. Compliance criteria a. Operating Permit number: I ❑Yes ❑ No Ha�e the Operating Permit requirements been met? I b. Is the re uired nitro en BMP in lace and ro erl fundioning? ', ❑Yes ❑ No Any "no"answer indicates Noncampliarrce. Upgrade Requirements(Minn. 5tat. §915.55)An imminent threat to pub/ic health and safery pTPHS)must be upgreded, replaced,or its use discontinued wrthin ten months ol receipt of this notice or within a sho�ter period if required by local ordinance.!f the system is failing to protect ground water,the system must be upgraded, 2placed,or ifs use dismntinued within the time required by local ordinance. If an existing system is not failing as deh'ned in law,and has at leasf hvo feet of design soi!separation,then the system need not be upgraded,repai�d,replaced,or its use discon6nued,notwithstanding any loca!ordrnertae that is more strict. th�s provision does not apply to systems in shoreland areas, Wephead Protection Areas,or fhose used in connectron with food,beverage,and lodging estatrlishments as defrned in law. www.pca.state.mn.us . 651-296-6300 • 80o-657•3864 � TT`f 651-282•5332 or 800-657-3864 . Available in alternative tormats wq•wwists4-31 . f124/12 Page 3 of 3 Feb 22 ,2016 04:35PM HP FaxRusty Olson 7634988290 page 5 Tank Renort Date� June 22, 2615 Elmez J. Peterson Co. 5921 Dague Ave. Delano, MN 55328 Phone 763-972-2420 Fax 763-972-7217 MPCA License#219 Kate Ta bner 2811 Farview Lane Orono, MN 55356 917-864-6866 Baffles: 4N OFF Tank Capacity: 3-100D Gallon Tanks #of Tanks: 3 Type of Tanks: Cancrete Gallons Pumpeci; 250D Manholes to G�ade: YES N(� Comments: On June 22, 20i 5, Elmer J. Peterson Co uncovered manholes (151-12 inches deep, 2�d— 16 inches deep, Fift station— 10 inChes deep)and pumped septic tanks. No cracks or water leaking at that fime. NOTE:This is only a tar�k report, 'T(lis is not a compliance inspection for point of sale nor does it replace a complience inspection. Feb ,22 2016 04:35PM HP FaxRusty Olson 7634988290 page 6 Property address: 2811 Farview Lane � Inspecforinitials/Date: 6122115 �. 1. It'1't�dCt O�1 PubltC Heelth—Compfiance Component#1 of 5 Com liance criteriac Verification roethod(s): 5ystem discharge sewage to the ii ❑Yes ❑No ❑ Searched for surface outlet �round su�face. � ❑ Searched for seeping in yardlbackup in home S�rstem discharge sswage to drain liie ' ❑y� ��a ❑ �cesaive pondfng in sflil systemlD-boxes or sur(aCe vraterS, ❑ Hameowner testimony(See Comm�ents�Lkplanatron) System cause sewage backup into ❑Yes ❑No � �B�a�s°�'above soil dispersal spstem dweliing or establishment. ❑ System requires"emergenc�r purnping Any"yes'�answerebove indlcate.S ihe system rs � Pe�O��Ye test an Imminerrt Threat to public Health and gafery ❑ Unable to verify(Sae Comments�c�anat,�on� __ ❑ Other method5 npt Iisted(See CanmentslExplanation) Com menls/Exp�analion: 2. Tank Integrity—Compliance camponent#2 of 5 Compllance criteria• _ Verffication method(s}: Systern consists of a seepage pit, I� ❑Yes �No ❑ Probed tank(s)bott�m cesspoot,dryweli,or leach�g p�t. I i ❑ Examined construction recprbs SeePege pits meeUng 7080.2550 may be com fiarrt it a!lowed in loca!onlrnance. � �m�ned 7ank integriry Form(Attach) Sewage tank(s)leak befow their ❑ Observed liquid level belaw operating depth ❑Yes desi� ned o eratin de th. �No � Examined empty(pumped)tanks(s) If yes,which sewage tank(s)leaks: ❑ Probed outside tank{s)for"bladc soil' Any "yes"answer above indicates fhe ❑ Unable to verify(See Comm�ents/E�cplanation) system Js Failing to Profect Groundwater. ❑�her rnethods not listed(See�om��ts/Exp/enation� CommentslExplanation: ` On 6l22/15,Elmer J. Peterson Co.pumped septic tanks. 3. Othei'COmpli811Ge CO►lditio�5—Compliance cornponent#3 of 5 e. Maintenance hde covers are damaged,crack�, �� ar ro structu►ally urtwund. ❑Yes p No ❑Unknown b. Other issues(ek�chicar hazarrls,etc.�p�immediatey and adve im ct ublic heaRh or sa + "'SysA9m is an imminent ENreat to publie bealtlt and aafe�y Pe P fety, ❑Yes' ❑No ❑Unknown Explain: c. 5ystem is nor}protective o/gr�o�md wa�r tor other conditions as determined by inspec.rtar ❑Yes" �No `3ysiem!S far(ir►g to prahact g�oundwatar Explain: www.pca.state.mn.us • 651d96-6300 . 80Q-657•3854 . TTY651-282-5332 or 600�657-3864 . pvailable in altemative formats wq•wwists43f • f/24l}2 - ` Po�eZof3 �eb 22 .2016 04,35PM HP FaxRusty Olson 7634988290 page 7 Los�s of Soil Borinqs License#810 Location or Project: 2811 Fair�iew Lane Borings made by: Rusty Olson's Soll and Perc testing 2/2UI2016 Classification System: AASHO ; USDS-USDS-SCS X ; Unified ; Other Auger used (check two): Hand_X�,ar Power , Flight, Bucket or Probe_X� Borirg Number_1_Surface ele�ation_92.7_ Mottled Soil at 0.5 feet 0-12" Fill in original soilsT 12"-1 S" Dark brown loam 10yr3/2 H20 present at_X_ 18"-24" Rusty dark brown loam 10yr3/2 Boring Number_2_Surface elevation_95.5_ Mottled Soil at X f feet D-56" Filf in original soils 2_1 feet of sand under rockbed H20 present at_X_ TBM: Top of front door threshold Elv.-100.00 assumed Original soil under the rockbed North side Elv.-91.2 Original soil under the rockbed South side Elv.-90.8 Bottom of rock bed Elv.-92.9 There is 1.7 feet of sand under the North end rockbed There is 2.1 feet of sand under the South end rockbed Feb 2� 2016 04:36PM HP FaxRusty Olson 7634988290 page 8 �gl) ��e�� . � f�r. uN r / � � Q �f \ � � o .� l � �'1 �� v � � � iP � � � r� � / A B � � � r � �da f T ,�t� /a' Jb'(� � N 1 \ � ��rr /�`/ 21��0 j 4, � � � / rL�+�i Is' 2t�' 1 \`� ` � o�r 3' 2`I� T3tM« Z�.� ZS, / I I c D � �� l„k 11 `i �4'c � � �/ � � _ _ �� `z J) ' � ' i � � �i�p ! � �/ '� �