HomeMy WebLinkAboutSeptic Compliance Inspection , � D�- �p �i"�� ��
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� ����.��;� tu�innesota Pollution �,Ot11�J�laIICE �t1S�eC�lt?I�l ���'11'1
������ Cor�trol Agency
520 Lafayette Rnad North Existing Subsurface Sewage Treatment Systems (SSTS)
SL Paul,MN 55155-4194 Doc Type:Compliance arrd�Entorcement
, __-- _...._ _..__.
InspeCtion results based on Minnesota Pallution Cantro!Agency(MPGA) � For local tracking purposes.
requirements and attached forms–addi�onal locaf requirements may also apply.
Submit completed form to loca)Unit af Governnnen#(lUG}and system owner
within 15 days "
System Sta#us
System status on date(mm/dd/yyy}►}: 6/24/�^016
� Compliant—Certificate of Comp�iance ❑ Noncompliant�- Afatice of Noncornpliance
(tfalid for 3 years from repart date, unCess shoeter time (Ses t/pgrade Requirements orr page 3.}
frame outlined in Loca!Ordinance,)
Reason(s}for noncornpliance (check atl appticab}e)
❑ Impact on Pubfic Healih(Compliarrca Companenf#1}–fmminsnt th�eat to public health and safety
❑Other Cornpfiance Conditions(Camplrance Component#3)–Imminent threst to public health and satety
❑Tank Integrity(Compliance Componsnt#2)–Feilrrrg[o protact groundwater
❑Other Compliance Conditfans(Compliance Component#3}–Failing to protect groundweter
❑Soil Separatian(Compfrancs Corraponent#4)–Failing to protect groun�ater
❑Operating permiUmonitoring plan requirements(Compliance Component#5)–IVoncompliant
Property Information Parcel I[�#or SecJTwp/Range: 221172324�49
Praperty address: 71Q Big lstand, Orona Reason far inspection: LGU Requirement
Property owner. C Net�ent 8�Leslie Neugent Qwner`s phone:
ar . .... _ .. _
OwneYs rePresentative: ____� _,w� Representative phone:
l.ocal regulatory autho�ty: __._� Regu{atory authoriiy phone;
Brief system description:
� _ _ � .� �
Cotnme�rts or recommendations:
Certification
1 hereby cae�tify fhat all the rrecessary infornrstion has been gathered to determine the complience status of thrs system. !Va
determination of future system performance has been mor can bs rrrade due to unknown cond�rons during system construcCion,
possib/e abuse of the system,inadequate mainte»ance, or tuture water usage.
Inspector name: Paul 8rand2 Certification number, 5182
Business name: Soil!nv ' n& nc. ucense number: 3263
lnspector signature: Phone�umber 651-260-3T83
Necessary or Loc Required Attachments
�Soil boring logs � SystemfAs-built d�awing ❑Forms per local ordirtance
�Qther information(list): Manufadurer's checklist
_ __._ . . — � .._... _� ,�e_______
www.pca.state.mn.us • 651-29G-6300 • 800-657-3864 • T1Y fi51�282-5332 ar$QO•657•38fi4 � Available in a�ternat�ve formats
wq-wwrsts4-3tb • b/4l14 Aege f oj3
Property address: 710 Big Island, Orono Inspector initials/Date: PJB � 06/24/2016
(mm/dd/yyyy)
1. Impact on Public Health— Compliance component#1 of 5
Com liance criteria: Verification method(s):
System discharges sewage to the ❑Yes � No � Searched for surface outlet
round surface. � Searched for seeping in yard/backup in home
System discharges sewage to drain ❑ Yes � No ❑ Excessive ponding in soil system/D-boxes
tile or surface waters. '
❑ Homeowner testimony(See Comments/Explanation)
System causes sewage backup into I ❑Yes � No ❑ "Black soiP'above soil dispersal system
dwelling or establishment.
❑ System requires"emergency° pumping
Any"yes"answer above indicates the ❑ Performed dye test
system is an imminent threat to public ❑ Unable to verify(See Comments/Explanation)
health and safety.
� Other methods not listed (See Comments/Explanation)
Comments/Explanation:
System is well built and appears to be functyioning properly.
2. Tank Integrity— Compliance component#2 of 5
Compliance 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)
compliant if allowed in local ordinance.
❑ Observed liquid level below operating depth
Sewage tank(s) leak below their ❑Yes � No
designed operating depth. ❑ 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 t0 verify(See Comments/Explanation)
system is failing to protect groundwater. � Other methods not listed (See Comments/Explanation)
Comments/Explanation:
Tanks were tested using a recording Datalogger with no loss of volume in a static tank test.
3. Other ComplidnCe Conditions—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked, unsecured,or appear to be structurally unsound. ❑Yes* � No ❑ Unknown
b. Other issues(electncal hazards,etc.)to immediately and adversely impact public health or safety. ❑Yes' � No ❑ Unknown
*System is an imminent threat 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 protect groundwater.
Explain:
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats
wq-wwists4-316 • 6/4/14 Page 2 of 3
Property address: 710 Big Island, Orono Inspector initials/Date: PJB � 6/24/2016
(mm/dd/yyyy)
4. Soil Separation— Compliance component#4 of 5
Date of installation: 07/22/08 ❑ Unknown Verification method(s):
(mm/dd/yyyy)
ShorelandNVelihead protection/Food beverage Soil Observation does not expire. Previous soil
lod m � � Yes ❑ No observations by two independent parties are su�cient,
9 g� unless site conditions have been altered or local
Com liance criteria: requirements differ.
For systems built prior to April 1, 1996, and �Yes ❑ No � Conducted soil observation(s) (Attach boring logs)
not/ocated in Shore/and or Wellhead ❑Two previous verifications (Attach boring/ogs)
Protection Area or not se►ving a food, ;
beverage or lodging establishment.� !I ❑ Not applicable(Holding tank(s),no drainfield)
Drainfield has at least a two-foot vertical ❑ Unable to verify(See CommentsiExplanation)
separation distance from periodically
saturated soil or bedrock. ❑ Other(See CommentsiExplanation)
Non-pe►formance systems builtApril1, �Yes ❑ No Comments/Explanation:
1996, or/ater 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 i
separation distance from periodically
saturated soil or bedrock.*
"Experimental'; "Other'; or "Performance" �Yes ❑ No IndiCate de ths or elevations
systems built under pre-2008 Rules; Type/V
or V systems built under 2008 Ru/es(7080. A. Bottom of distribution media 91.75
2350 or 7080.2400 (Advanced Inspector
LiCense required) B. Periodicall saturated soil/bedrock 32
Drainfield meets the designed vertical �� C. S stem separation 14
separation distance from periodically I
saturated soil or bedrock. D. Re uired compliance separation"` 12
Any "no"answer above indicates 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 employ a Nitrogen BMP? �Yes ❑ No If"yes", B below is required
BMP=Best Management Practice(s)specified in the system design
lf the answer to both questions is "no", this section does not need to be completed.
Compliance criteria
a. Operating Permit number: To be tested in the fall
Have the O eratin Permit re uirements been met? ❑Yes ❑ No
b. Is the re uired nitro en BMP in lace and ro erl functionin ? ❑Yes ❑ 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,orits 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/east two feet of design soil separation, then the system need not be upgraded, repaired,replaced, or
its use discontinued, nohvithstanding 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-wwists4-316 • 6/4/14 Page 3 of 3
�1NIVERSITY �- � �
OSTP Soi t Observation Log ���
x -;
OF MINNESOTA Pro�ect ��: �� ���`-" "�-�`�..,`�'
Client/ Address: 710 Big Island, Orono Legal Description/ GPS: 2211723240009
Soil parent material(s): (Check all that apply) ❑ outwash � �acustrine ❑ �cess ❑ Ti�� ❑ Alluvium ❑ Bedrock ❑ organic Matter
Landscape Position: (check one) ❑ summit ❑ shou�der � BacWside s�ope ❑ Foot sloPe ❑ Toe s�oPe Slope shape convex linear
Vegetation Weeds Soil survey map units Slope% 12.0 Elevation: 93.5
Weather Conditions/Time of Day: Clear Warm Date 06/24/16
Observation #/Location: SB 1 Observation Type: Auger
Rock I-------- Structure-----------I
Depth (in) Texture Matrix Color(s) Mottle Color(s) Redox Kind(s) Indicator(s)
Frag. % Shape Grade Consistence
0 to 6 Sandy Loam <25 10 YR 3/2 �I Subangular Moderate Friable
Blocky
6 to 17 ', Sandy Loam <25 10 YR 4/2 �� Subangular Moderate Friable
Blocky
� - --- ----- - — -__ — --
17 to 29 Sandy Silt �Z5 2.5 YR 5/3 Subangular Moderate Friable
Loam Blocky
7_ _ _--- — _ .._---- —_ .
29 to 32 Silt Loam <25 10 YR 4/6 Subangular Moderate I Firm
Blocky
— -- ---- �
32 to 34 Silt Loam <25 10 YR 4/6 10YR 6/1 �t Reduction S� Subangular Moderate Firm
4/4 Oxidations Blocky
_--_ _ .
Comments
I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws.
Paul Brandt ��t������f� 5182 6/24/2016
(Designer/Inspector) (Signature) (License#) (Date)
UwivS�srcv oo M�vhexmn '
Additional Soi l Observation Lo s �"S'TE �,�n �,� j�
SEWAGE , � �:
TRt:ATMEN7
���
PCO�eC� ID. PROC.RAM ,;,,,�..:.��. �``���"'�p�i •
'�a�
Client/ Address: 710 Big Island, Orono Legal Description/ GPS: 2211723240009
Soil parent material(s): (Check all that apply) ❑ outwash O Lacustrine ❑ �cess ❑ Till ❑ Alluvium � Bedrock ❑ organic Matter
Landscape Position: (check one) O summit ❑ shou�der � Back/Side Slope ❑ Foot sloPe ❑ Toe s�oPe Slope shape convex linear
Vegetation Weeds Soil survey map units Slope% 12.0 Elevation: 93.25
Weather Conditions/Time of Day: Clear warm Date Ob/24/16
Observation #/Location: SB2 Observation Type: Auger
Depth (in) Texture Rock Matrix Color(s) Mottle Color(s) Redox Kind(s) Indicator(s) I-------- Structure-----------I
Frag. % Shape Grade Consistence
Sandy Loam <25 10 YR 3/2 Subangular Moderate Friable
— -------- Block
_ _ — -- - � _ ______
- _ _ -
Sandy Loam <25 10 YR 4/2 Subangular Moderate Friable
____ Block
Sandy Silt �25 2.5 YR 5/3 Subangular Moderate Friable
Loam Block
Silt Loam <25 10 YR 4/6 ' Subangular Moderate Firm
- - —--_ Block
_. ----- _ _ ___ _ .
Silt Loam <25 10 YR 4/6 10YR 6/1 Fx Reduction S� Subangular Moderate Firm
4/4 Oxidations Blocky
Comments
Observation #/Location: Observation Type:
Depth (in) Texture Rock Matrix Color(s) Mottle Color(s) Redox Kind(s) Indicator(s) I--------Structure-----------I
Frag. % Shape Grade Consistence
_ _ _ __ -- , __ .
Comments
Textures: Subsoil Indicator(s)of Saturation: Consistence:
c-day S1. Distinct gray or red redox features Loose- Intact specimen not available
sic-silty clay 52. Depleted matrix (value >/=4 and chroma </=2) Friable- Slight force between fingers
sc-sandy day 53. 5Y chroma </= 3 Firm- Moderate force between fingers
cl-clay loam S4. 7.5 YR or redder faint redox concentrations or redox depletio Extremelv Moderate force between hands or slight
firm- foot pressure
sicl-silty day loam If yes to one of the above indicators then: Ri id- Foot pressure
scl-sandy clay loam Topsoil Indicator(s) of Saturation: Slope Shape:
si-silt T1. Wetland Vegetation Slope shape is described in two directions: up and down slope
sil-silt loam *Sand Modifiers T2. Depressional Landscape (perpendicular to the contour), and across slope (along the
l-loam co-coarse T3. Organic texture or organic modifiers horizontal contour); e.g. Linear, Convex or LV'.
sl-sandy loam` m-medium T4. N 2.5/ 0 color
ls-loamy sand* f-fine T5. Redox features in topsoil
s-sand" vf-very fine T6. Hydraulic indicators
SoilStructure _���--„ '�� � �`" `�
Grade: �,�. � �� � � : 'y ��,
-� _ .� ._
Massive- No observable aggregates, or no orderly arrangement of natural lines of weakness ' ^ " �
,.� �
Weak- Poorly formed, indistinct peds, barely observable in place ��� '�; �°-=� °�°� � "'"��°���� ,
Moderate- Well formed, distinct peds, moderately durable and evident, but not distinct in undisturbed � �� '_�« .�`t �--�.�.�-�
,.��
Durable peds that are quite evident in un-displaced soil, adhere weakly to one another, _.._,,�� - � » , �.-��
Stron - �,,�ithstand displacement, and become separated when soil is disturbed "�, �.`,. ��'� . ',,� ,,`� �� .
_. - ,,--
Laudscape Posit[on:
__. � _
Loose- No peds, sandy soil --� ;.r.x- .
su�nuvc -a� >r�. .. a... . c�,-�.., � . . ��
� , «�_,��,.
�_._......� 5houlder :."-.• '�.'�•:J,
Soil Structure sA�k s.ae
Foot sloue
Shape: ' Z'oe slope —
Granular- The peds are approximately spherical or polyhe . are the small, rounded peds that hang onto roots
Platy_ The peds are flat and plate like. They are oriented horizontally and are usually overlapping. Platy structure is commonly found in forested areas
Blocky_ The peds are block-like or polyhedral, and are bounded by flat or slightly rounded surface that are casting of the faces of surrounding peds. Blocky
Prismatic- Flat or slightly rounded vertical faces bound the individual peds. Peds are distinctly longer vertically, and faces are typically cast or molds of
Sin�le Grain-The structure found in a sandy soil. The individual particles are not held together.
4 3 2 1
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Brooklyn Park,MN 55444
ob # 7011 �WS Locatlon \ Figure 2 ' Metro 651-260-3783 710 Big Island
� Orono,MN
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Checklist
Only modules bearing the
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(� �s Septic tank sized per code or certification criteria?
1� �s Is septic tank installed per manufacturer's requirements?
�j �s Does septic tank, riser(s) and access cover(s) meet applicable
� �s 1/32"commercial efFluent filter/screen installed on outlet
�s Is efFluent filter/screen able to be removed for cleaning?
� �s Is septic tank accessible?
�; � '' �s Are septic tank, risers and access covers watertight?
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��` �s Pump tank sized per code or certification criteria?
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� �s Is pump tank installed per manufacturer's requirements?
�� � �� �s Does pump tank, riser(s) and access cover(s) meet applicable structural standards?
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���� ��� �s Is pump tank accessible?
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� � �s Are pump tank, risers and access covers watertight?
�`�� �s All piping from septic tank to pump tank installed per code?
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�r design: Is pump sized correctly to deliver 5 to 15 gallons per module per dose?
� �s Is pump installed per manufacturer's requirements and code?
�s Is pump accessible and removable?
� �Is check valve (if required), union and ball valve installed?
� �Is anti-siphon mechanism installed, if applicable?
� f�s Is drain-back hole been installed to prevent freezing of piping, if applicable?
O. �s Is pump installed, connected and tested?
� (type, gauge and length of wire, connected using water-proof connectors and the conduit sealed-of�
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� u Yes Is force main been installed with pressure rated fittings/pipe and per code?
H � Yes Are fittings and pipe "cleaned", "primed" and "glued" properly?
� ❑ Yes Is the force main sized according to manufacturer's recommendations?
� (2"force main for 1 to 5 modules or 4"force main for 6 to 10 modules)
n � Yes Is force main watertight?
'1 ❑ Yes Is the force main installed to allow for drain-back to prevent freezing of piping, if applicable?
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� U ? Is flex pipe installed between force main and module?
A � Yes Manifold installed per manufacturer's recommendations to allow for equal distribution and flow
� splitting? (going past the last module a minimum of 6"and capped or clean-out at finished grade)
�` Yes Is uniform distribution to each each module verified?
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n ❑ Yes Modules leveled with each other?
a ❑ Yes Lifting ropes anchored in the ground?
n ❑ Yes Module lids secured and cleaned off?
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,;`` � Type of timer: Ana/og �al
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� �� Elapsed Time Meter: Yes f�le
� ��� Cycle Counter: Yes +Ve
� Panel heater: L�Yes �I f�}e
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������ �`�� 1[e� Is control panel installed per manufacturer's requirements and code?
���� 1[e� Is a NEMA 4X junction box used for all float and pump connections?
� 1[e� Are floats installed, connected and tested?
� (type, gauge and length of wire, connected using water-proof connectors and the conduit sealed-of�
' l�e Is power connected per code?
� � (type, gauge and length of wire and the conduit sealed-of�
�e Is conduit used between control panel and pump chamber?
� l�n cnown Is the timer set based on the drawdown test?
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