HomeMy WebLinkAboutSeptic Compliance Inspection Nov 11 2016 09:10AM HP FaxRusty Olson 7634988290 page 10
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Fax Transmittal Form
Date: 12/11/2016 Total Pages: II9
To: City of Orono
Phone Number:
Fax Number: 952-249-4b16
E-mai�; R��EIV�D
NOV 1 41_016
From: Joseph J Olson CITY OF ORONO
Phone Number: 763-498-8779
Fax Number: 7b3-498-8290
E-mail: rustv2654�a comcast.nei
❑ Urgent
Q far Review
❑ Please Comment
❑ Piease Reply
Message: This is the septic cert for 1045 Brown Rodd 5.
Please file.
Nov 11 2016 09:10AM HP FaxRusty Olson 7634988290 page 11
Minnesata Pol�ution Compliance I nspection Form
Contral Agency
520 l.afayeae Road North Existing Subsurfa�e Sewage Treatment Systems
SL Pauf,MN 55155-419d ($$TS)
Doc Type�Compliance erxi Entorcemenl
Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) �! Forr�o�a�t�acking purposes: i
requirements and attached forms-additional local requirements may also apply. RECE�VE�
Submit completed form to Local Unit of Government(LUG)and system owner ', �
within 15 days I
System Status CITY OF ORONO
System status on date(mmlddlyyyy): 10120l2016
� Compliant-Certificate of Compliance ❑ Noncompliant- Notice of Noncompliance
(Valid for 3 years from reporf date, unless shorter time (See Up.qrade Requirements on page 3)
frame outlined in Local Ordinance.)
Reason(s)for noncompliance(check all applicable)
❑ �mpacf on Public Health (Compliance Component #9)-lmminent threat to public health and satery
❑ Other Compliance Conditions (Compliance Component#3)-lmminent threat to pubJrC health and safety
❑Tank Integrity(Compliance Component ii2J-Failing fo protecf groundwafer
❑ Other Gompliance Conditions (Compliance Componenf#3)-FaiGng to protect groundwater
❑ Soii Separation (Complrance Cornponent #4)-Failing to protect groundwater
❑Operating permiUmonitoring plan requirements(Compliance Component #5)-lVonCompJiant
Property Information Parcel iD#or Seclfwp/Range: _1 0 1 1 72 3240002
Property adcress 1Q45 Brown Road S., Orono, MN Reason for nspedion= Property Transfer
Property owner: Eric Timko Owner's phone: 763-772-2259
or --
Owner's representative: Representative phone:
Local regulaiory authority: City of Orono Regulatory authority phone: 952-249-4600
Approximately 2-1500 gallon septic tanks,'1-1500 gallon lift siation and 630 square feet of mound
8rief system description: rockbed.
Comments or recommendations:
Certification
I hereby certi(y fhat al!the necessary rnforntafion has been gathered to determrne the complrance sfatus of this system. No
determrnation�f future system performance has been norcan 6e made due fo unknown conditions during system construction,
possible abuse ot the system, inadequafe maintenance, or(uture water usage.
Inspectorname: _Joseph J Olson _ Certificaiion number: 1255
Business name: Rust 0 's Soil&Perc.Testin License number: 810
Inspectorsignature� Phone number: 763-498-6779
Necessary or Lacally Required Attachrnents
� Soil baring 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 • Available in alternacive formats
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Nov 11 2016 09:10AM HP FaxRusty Olson 7634988290 page 12
Property address: 1045 Brown Road S.,Orono,MN _ Inspector initials/�ate: J. Q 10/26/16
1. Impact on Publi� Health—Compliance component#1 of 5
Compliance criteria: _ Yerification method(s):
5ystem discharge sewage to the ❑Yes �No � Searched for surface outlet
ground surface. I � Searched for seeping in yardlbackup in horne
System discharge sewage to drain tile � ❑Yes �No ❑ Excessive ponding in soil system/D-boxes
or surfaCe waters. I ❑ Homeowner testimony(See Comrnents/Ezplanatron)
❑ "81ack soil"above soil dispersal system
System cause sewage backup into �I ❑Yes � No ❑ System requires"emergency'pumping
dwelling or establishment. '
❑ Performed dye test
Any"yes"answe�above indicafes the system is ❑ Unable to verify(See Comments/Explanatron)
an Imminent Threat to Public Heafth and Safety. ❑ Other methods nat listed (see commentsiExpiana6on)
Com ments�Explanation:
2. Tdflk 111tegf ity—Compliance component#2 of 5
Compliance criteria: Verification method(s}:
System consists ot a seepage pit, � ❑Yes � No � P�obed tank(s)bottom
cesspool,drywell,or leaching pit.
C Examined construction records
Seepage pits meefing 7080.2550 may be ' ❑ Examined Tank Integrity Form(Attach)
campliant if allowed rn loca/ordinance. �
Sewage tank(s}leak below their �� ❑Yes ,� No � Observed IiGuid level below operating depth
desi ned o eratin de th. ❑ Examined empty(pumped)tanks(s)
If yes,which sewage tank(s)leaks; I ❑ Probed outside tank(s)for"black soil"
— ❑ Unable io venfy(See CommentsiExplanation)
Any "yes"answer above indicates the
system is Failing fo Protect Groundwater. �Other methods not listed (See CommentslExplanation)
Cornments/Explanation:
Peterson Company pumped the tanks.
3. Other COmplidnCe CO�ditio�s —Compliance camponent#3 of 5
a. Mainienance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes' �No ❑unknown
b. Other issues(erecnrcal hezards,e�c.)to immediately and adversely impact public health or safety. ❑ves� � No ❑unknown
*System is an imminent threat io public health and safefy
Explain:
c. Sys?em is non-protective of ground water for other conditions as determined by inspector ❑Yes' �nto
'System is failing co protect groundwater
Explain:
www.pca.state.mn.us • 651-296-6300 • B00•657-3864 • TT`(651-282•5332 or 800-657-3864 . Available in altemative formats
wq-wwists4-31 . 1/24!f2 Poge 2 of d
Nov 11 2016 09:11 AM HP FaxRusty Olson 7634988290 page 13
Property address: 1p45 Brown Road S.,Orono, MN Inspector initials/Date: J o. 10/26/16
4. SOII Separat1011 —Compliance component#4 of 5
Date of installation: 7128/03 __ ❑ Unknown Verification method(s}:
Shoreland/Wellhead protectionlFood Beverage � Yes
Lodging7 ❑ N� Soil observation does not expire. Previous soil
obseivariorrs by two rndependent parties are su�cient,
ComplianCe Criteria: unless site condifions have been altered orlocal
For systems built pnor to Apn!1, 1996, and ; �equrr�ments di{fer.
❑Yes ❑ No
not located in Shoreland or Wellhead � Conducted soil observation(s) (Attach bonng loys)
Profection Area ornot serving a food, ❑ Two previous verificati�ns(Attsch bonrrglogs)
beverage or lodging establishmenf:
❑ Not applicable(Holdinqfank(s),no drainfield)
Drainfeld has at least a two-f�ot vertical ❑ Unahle to verify(See Comments/Explanatron)
separation distance from periodically
saturated soil or bedrock. ❑ Other(See CommentsiExplanation)
Na�-performar7ce systems built Apnl 1, � Yes ❑ No Comments/Explanatron:
9996,or later or for non-performance '
systems located in Shoreland or WeJlhead i
Protection Areas or serving a food, i
beverage,orlodging establishment.
Drainfield has a three-foot vertical !
separation distance from periodically I�
saturated soil or bedrock.`
°Expenmenta!", "Other° or "Peiformance" , ❑Yes ❑ No (ndicate depths of elevations
systems built under pre-2008 Rules; Type 1V �
ol V systems built under 2008 Rules(7080. A. Bottom of distribution med ia _� 97.4
2350 or 7Q80.2400 (Advanced Inspector
LiCense required) ; B. Periodicail satureted soil/bedrock 94.4
Drainfield meets the designed vehical I C. S stem separetion 3.0
separaticn distance from periodically --.
saturated soil or bedrock. D. Required compliance separation' � 2.6
Any "no"answer abave indieai+es the system is •May be reduced up to 15 percent if allowed by Local
Failing to Protect Groerndwater. Ordinance.
5. Operating Permit and Nitrogen 8MP*—compiiance component#s of 5 � Not applicable
Is the system operated under an Operating Permit? ❑Yes ❑ No If"yes",A below is required
Js the system required to employ a Nitrogen BMP? ❑Yes ❑ No If"yes", B below is required
8MP=8est Management Practice(s)specifed in the system design
If the answer to both questions is "no", this section does not need to be comp/eted.
Com liance criteria
a. Operating Permit number: ,
_ Have the Qperatinq Permit requirements been met? ❑Yes ❑ No
b. Is the re uired niiro en BMP in lace and ro erl functioning? ❑Yes ❑ No
Any"no"answer irrdreates 1Voncompliance.
Upgrade Requirements(Minn. Sfat.§f 15.55)An imminent threat to public health and safery(iTPHS)must be upgraded,replaced, or;ts use
discontinued within ten months otreceipt of thrs notice or wrthin a shoner penod if roquired by Jocal orolfnance.ff the system is farlirx,�to protect
ground water,the System mus2 be upgr8ded,replaced, or its use discon6nue0 within the time required by local ordrnance.If an existing system
rs not faifing as defined in law,and has at least two feef of design soil se,oaraL'on,then the sysfem need not be upgraded,reparred,r�pJaced,or
ris use drscontinued,notwittrslanding any loca!ordinance that is more sUrcf. This provision does nof apply to systems in shoreland arsas,
WeJlhead Protectron Areas, or fhose used in connection wifh food,beverage,and lodging eslablrshments as defined in law.
www.pca.state.mn,�s • 651-296•6300 • 800-657•3864 • TTY 651-282-533Z or 800-657-3864 • Available in alternative formats
wq-wwists4-31 • 1124!12 Page 3 oj 3
Nov 11 2016 09:11AM HP FaxRusty Olson 7634988290 page 14
Tank Reuort
Date: atoDer 24,2016
£lmer T.Peterson Co.
5921 Dague Ave.
Detano,MN 55328
Phone 763-f772-24Z0
Fax 763-972-7217
MPCA I.iccnse#219
Enc Timko
1045 Brown Road S
Orono,MN 55381
763-772-2259
13aftles: ON OFF
Tank Capacity; 3-1500 Gallon Tanks Per Cfty Records
�of Tanks: 3
Type of Tanks: Concrete
Gallons pumped:i aoaa
Manholes to Crrade: YES / NO
CommenLs:
On October 24,2016,Elmer J Peterson Co uncovere�2�a rpanhole(1"manhole and lift stadon manhole
to 9rada)and pumped tanks. No cracks or water leaking ir tanks at that time.
NOTF.:1'his is only a tank report. 1'his is not a compliaz�ce inspect{on for puint of salr nor does it
replace n c;ompliance inspection.
Nov 11 2016 09:11AM HP FaxRusty Olson 7634988290 page 15
r�
Property address; f 045 Brown Road S �
— - Inspector inrtialslp�e 1p/2M16
1. Impatt Ot1 Publit Fledlth—Compliance component#1 bf 5
Compliancs criterla: Verification mothod(s):
Syatem diachn�gc ae�w„�e�o me � y 88��yp' [] Seareh�O!or surface outlet
�und sudace__ � 0 Searched tor sCepf�g in yard/beckup in home
System diccharge aewepe to drain tile ❑Yes ❑ryo ❑ Excacsive ponding In aal aya�arrdp-boMer
w surface wecers. --- _ � Homeowner testlrtanY(Ses cbmmen:aiF�rpranec'ar)
System eause sewage baCKup iMn ❑y� ❑No ❑ "�eck soil"ebovo soil dispersai system
d�uelVingorestabfishment. I C Sysiemrepuires'emergencypumping
Any��yas„answe�r above irrd/cttea the ayatsm is ❑ Performed dye teat
an lmminent Threat to Pubflc Hes/th and Safety. ❑ unawe to veriy(see�mm,ncs�xpraneuon�
-- ❑ Omer methods not listed(Sae commenvs�F_,rae,�enon�
Commertt s�E�cp lartatlon:
2. Ta�k Integrity—C4mplian�cornponent#2 of 5
_Compllance eritaria: Verlflcatlon m�thotl�s�:
System cans�sts of a seepa{�e pit, i ❑yea �No ❑ Probed tank(s)bottom
cesspool,tlryvvell,or�aaching pit.
L; Examined mns�rudion recwds
3eeCepepitsmaatirip7080.2550meyOe ❑ E�tninedTenklntegrityFOrtft{AUach)
wmplianr i7 ellowea rn bcal o�dinent�e.
Sewage taMc(s)leak bebw their ± � � �bserved liquid level below opera6ng dapth
tlesi9ned oPe�depth. , � �YAe �No pty(pumpadJ tanks(s)
� Examinetf em
If yes,which sewage tank(s}leaks: ❑ P�obed oufside tank(BJ for'black sal"
Any`•yes"answer above indi at@8(h! Q Unable to verrfy(See Com�xp(enat�an)
system is F�il►ng to Protect G�oundwatar. ❑����5 not listed(See Ccmrraents/Fxplanet�or,l
Camments/E�lanafi on:
On 1Ql24/16,Elmer J.Petetson Co.pumpeC tanka.
3. OLhE�CORIpHaflte COr1dlt�OnS—Compliance component#3 oF 5
a. Maintenenpe hole oovers are dartiaged,clacked,unsecured o�appear C�str�y ur�sound. �Tes• ❑No ❑UNcnown
b, Other iegu2g(e/9�9TCe1 hazartYs,e�.)to immpd'f8t61y and adVM9Cly impaci publiC health or 38fg�y. [J Yes' ❑No ❑Unkno�m
'System ie an immineM Nrroat tp pnal�h W fh and sah,h,
E7�lain:
c- Syatem is norrprotedive of ground vreDer for other oonditlons ea delermined by inspeUor ❑Yes' ❑No
'SYcaer+'�Is MJ�fnq tc P+nEect groundwah.v
Expldn:
wt+w-pca.tta[c.mn.us . 65i-2%-6300 • 800-657-3a64 TTY657-25�5332 ar a0f1-657-3g� . Avajlable in altema[ivetormits
w9•�sts1-31 . 1/74l 72
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Nov 11 2016 09:11 AM HP FaxRusty Olson 7634988290 page 15
_r�
Property addreas: fp45 Brown Road S Inspector mitialsrDate: 10/2M16 /
1. Impact 011 Publit Fledlth-Compliance component#1 �f 5
Complfancs critena: _ Verificatfon mothod�s):
T- '
SyBtem diachn�ge aewafle to ehe_i❑Yes p No � ���•a��surfaee o�tiel
�round sudace. ❑ Seaictied tor Secpirtg jn yardlbackup in home
System diccharge saweQe to drain tile �Yes C'No � ��r61Ye ponding in aoil ayabarrdD-bo,es
or surfaoe we.ers. _ , � ❑ Homeawner Destlmony(Ses Cbmmsn:a�p�aneb'on)
System cause sewage baCkup'vrip ❑y� ❑No C1 'BlecN soil"nbove soil dispersai systam
c�+rellingorestaWishment. ` ❑ System�uires'emergency�pumping
Any"yes"anawar abovo indio�tea tha ayatsrtt is G Pe�famed dye test
an(mmJnent Throst to p11b�/c HealU�end Saf�a[y. ❑ uneble to verity(see c�mments�rprenanon/
_ ❑ Other methods not listed(Sae Commenrs/Explenebon)
CommeMs/E�cp lanatlon:
2. Tdr1k Integrity-Complianoe cornponent#2 of 5
_Co�nCe criiaria: _ Verlfkation m�thod�s�:
&ystcm consists of a seepage pit, � Q Yea �No ❑ ProDed tank(sJ bottom
cesspod.QryweJl,or Ieaching pit.
�, Exarnjned mng�rudion records
Se9pepe piGc maating 7080.2650 mey 6e ❑ E�mtningd Tank I nteg�ity FOrttt(Attacn)
complient if e!lowealn bca+oMinarx�e.
9e�^iege tartk(s)leak balow iheir ± � ❑ �b�rved tiquid Ieve1 below operating depth
❑Y@s �No
designed operaHng depth, � Fxaminetl emAH(P�mPed;tanks(s)
If yes,which sewage tank(s}leaks: � � Probed ouL4ide tank(a)fpr`black saf"
Any`•yes"anaw9r above indi ates the Q Unable ta veriry�see canmoms�pr�na��a,1
system is Fsi!►ng to Profect Groandwatar. ❑��methods not listed(See Carrm�enty6cpbneWnl
CommentrJE�lBnafion:
On 10124/16.Elmer J.Peterson Co.pumped m�ka.
3. Othe�COt11PI�df1Ce COr1dlt�OnS—Compliance component#3 oF 5
a. Malntenence hde mvers are dameged�cracksd�unsecured,or appear h�strt�chxaNy ur�sound. ,'�Yee' ❑N a ❑UNenown
b. Other igg�g(elac4Ycml harartis,e�.)to irmwdigtby and adYereely impact public health or Safery. ❑Yes' ❑Na ❑Unknovm
'systan is an immin�+r!Nww2 to pubNc hwVaf and safely
E7�lain:
c. Syetem is nor►protedive of ground vre4er(or othar ooMitlwis ee tlelerminetl by inspeUor ❑Yes' ❑No
"SY����N�►g io P�oEect groundwretcr
Exptein:
www.pca.su[e.mn.us • 65t-2%-6300 • 800-657-]864 . 7TY657-2ffi-5331ordd7-657�3gy1 • Availa6leinaltemativeformats
w4-�sts43� . �/24I72
Acqe 7 of 3
Nov 11 2016 09:12AM HP FaxRusty Olson 7634988290 page 16
Soil Observation Log
wwtiv.SepticResource,com vers 12.4
Ow•ner Information
Property Ow�ner/projecr. Eric Timco Date 10/20/2016
Property Address i PtD: 1045 Rrown Road S
Soil Surve Information ❑ refer to at�ched soil survey
PaCent matl's; C Till ❑ Outwash ❑ Lacustr,ne ❑ Alluvium ❑ Organic ❑ Bedrock
landscape position: ❑ Summit Q Shoulder � Side slope ❑ Toe slope
soil survey map units; L4U13 slope % direction-Lineal
Soil Log#1
G Boring ❑ Pit Elevation 95.5 Depth to S�[W? X inches
Depth(in) Textore fragment% matrix co!or redox coEor consistence grade shape
0-12 Topsoil <35 10yr3;2 Loose Loose Singtegra��
12-18 Loam <35 i0yr4l3 Friable Strong Blocky
18-24 C'.ay Loam <35 I Oyr5i4 Firm Strong Blocky
�35 loose :oose single grain
35 -50
friable w-eak granuiar b�ocky
>50 f� moderate prisma[ic platy
rigid strong ma��sivr
c35 lOOSe 1o05e single @rain
35-SO friable weak granular hlocl.y
>50 f� moderate Arismatic platy
:igid strong massive
Comments:
Nov 11 2016 09:12AM HP FaxRusty Olson 7634988290 page 17
1045 Brown Road S Soil I.og #2
� Boring ❑ Pit Elevation 97 Depth to SHWT X inches
Depth(in) Texture fragment% matrix color redox color consistence grade shape
0-8 Fill <35 Loose Loose Single grain
5-18 Topsoil �5 10yr3/Z Friabie Loose Single grain
]8-22 Loam �35 10yr4�3 Friable Strong Bloc;c}�
22-28 C]ay Loam �35 10yr5!4 Friable Strong Blocky
28-32 Sandy Loam <35 ]OyrS!4 Fr:abte Moderate Blocky
]045 Brown Road S Soil Log #3
'] Boring ❑ Pit Elevation Depth to SHV�'T
Depth(in) T�exture fragment% matrix color redox color consistence grade shape
�35 loose loose single grain
friable weak ganular btocky
35 -50
firm moderate pr�smacic p�ary
>50 rigid strong massive
c35 �OOSe �oo5e �inglz grair.
friable weak granular b�o�y
35 -50 F� moderate prismatic plary
>50 rigid strong massive
<35 loose loose ,;ngle grain
s friabie weak granular b�ocky
35 -.,0 f� moderate P P atY
rismaiic I
>50 iigld StrOng massive
<35 loose �oose single�ain
friable we3k granulaz blocky
35 -50
firn� moderate ���smazic piacy
>50 rigid StCorig �nassive
<35 loose loose s;n�e gra,n
35-50
friable weak gan�ia� bioc::y
>50
firm moderate Prismac�c P�ary
Tigid strong massive
1 hereby certify this work was completed in uccordance with MN 7080 and any local req's.
Rusty Olson's Soil & Perc 810
esigner Signature Company License l�
Nov 11 2016 09:12AM HP FaxRusty Olson 7634988290 page 18
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