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Home My WebLink AboutSeptic Compliance 04-08-16 04/08/2016 8: 54AM FAX 9528733112 �0001/0004 �;�� MinnesoCa Pollution ` � ControlA�ency Comp��ance Insr�Ct�On FQ["m 5201.afayette Road North �xisting Subsurface Sewage Treatm�nt Systems (SSTS) 5t.Paut,MN S5iS5•4194 Doc Fype�Comp/iance and Eoforcemont Inspectipn YBsults based on Minnesota Pollution Control qgency(MPGA} For loca!tracking purposes: requlrements and attached forms—additional local requirements may also apply. RE`,E�VE� Submit completed form to Local Unit of Government(LUG)and system owner wlthin 15 days � �� System Sta#us CITY OF ORONO System status on date(mmlddfyyyy): 4/6/2p16 � Compliant— Certificate of Compliance ❑ Noncompliant— Natice of Noncompliance (V8lid for 3 years from roport date, unless sholYer time (See Upg�ade Requlrements on page 3.) frame outlined in Loca!Ordln&nce.) Reason(s)for�oncompliance (check a!!app!lcable) ❑ Impact on Publie Health(Compllance Cornponent#1J—lmminent threat to publlc hea/th and safety ❑ �ther Compliance Conditions(Comp!lance Component#3)—Imminent th,e�at to public health and sefety �Tank Integrity(Complianco Componenf#2)—Failing to protect grnundwafer ❑ Other Gompliance Canditions(Complianee Component#13)—Failing to protect groundwater ❑ Soil Separation(Campllance Component#4)--Falling to protecf groundwater ❑ Operating permit/manitoring plan requirements(Compliance ComponEnt#5)—Noncompliant Property Enformation Parcel ID#or Sec/Twp/Range: Property address- 140 South Brown Roed,Orono>Mn Reason for inspection: Sale Property owner poug Coleman Owner's phone: 952-473-7236 or owrter's representative: _ Representative phone: Local regulatory authority: _ Regufatory guthority phone: Brief system descriptian; � — Comments or recommendations: Certification I hereby eertify that a!I the necessary iniormation has been gafhered to determine the campliance sfatus of thls system, No determination of future system performance has boen nor can be made due t�unknown canditions during system construction, possible abuse of the system,(nedequate mAintenaRCe, or future water usage. Inspector name� Josh Swedlund Certification number: C1689 Business name: Swedlund Se tic S ice License number: 2502 Inspactor slgnature: _ Phone number: 952-873-3292 Necessary or Locally Required Attachments �Soil boring lags �System/As-built drawin 9 � Forms per local ordinance ❑ dther inform&tion(list)� www.pcastate.mn.us . 651-296-6300 - 800-es�-3864 • TTY 651•282-5332 or800-657-3864 • Availablein alternative formats wq-wwists4-31 • .3/16/12 Page 1 of 3 04/08/2016 8:54Ahi FAX 9528733112 f�0002/0004 Property address: 140 South Brown Road,brono,Mn Inspector inifials/Date= JS f 41s12016 (mm/dd/yYYY) 1. Impact on Public Heaith�Compliance component#1 of 5 Campliance criteria: Verificatipn method(s): System discharges sewage to the ❑ Yes � No � $earched for surface outlet ground surface� ❑Searched for seeping in yard/backup in home System discharges sewage to drain ❑ Yes � No ❑ Excsssive ponding in soii system/D-boxes tile or surface waters. - — ❑ Homgowner testimony(See Commants/explanation) System causes sewage bacicup into ❑Yes � No Q°Black soii"above soil dispersal system dwelling or establlshment. ❑System requires"emergency"pumping Any"yes"answ�r above indicates fhe ❑ Pertormed dye test system!s an imminent threat to puf�lic ❑ Unable to varify(See Comments✓ExplanaUon) healfh and safefy. _ ❑Other methOdS not IistOd(See Comm�nts/Explanatlon) Comments/Expianation: 2. Tank Integrity—Campliance component#2 of 5 Compliance criteria: Verificatfon method(s): System consists of a seepage pit, ❑Yes � No ❑ Probed tank(s)bottom cessp�ol, drywell,or leachinc�pit. ❑ Examined construCtlon records Seepagepits meeting%080.2550 may be ❑ �xamined Tank Integrity Form (Arraon� compliant rf aRowed I»locel ordinance. Sewage tank(s)leak below their ❑Yes ❑ observed Ilquld level below operating depth designed operating depth. � �� Examined empty(pumped)tanks(s} If yes,wh€ch sewage tank(s)Eeaks: ❑ Probed outside tank(s)for"black soiP' Any "yes"answer a6ove indicates fhe � Unable t0 V2rify(Sea Commsnts/Explanation) system is failing fo protect groundwater, CJ Other methOdS IlOt iisted(5ee Comment.s/Explanation) Comments/�xplanation: 3. Other Compliance Canditions—Compiiance component#3 of 5 a. Maintenance hole cavers are damaged,cracked, unsecured,or appear to bg structurally unsound, ❑Yos" �No ❑Unknown b. Other is5ueS(elecvkalhazards,eec.)to immecilately and adversely impact publie health or safety. ❑ves" �No ❑unknoum "System is an imminent threaf to public health and safety. �cplain: c, System is non-protective of ground water fzar ofher conditions as determingd by inspector. p Yes" �No 'Systiem is fal!!ng tn protect groandwater. Explain: www.pca.state.mn.us . 551-Z96-6300 • 840-657•38b4 • m 651-282•5332 or 800-657•3864 • Available in aRternative formats wq-wwlsts4-37 • 3/lb/12 Page 2 of 3 04/OS/2016 8 : 54AM FAX 9328733112 C�0003/0004 Propertyaddress: 140 South Brown Road,Orono, Mn Inspector fnitialslDate: JS 4/6/2016 (mm/dd/YYYYJ 4. Soil Separatiqn,Compliance cornponent#4 of 5 Date of installation; � Unknown Verffication methad(s): (mm/dd/yYYY) Shorelandlweilhead rotection/Footl bevera e Sal observafron does not expire.Previous sorl iodging? p 9 ❑Yes � No observations by two independent paKles are sufflclent, unless site conditions have beon altered orlocal Compliance criteria: requlremenfs drffer_ � -- For systems bulk privr to Apri!9, 1996, end ❑ Yes ❑ No �Conducted soll observatlon(s)(qttach boring�ogsJ not located in Shoreland or We!lhead Protection Ar�a or not serving a food, ❑rWo previous verifications(Attach bo�;ng logs) beversge orlodging establishment: ❑ Not applicable(Maa��g tank(sJ,no drainfisld) Drainfield has at least a two-foot vertical [] Unable to verify(Soe Comments/Fxpianation) separation distance from periodically saturaced soil or bedrock, ❑Other(See Comments/ExpJanationJ Non-performance systoms buitt April i, �Yes ❑ No Comments/Explanation: 9996,or later or f�r non-porforrrrance systems located In Shoreland orWellhead 8oring; Protectron Areas or serving a food, I 1-6"10YR 2/2�oam beverage, or lodging establishment: Drainfield has a fhre�foot verfical 7-��"10YR 4/4 Clay Loam separatlon distance from periodically Motts cQ 16" saturated soil or bedroCk,' "Experimental'; "Other" or "Performance" ❑Yes ❑ No Indicate depth5 or elevatfplls sysfems built under pre-2008 Ru/es; ]'ype IV --r— - or V systcros bullt undo�2008 RulOs(7080. A. Bottom oF distribuNon media 17"" 2350 or 7080.2400 {Advanced Inspector - License required) B. Periodlcal[y saturated soiubedrock 15" Drainfield meets the designed verticai separation distance from periodic211y C. System separation 3g^ saturated soii or bedrock. — D. Requlred compliancosaparation' 36" Any "no"answer abov�indicat�s fhe sy�tem is 'May be reducad up to 15 parcent ff allowec!by Local failing to profect groundwafer. ord�nance. 5, Operating Permit and Nitrogen BMP�`—Compliance component#5 of 5 � Not applicabfe Is the system operated under an�perating Permit7 ❑ Yes ❑ No If"yes",A below is required !s the system required to employ a Nllrogen BMP7 ❑Yes ❑ No li"yes",B bslow Is required BMP=Best Managemenf PI'�Ctice(s)specffied in the system design If the�nswer to boih questions is "no", this a6ction dogs not need to he cpmpleted. Compliance crlteria a. Operating Permit number: — Nave the Operating Permit repuirements been met7 �Yes ❑ No b. Is the required nitro9en BMP in p12Ce and properl fy unctianln ? �]Yes ❑ No Any"no"answer indicates Noncompliance. Upgrade Requiromants(Mlnn.Stat.§1 i 5.55J An immr'nent threal ro publrc heal�h and sa/ety(fTaHSJ must be upgraded,replaced,or its use dlscentfnued withln�e»months of reoeipt ol thfs notice or within a shorEar period if required by/oeal ordinance.!f the system is failrng to protect gmune water,tho sysfem must be upgradea,replaced,or;ts use d/scontinued w;fnin the tlme required by/ocal ordinanco.rsan exlsting system /s no!faifing as daf;ned in law,and hes at least two teet of design soll seperatlon,ihen the system need nol be upgraded,repaired,ro�laced,or its use d/seonfinued,notwithstanding any local ordlr,artce that is more striet. This provis;on doas not apply to systems in shoreland areas, wellhead Prvtecfion Arcas,or those used in conncetron with h�od,beverage,and lodg/ng establishments as deflnaU in law, www.pca.state.mn.us • 651-296-6300 • 800•657-38b4 • TTY 651-z82-5332 or 800-657-3864 • Available in alternative formats wq•wwists4-31 • 3116l92 Page3of3 04/08/2016 8:54AM FAX 9528733112 �0004/0004 � • • Swedlund Septic Services, Inc. 25648—200"' Street• Belle Pl�lne,MN 56011 oQ�,� G p�f J� G�Y� 952-873-3292 1�.D $�.�� f�j.d,rp �b Josh 3.Swedlund Lic.#2502 '� D rpyl p , �lV Date: �/ � �1� � 0 ,' � Q �f. � � , �p�.5� 1 , � t-' � a , �-- � i � 1 ? � ��r��j 10'X Sd' l�b J� o,^h� , ,W f U�'covE� /