The URL can be used to link to this page

Home My WebLink Aboutseptic design-2012 4 • S�P TESTINGi I�C. Steven B. Schirmers • MPCA Cert.No. 627 951 Katydid Lane NE • St. Michael, MN 55376 • (763) 497-3566 FAX (763) 497-5011 � State License #394 �J October 23, 2012 � � John Adams Cl�r 4245 Chippewa Lane Orona, Henn. Co., MN A Compliance Inspection was completed for the existing on-site sewage treatment system lacated on #his property. The system consists of 2-1250 gallon septic tanks, 1- 1250 gallon pumping chamber & a pressurized mound system with a 10' x 68' rock bed built in 2001 for a 5 bedroom home. Soil boring #1 found mottled (redox features) at >2.2' into the original soil. Soil boring #3 found the original soil at elev.91.3 &the bottom of the rock bed at elev.92.2 ieaving .9' of sand below the rock bed & a 3.1' separation from ti�e bottom of the rock bed & redox features. Soil boring #2 found mottled soil at 2' into the original soil. Soif boring #4 found the original soil at elev.90.5 &the bottom of the rock bed at etev.92.5 leaving 2' of sand below the rock bed & a 4' separation from the bottom of the rock bed & redox features. This system is classified as in compliance with Minnesota Chapter 7080 rules. SB#2 had rusty colors in the topsoil. This is old decade vegetation, not mottl�d soil. From 58" to 70" there were brown soils 10YR 5/3 with no mottles or compaction. The tanks were pumped by Elmer J. Peterson Co. &were found to be compliant at this time. Nothing other than gray water(laundry, showers, etc.) human waste &toilet tissue should be disposed of into the septic tanks. Garbage disposals are not recommended, due to adding more solids & fine solids passing through to the system. Recommend to divert iron filters out of the system, recommend to divert the water softner also if diverting the iron filter. Eucessive amounts of soaps, antibacterial soaps, cleaning agents, shower cleaners used every shower& chlorine agents may kill the bacteria needed to treat septic effluent. Additives are not recommended. Recommend to pump & clean your tanks #hrough the manhole by a certified pumper every 2 years. Check with your pumper to set up a schedule. This Certificate of Compliance is no guarantee that this system will continue to function indefinitely. Steven B. Schirmers S�P TESTING� �NC. Steven B. Schirmers • MPCA Cer#.No. 627 951 K�tydid Lane NE • St. Michael, MN 55376 • (763) 497-3566 FAX • (763) 497-5011 State License#394 LO�S OF SOIL Bt�RINGS John Adams 4245 Chippewa Lane Orono, Henn. Co., MN Borings completed on 10-19-12, with a hand bucket auger. E�ORING NUMBER 1- Elev.94.4 - MOTTLED SOIL > 2.2' INTO THE ORIGINAL S�IL. 0 - 28" Fill soil loam & clay loam 28" - 46" Fill soil medium sand 46" - 62" Original soil dark brown loam 2.5Y 3/2 62" - 72" Dark gray brown clay loam 2.5Y 4/2 BORINCz.,NUMBE� Z- Elev.94.7 - MOTTLED SOIL AT 2' INTO THE ORIGINAL SOIL. 0 - 28" Fill soil loam & clay loam 28" - 46" Fifl soil medium sand 46" - 54" Original soil very dark gray loam 10YR 3/1 - organic 10YR 6/8 54" - 58" Very dark gray brown loam 10YR 4/2 - organic 10YR 6/8 58" - 70" Brown clay loam 10YR 5/4 - no mottles 70" - 78" Brpwn clay loam 10YR 5/3 - distinct mattles 10YR 7/1, 10YR 6/8 BORING NUMBER 3- Elev.95.2 - through the mound. 0 - 18" Fill soil loam & clay foam 18" - 46" Fi(I soil medium sand 46" - 60" Original soil dark brown loam 10YR 3/3 BOR�NG NUMBER 4- Elev.95.2 - through the mound. 0 - 22" Fill soil loam 8� clay loam 22" - 56" Fill soil medium sand 56" - 60" Original soil dark brown loam 10YR 3/3 � a �. �� Minnesota Pollution • • ��r�� Control Agency Compl�ance Inspect�on Form .,rLt�i:...'...:. 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems fiL P�ul,MN 55155-4194 (SSTS� Doc Type:Compliance and Enforcement Instructions: inspection results based on Minnesota Pollution Control Agency(MPCA) For local tracking purposes: requirements and attached forms-additional local requirements may also apply. Submit completed form to Local Unit of Govemment(LUG)and system owner within 15 days System Status System status on date(mm/dd/yyyy): �� -t� - ��. �� Compliant— Certificate of Compliance ❑ Noncompliant— Notice of Noncompliance (Valid for 3 years fiom report date, unless shorter time (See Upgrade Requirements on page 3) frame outlined in Local Orriinance.) Reason(s)for noncompliance(check all applicab/e) ❑ Impact on Public Health(Compliance Component #1)-Imminent threat fo public health and safety ❑Other Compliance Conditions(Compliance Component#3)-lmminent threat to public health and safety ❑Tank Integrity(Compliance Component #2)-Failing to protect g►aundwater ❑Other Compliance Conditions(Compliance Component#3)-Failing to protect groundwater ❑Soil Separation(Compliance Component #4)-Failing to protect groundwater ❑ Operating permiUmonitoring plan requirements(Compliance Component #5)-Noncompliant Property Information Parcel ID#or SecJTwp/Range: Property address: 4�,y 5 �.��p-p��,�/,� L�C}, U`� ?..�,5-� Reason for inspection: `"1'�QY�'-t.:-�� 'w��<<;,�, �,� Property owner: �oN}_1 /.�p,�� S, Owner's phone: b l a_-��y _ ,..� -��a or - Owner's representative: Representative phone: Local regulatory authority: � L►�(�( O�' �z��,�<<� Regulatory authority phone: � ,�,'� ••• �.��-� - i,K�G;�� Brief system description: �.-1 a 5o a�,l S%'-�►cJ.-Cv��S_ ��S p qa I G ar��x 1 k �`t oz�N� I c�`x t��'F'v c s�Y r:e.; Comments or recommendations: � Certification 1 hereby certify that a!I the necessary information has been gatheied to defermine the compliance status of this system. No deteRnination of future system pe�formance 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: _�-{�y�i� ,� �L��-�� Certification number. (o a� Business name: 5 -' t� � License number: �e��.E. Inspector signature: (��r �'� i�"- ..----_. Phone number:. �{o� -�g� _ � Necessary or Localty Required Attachments �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 • Avaitab(e in altemative formats wq-wwtsts9-31 • 1/24/12 Property address: y�,`-L� L��'(�S=Y�-�,c�J��,� Inspector initials/Date: �'�=� lG�—JQ/-/;.'._ 1. Impdtt ott Publit Health—Compliance component#1 of 5 Com liance criteria: Verification method(s�: System discharge sewage to the ❑Yes �No ❑ Searched for surface outlet round surface. � Searched for seeping in yard/backup in home� System discharge sewage to drain tile ❑Yes �No � ��ssive ponding in sal system/D-boxes �� or surface waters. ❑ Homeowner testimony(See CommentsiExplanaHon) System cause sewage backup into ❑Yes � No � �Black soil"above soil dispersal system �p dwelling or establishment. ❑ System requires"emergency'pumping ❑ Performed dye test Any"yes"answer above indicates the system is ❑ Unable to verify(See Comments/Explanation) an Imminent Threat to Public Health and Safety. ❑ Other methods not listed(see CommentsiFcplana6on) Com ments/Explanation: 2. TBnk 111tegrity—Compliance component#2 of 5 Com liance criteria: Verification method(s): System consists of a seepage pit, ❑Yes ❑No ❑ Probed tank(s)bottom cesspool,drywell,or leaching pit. ❑ Examined construction records Seepage pits meeting 7080.2550 may be ❑ Examined Tank Integrity Form(Attach) com liant if allowed in loca!ordinance. ❑ Observed liquid level below operating depth Sewage tank(s) leak below their ❑Yes ❑ No desi ned o eratin de th. ❑ Examined empty(pumped)tanks(s) If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil" Any "yes"answer above indicates the ❑ Unable to verify(See Comments/Explanation) system Is Failing to Protect Groundwater. ❑Other methods not listed�see commenrs�cp�anat�o�� Comments/Expla nation: 5�'.�i +�-j'rC vSr[.�� 5�+,.a� 1 t��-S'�',�;.�t,.t-C�( ��'� 3. Other Comptiance Conditions—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cradced,unsecured,or appear to strudurally unsound. ❑Yes' �No ❑Unknown b. Other issues(electrical hazards,etc.)to immediately and adversety impact public health or safety. ❑Yes* �No ❑Unknown *System is an imminent threat to puWic health and safety Explain: c. System is non-protective of ground water for other conditions as determined by inspedor ❑Yes• �No *System is falling to prodect groundwater Explain: www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651•282-5332 or 800-657-3864 • Avaitable in altemative formats wq-wwists4-31 • 1/24/12 ,� Property address: 4��} l ��.!��P?v�1�} 1.{� � inspector initials/Date: �.3`;-� {0 '1 "1- )Z_ 4. Soi l Sepa�dtiOn-Compliance component#4 of 5 Date of installation: J i �-t� -O 1 ❑ Unknown Verification method(s): ShorelandlWellhead protectioNFood 8everage �Yes �No Soil observation does not expire. Previous soii Lodging? observations by finro independent parties a�sufficient, Com liance criteria: unless site conditions have been altered or local requirements difl`er. For systems builf prior to April 1, 1996, and ❑Yes ❑ No not focated in Shoreland or Wellhead � Conducted soil observation(s)(Attach boring logs) Protec6on Area or not serving a foocl, ❑ Two previous verifications(Attach boring logs) beverage orlodging establishment: ❑ Not applicable(Holding tank(s),no dreinfield) Drainfield has at least a two-foot vertical ❑ Unable to verify(See Comments/Explenat;on) separation distance from periodically saturated soii or bedrock. ❑ �ther(See Comments/Exp/anation) Non-performance systems built April 1, �Yes ❑No Comments/Explanation: 1996, orlaterorfornon pe►formance ��+�� ¢,.i��l�f C-a�.c��:: �h•� -;�� „�-}�;'_ systemslocatedinShorelandorWellhead ovci ��..�f:.-�`ra-�,�?�..�� r.ao-� ,�.r�c'�GU�.P, 4e`;�,^ 5h�� Protection Ar�as or serving a food, � �! .�� ow�y b�,�,5 �u u r•� �1�, uJ�-�� beverage, orlodging establishment: tii� „��-(SL�:;�,� Drainfield has a three-foot vertical separation distance from periodically saturated soil or bedrock.* "Experimental'; "Othe�; or "Performance" ❑Yes ❑No indicate de ths of elevations systems built under pie-2008 Rules; Type IV ss�r' �a,,-� . 'SYa�'��:� or V systems built under 2008 Rules(7080. A. Bottom of distribution media 5��'�S � a,�, ,�,o's,4,.«� 2350 or 7080.2400 (Adv�nced Inspector ;�+�2--a,�,'+ License tequired) B. Periodicall saturated soil/bedrock ST.�� - �,p� Drainfield meets the designed vertical sc� i�3 8•1 separation distance from periodically C. S stem se aration �,+�a o saturated soil or bedrock. D. R uired com liance se aration* 3,� Any "no"answer above indicates the system is 'May be reduced up to 15 percent if allowed by Local Failing to Protect Groundwafer. 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#he system required to employ a Nitrogen BMP? ❑Yes ❑ No If"yes", B below is required BMP=Best Management Prsctice(s)specified in the system design If tlte answer fo both questlons is "no'; this section does not need to be comp/eted. Com liance crlteria a. Operating Permit number: Have the O eratin Permit re uirements been met? ❑Yes ❑ No b. Is the re uired nitro en BMP in lace and ro r1 functionin ? ❑Yes ❑No Any "no"answer indicates Noncompliance. Upgrade Requirenlents(Minn. Stat §115.55)An imminent threat to public health and safe[y(ITPHS)must be upgraded,replaced,or its use discontinued within ten months of receipt of this notice w within a shorter period if required by loca!ordinanCe.If the sysfem is failing to protect ground water,the system must be upgraded,replaced,or its use disc;ontinuad withln the time required by local ordinance.If an existing system is not failing as defined in law,and has at least hvo feef of design soi!separatfon, then the system rreed not be upgraded,repai►ad,replaced,or its use discontinued,norivithstanding any local ordinance that is more shict. Thls p�vision does not apply to systems rn shoreland areas, Wellhead Protection Areas,or those used in connection with food,beverege,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 altemative formatr we-wwists4-3 f . 1/14/f2 Tank Re�ort Date: October 15, 2d12 Elmer J. Peterson Co. 5J21 Dag�ue Ave. Delano, MN 55828 Phone 76;3-972-1420 Fal 76�-�72-r217 1�1PCA License# 219 John Adams �245 Chippewa Lane Long Lake, MN 55356 Baf�Ies: ' ON / OI�'F �..�...✓ �l�anl{ Capacity: 3-125�Gallon Tanks Per City Records # of Tanks: 3 _. __ Type of Tanks: Concrete Gallons Pumped: 3000 Manholes to Grade: YL.S / NO Comments: On October 15, 2012, Eimer J. Pefersnn Go. pumped tanks. Manholes are just under the surface. No cracks or water leaks at that time. NOTE: This is or�ly a tanlc report. T}�is is not a complianc;e inspeetion for poinl-of sale nor does it replace a coni�liance iiispectiou. License # 219 Parcel number: System status: �Compliant ❑Noncompliant (as determined by this form) Tank Integrity and Safety Compliartce - CompJiance Inspection Form for Existing SSTS Comp[iance issue #2 of 4 Date of observation: 10/15/12 Reason for observation: Point of Sale This form expires on(three years): 10/15/15 Compliance questions/criteria; (Required) Verification Mefhod**:(Optional} Check the a ro riate box (Check the appropriate box) Does the system consist of a seepage pit', ❑Yes ❑■ No � Probed tank bottom cess ooi,d ell, or leachin it? Do any sewage tank(s)leak below their ❑Yes �❑No ❑ �bserved low liquid level desi ned o eratin de th? ❑ Examined construction records If yes,identify which 0 Examined empty(pumped)tank sewage tank leaks. ❑ Probed outside tank for"black soil" Any"yes"answer indicates thaf the sysfem is failing to protect ground water. ❑ Pressure/vacuum check ❑ Other: " Seepage pits meeting 7080.2550 may be compliant if ailowed in ordinance by local permitting authority. '"'No sfandard protocol exists. This Iisf is nof exhaustive,in sequenfia!order,nor does it indicate which combinations are necessary fo make this determination. Safety Check 1. Are maintenance hole covers damaged,cracked,or appeared to be structurally unsound? ❑Yes* 0 No 2. Were maintenance hole covers replaced in a secured manner(e.g.,screws replaced)? [�]Yes ❑No" 3. Was secondary access restraint present(safety pan,second cover,or safety netting)—highly recommended. ❑Yes 0 No 4. Are ott�er safetylheafth issue present? ❑Yes" �No Explain: 'System is an imminent fhreat to pubiic health and safety. Certification This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's(MPCA)Compliance Inspection Form for Existing Subsurface Sewage Treatment Systems. Observations, interpretations,and conclusions must be completed by an inspector, maintainer,or service provider.Compieted form must be submitted to the local unit of government within 15 days. Property owner name(s}: Johri Adams Property address: 4245 Chippewa Lane Long Lake, MN 55356 Property owner's address(ifdifferent): County: Hennepin Property owner phone: 952-473-9091 1 heretiy certify fhat!personally made the o6seivations,inferpretefions,and conciusions reported on(his forrrt�nd ihaf fhey are correct. Name: James Braegelmann Certification number: Business license name and number: Elmer J.Peterson Co. License#219 or Name of locai nit ofi govern nt: Signature: Date: 10l15/12 www.pca.state.mn.us • 651-296-6340 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats wq-wwists4-31 • 4124/Q9 Page 3 of 8 . �';�� /�-��i 1�s��`.� -_ � , �hr-;�Lx� .e,� . �''(2�,�"�`.:`�_,�-��—'� �S �--- -�a;-+-_._,�Ki�"�'��._._: ____ - _ c �_ ;, ` , r r , � �� i�� ' � - a, iC� 1��4t,�� _. __. _.__ --._ .___.-.. . _ _ . ::�":�` '�'_`� � :; o u,�sr��:t 3,9� ",J.. J '�c)!{_.`�'..C�i..,�,. ��"'�J„.'�._ L'�"��1:•1`ul 4 j..:i�-� . �/..�.,✓1=��r.`_� - = i - , . ...�.1r-��L_..� �� ' ��.��''v'� ��'C-��179-i �� >-.e-s�.K ._�-_.__..-... �.� � /\` ... ..�.._ ..... _ ._.. .. . . . . ___ � �� '�� 5��'d�..�1 �� 0��_,SO 4!� "1 �= ,, � 1 �� , , -�_�S��cv � a �L��vti�-�< _, a c�'_7_�� . ` , '' , ti��-,�k,_�__'_L,c'%r �, ti`�ti'�=A'S'1 r?�-C C„`�.��c.'��'a.? ``� , �iSt��:�`'`.?__ 1-(Q L 1�� ``. �// � '��_.. , y � %♦ %` / X ��a�.��'\1 ^ � � ` l � ��l. jr \ 'v(p4)�-�.� ,' / �.�� '€�w� \ 1, %� � /�' j � �1 ��`q� �� A`�� a��, � qf ,� / - � ..��. � � _^— \\ � �; ��` � /� _— / � 95� -�. � �--" � ' �, \ � �, ,o��B�. -��, ya ; �vc.� 9 a,c, h"�� Sd, `.� i� ..e 4S.0 h1� �� , . - ,,:a, _ � , _, �:, �, , �, � ` `' ' ' � �,; r�- W�,.y _t. . `_ �"'s.. q-a' ti% h a�-",�. � .� . �1, � _— ti�� -C��,`� ��'` ''`X' _ __ J-�O �� i �,�C��-ti��. a.- � a ��.�� -��c,�5��_ u,��,�� _��,; � � �_ . <p� �,u,��_,�.��_____ ; � ,�� ,� d' 1 a,5C7 a,,�,( u � Pf20PERTY OF= �O 1�:1 ��(�-J�� ,M �, �(U�:� r� Y � ��Lvc�-�' I -3c� ,� �pelcolotion Tests Scole� y Soil Borings y �.y S �-�1'�'�'�-�./�' �-�_ � �'L-/OC��C�� Benct: Mork . OZ'�0+--`•� h'� iS 1-k�'�.1�.s , f-''� � N�te= This system is to be construded to meet ' tne M�nnesoca Pollution Co�tra Agency S—P TEST/NG/NC._ Chapter 7080 & Local Ordinance ��1wr( � �` _ �' l,, g��. gy:��-�� , /'� Note : Check all underground utilities po:o 1�-/)`f/)�; '�.7�3-497-3566