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Home My WebLink About07/08/2016 Septic Compliance Inspection Jul 28 2016 10:OOPM HP FaxRusty Olson 7634988290 page 2 � Minnesota Pollution Corn liance Ins ection Form Central Agency p P 52o Lafayette Road North Existing SubsurFace Sewage Treatment Systems St.Paui,MN 55155-4194 �ggTg� Doc Type:CompGance and Enfo�cement Instructions: Inspedion resu!ts based on Minnesota Paliution Control Agency(MPCA) ; For local trac ing purposes� requirements and attached forms—additional local requirements may also apply. � Submit completed form to Local Unit of Govemment(LUG)and system owner JUL 2 9 2016 �I within 15 days $ySt@ITl $tdtUS System status on date(mmlddJyyyy): 7/8/2016 � Compliant-Certificate of Compliance [� Noncompliant-Notice of Noncdmpliance (Valyd fo�3 years from report date, unless shorter time (See Upgrade Requiraments on page 3J frame ouflined in Loca!Ordinance.) Reason(s} for noncompliance(check a!!applicable) ] Impact on Public Healih (Compliance Component #1)—lmmrnent threat to publrc heafth and safety ;]Other Compliance Conditions (Compliance Component#3J—Irnminent thr�at to public heaJth and safety ❑ Tank Integrity(Compfiance Component #2)—Failing to protectgroundwater ❑ Other Compliance Conditions (Compliance Com�Oonent#3)—Failing to protecf g�vundwater ❑ Soil Separation (Compliance Componenf #4)—Failing to protect groundwater ❑ Operating permiUmonitoring plan requirements(Compliance Component #5)—Noncompliant Property Information Parcel ID#or SeclTwplRange: 041172331Q017 Property address: 294D Fox Street Orono, MN Reason for inspection: Property Transfer Property owner: David Meins �wner's phone: or __----__ Owner's representative: meredith Howell _ Representative phone: 952-476-3692 Local regulatory authority: Cfty of Orono Regufatory authority phone: 952-24�46Q0 Brief system description: 2-1300 and 1-1300 qallon lifl staEion and 680 square feet of mound rockbed. per ciry records Comments or recommendations: Certification 1 her�by certify that al!fhe necessary information has been gathered to deterrrrine the compliance stahls of this system, No defe�rnination of l�fure system perforrnance has been nor can be rnade d�e to unknown cond'rtions dunng system construction, possr6le abuse ofthe sysfem,inadequate mainfenance, orfuture waterusage. Inspector name: Joseph J Olson ___ Certification number: 1255 Business name: Rus Olson's Soil&Perc.Testln License number: 810 Inspector signatur�.-•-�--- �---- _ Phone number: 763-498-8779 Necessary or Locally Required Attachments � Soil boring logs �SystemlAs-built drawing ❑ Forms per local ordinance ❑ Other inforrnation (list); www,pca.state.mn.us . 651-296-6300 • 800-657-3854 • TTY 651-282•5332 or B00•657-3864 . A�ailable in altemative formats wq-wwists4•31 � 1/24/i2 Page 7 of 3 Jul 28 2016 10:OOPM HP FaxRusty Olson 7634988290 page 3 � Property address: 2940 Fox Street,Orono,MN __ Inspector initials/pate: J.O.7/d8/16 1. ImPdCt 0� PubliC Hedlth—Compfiance component#1 of 5 Com liance criteria: _ __ Verification method(s): System discharge sewage to the ; ❑Yes � No � Searched for surFace outlet ground _s_urface, j � Searched for seeping in yard/backup in horne System discharge sewage to drain tile ' ❑Yes � No ❑ �cessive ponding in soil system/D-boxes or suriace waters. � ❑ Homeowner testimony(See Comments✓Explanetion) ❑ "Black soil"above soil dispersal system System cause sewage backup into ❑Yes � No ❑ System requires"emergency'pumping dweflmg or establishment. I ❑ Pe rforme d dye te s t Any"yes"answer ab�ve indlcafes!he system is ❑ Unable to verify(See Commentsi�xp�anation) an lmminent Threat to Public Health and 5afety. ❑ Other methods not listed (See Comments/Explanation) CommentslExpla nation: 2. Tank Integrlty— Compliance component#2 of 5 _Compliance criteria: _ Verificatlon method(sE: Systern consists of a seepage pit, ❑Yes �No � Probed tank(s)bottom cesspool,drywell,or leaching pit. � Examined construction records Seepags pits mesting 7Q80.2550 may be ❑ Examined Tank Iniegrity Form(Attach) compliant if allowed in loca/ortiinance. ❑ Obseroed liquid level below operating depth Sewage cank(s}leak below their � ❑Yes � No � Examined empty(pumped)tanks(s) desi ned o eratin de th. ' _ _ _____ _ If yes,which sewage tank(s) leaks: ❑ Probed outside tank{s)for"black soil' A�1y "yes"answer above indicates the ❑ Unable to verify(see Comments�xp�anation} sysfem is Failing to Protect Groundwater. ❑ocner mett,ods not iisted �see commer,cs�Xpre�srro�� Comments/Explanation: 3. �ther Compliance Conditions —Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked, unsecured,or appear to structurally unsound. ❑Yes" �No ❑�lnknown b. Other issues(eiectricarhazarrls,etc.)to immediately and adversely impact public health or safety. i]Yes` �No ❑Unknown 'System is an imminent threaf to public health and safety Explain: c. System is non-protective of ground water for other conditions as determined by inspector ❑Yes` �No 'System is failing to protectgroundwater Explain: www.pca.state.mn.us • 651-296•6300 • 800•657-3864 . TTY 651•282•5332 or 800•657•38Q4 . Available in alternative formats wq•wwists4•31 • 1/24/1? Page 2 aj 3 Jul 28 2016 10:OOPM HP FaxRusty Olson 7634988290 page 4 Property address: 2940 Fox_Street, Orono MN Inspectar initials/Date: J. 0.7/08/16 4. Soi( Separation -Compliance component#4 of 5 Date of instailation: 5/31/Q6 ❑ Unknown Ve�ifrcation method(s): ShorelandM/ellhead protectioNFood Beverage Lodging? ❑Yes � No Soi!obse�vation does nof expire. Previous soil observations by two rndependent parties ar�s��cient, Com (iance criteria: unless site condrfions have been altered orloca! �quirements diNer. Forsysfems burlt priorto Apri11, 1996, and ❑Yes ❑ No not located in Shoreland orWeUhead III � Conducted soil observation(s}(Attach boringlogs) Protection Area ornot serving a food, , ❑ Two previous veriflcations(Attach ba�ng logs) 6everage orlodging esiablishment: I ❑ Not applicable(Holding tank(s),no drairtfield) Drainfield has at least a two-foot verlical ' ❑ Unable to verify(See Gomments/Explanation) separation distance from periodically saturated soil or bedrock. � ❑ Other(Ses CommentslExplanation) Non-performance systems built Apn!1, i �Yes ❑ No Comments/ExpJanation: 1996, or lafer or for non-pe�fom�ance � sysfems located rn Shoreland or We!lhead I Protecfion Areas orserving a food, beverage, orlodgingestablishmenf. Drainfeld has a three-foot vertical � separation distance from periodically 'i saturated soil or bedrock.' I � "ExpenmenfaP; "Other; or "Performance" ,I ❑ Yes ❑ No Indicate depths of elevations sysfems built under pre-2008 Rules; Type!V i or V systems builtunder2008 Ru1es(7Q80. A. eottom of distribution media l 99.0 2350or7080.2400 (Advanced Inspector License required) B Periodicalt saturated soiVbedrock � 96.3 Drainfield meets the designed vertical � C. 5 stem se aration 2.7 separation distance from periodically I� saturated soil or bedrock. 0. Required compliance separation' ; 2 6 Afly "n0"answer above indicates the sysfem is �May be reduced up to 15 percent if allowed by Local Failing to Piotect Groundwater. _ _ ordinance. 5. Operating Permit and NitrO�en BMP*—Compliance component#5 of 5 � Nat 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 Pract�'ce(s)speciBed rn the system desrgn If the answer to both quesiions rs "no", this sectiorr does not need to be complefed. Com iiance criteria a, Operating Permit number. Have the Operating Permit requirements bsen met? j ❑Yes ❑ No b. Is the required nitrogen BMP in place and properly funclioning? ❑Yes � No Any "no"answer indicates Noncompliance. Upgrade Req uirements (Minn. Sfat.§ 1�5.55)An imminent threat to publrc health and safety(17PHSJ musf be upgraded,rep/aced,orits use discor6nued wrthin fen months o1 receipf of this nofice or withirt a shorter period if required 6y loca/orri�nance.If the sysfem is failing to profect ground water,the system must be upgraded,replaced, or its use disConfinued within the time required by loca!orcfinance.If an ezisting systam is not failrng as defi�d in Jaw,ar+d has at leest hvo ieet of desrqn soil separation,then the system need not be upgraded,repaired,replaced,or its Use disronfinued,rotwlthslanding any local ordinance that is more strict. This provrsion does not apply to systems in shoreland areas, Wellhead Prorection Areas, or those used in connection with food,beverage,and lodging establishments as def;ned in law. www.pca.state.mn.us • 65t-296•630D • 800-657-3864 • TTY 651-282-5332 or B00-b57-3864 . Available in altemative formats wq•wwtsts4-31 • 1/24/f7 Poqe 3 of 3 Jul 28 2016 10:OOPM HP FaxRusty Olson 7634988290 page 5 Soil Observation Log www.SepticResource.com vers 12.4 Owner Information Propert}�Owner/project: David Meins Date 7/8/2016 Property Address!PiD: 2940 Fox Street Soil Survey Information ❑ refer to attached soil survey Parent mat�'s; ❑J Tiil [] outwash ❑ Lacustrine ❑ All�vium !^; Qrganic ❑ 6edrock landscape position: [j Summit ❑ Shoulder Q Side slope ❑ Toe slope soil 5urvey map units: L3713 slope % direction-L1nea1 Soil Lo #1 C Boring ❑ Pit Elevation 100.5 Depth to SHWT 46 inches llepth(in; Texture fragment% ma�ix color redox color consistence grade shape 0-34 Fill <35 Loose Loose Singlegra,n 34-4a Topsoil <35 ]Oyr4;2 Loose Loose Singte grain 40-46 Clay Loar.� <35 10yr5i4 Friable Strong B�ocky <35 46-50 Clay Loam 35-50 10yr5/4 1 Oy4/8,1-6i l0y Firm Strong Pn'sma�ic >50 <35 loose ]oose single grain 35-50 friable weak granular blocky >50 f�� moderate prismatic plary rigid sirong m�sive Comments; Jul 28 2016 10:OOPM HP FaxRusty Olson 7634988290 page 6 2940 Fox Street Soil Lo #2 C eor''�9 � P�t Elevation 97.7 Depth to SHWT 34 inches Depih(in) Texture fragment% matrix color redox color consistence grade shape 0-8 Fill <35 10yr3/2 Loose Loose Single grain 8-20 Topsoil <35 10yr4i�? Loose Loose Single grain 20-24 ClayLoam <35 ]OyrS/4 Firm Strong Prismatic <35 loose 1o0S2 singlegrain 35 -SO friable weak �anu�ar blocky >50 fi� 111oderate prismatic platy i'igid strong massi�e ��5 lOOSC �oose sin�le grain 35 -�0 friable �veak granular blocky >50 f� rnoderate prismatic platy rlgld stTonp� massive 2940 Fox Street 5oil Lo #3 I] Boring ❑ Pit Elevation Depth to SHWT Depth(in) Texture fragment% matrix color redox color consisience grade shape �35 loose lOOse single grain 35 -50 E'iable weak granular b�ocky >50 �� moderate prismatic platy rigid strong massive �35 loose (oose singlcgrain 35 -50 �able weak granu�nr blocky >50 fl� moderate pr�smacic platy rigid strong massive ��$ �0058 IOOSB singlegrain 35-50 friable weak granular blocky >50 �m► moderate pr�smaiic plary rigid suong massive <35 loose loose single grain 35 -SO friable weak granu]ar b�o�ky >50 f� moderate p<ismacic piacy Cigid strong massive ��5 IOOSe �OOSC single grain 3�-50 friable weak granular btocxy >50 f� moderate prismatic plary rigid strong massive (hereby certify this work was completed in accordance with MN 7080 and uny local req's. `% -''� � Rusty Olson's Sail & Perc 81fl G, esigner Signature Company License# Jul 28 2016 10:OOPM HP FaxRusty Olson 7634988290 page 7 . , 1 � � � � . � . � . � � � �- ' � � � � � ; �� . � _�� . �_ -- - -- ---- 0 0�� ` � �� _ -� , �-- � � � Q � �� , �, . . _ . o - . �� . - � . . , � S9 , . � � ."� a � �� /�' � � � � ; � � i /f� '- � . . � • �� '�� ` , ,, `}�''/ y� s g�, -�s c _.--� z�� . . , ,� _ __ __ _. ` o _ � _- - - - - - . �� . ,. �� _ . , ; , . � , . _ \' � - - �� + . _ � �� ' ; � _ � �- � � � Q � j � . .._� � � . , i . .,\ � Jul 28 2016 10:OOPM HP FaxRusty Olson 7634988290 page 1 � � � Fax Transmittal Form Date: 7/28/2016 Total Pages: II7 To: City of Orono Phane Number: Fax Number: 952-249-4b16 E-mail: �rom: Joseph J Olson Phone Number: 7b3-498-8779 Fax Number: 763-498-8290 E-R1311: rustv2654C�7comcast net ❑ Urgent Q For Review ❑ P4edse Comment ❑ Please Reply Message: �15 is the septic cert for 2940 fox Street. Please file.