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Home My WebLink AboutSeptic Compliance Inspection Mar 17 2017 09:55AM HP FaxRusty Olson 7634988290 page 1 � � RECEIVEG� "1AR 1 7 ZO1T �ITY OF ORONO , -� . Fax Transmittal Form Date: 3I17/2017 Total Pages: II9 To: City of Orono Phone Number: Fax Number: 952-249-4616 E-mail: From: Joseph J Olson Phone Number: 763-498-8779 Fax Number: 763-498-8290 E-mall: rus�y2654�comcast net ❑Urgent �For Review ❑Please Comment ❑ Please Reply Message: This is the septic cert for l003 Cox Farm Road. Please file. Mar 17 2017 09:55AM HP FaxRusty Olson 7634988290 page 2 ::.r Minnesota Pollution Compliance Inspection Form Control Agency 520 l.�fayette Road North Existing Subsurface Sewage Treatmer�t Systems St.Paul,MN 55155-4194 (BSTS� Doc Type:CompBenas and EMor�emeni Instructions: Inspecti�n resulis based on Minnesota Pollution Cor�trol Agency(MPCA) � For local tracking� requirert�nts and attached forms—additional local requirements may also apply. � Submit comple�ed form to Local Unit of C3overnment(LUG)and system owner � MAR 1 7 2011 within 1 S days C�TY OF ORONO Systern Status System status on date(mmlddfyyyy): 3/10/2017 Q�Compliant- Certi�cate of Compliance ❑ Noncompliant-Notice of Noncom pliance (Val'rd for 3 yesrs hnm repoR date,unless shorter Nme (See Upgrade Requirements on page 3) frame outlined in Loca!Ordfnanoe.) Reason(s)for noncomplia nce(ch�ck aq appllcable) ❑Impact on Public Health(Compliance Component #1)-lmminenf threat to public healih and safety ❑Other Compliance Conditions(Compliance Component#3)—lmminent threat to public health and safefy ❑Tank Integrity(Compliance Component #2)—Faifing to protect groundwafer ❑Other Compliance Conditions(Compliance ComponeRt�i.3}—Farling fo protect groundwater ❑Soil Separation(Compliance Component #4)—Failirrg to protect groundwafer ❑Operating permithnonitoring plan requirements(Compliance Component #5)—Noncompliant Property Information Parcel ID#or Seclfwp/Range: 27'1182333Q014 Property address: _1003 Cox Farm Road,Orono,MN Reason for inspection: Property Transfer Property owner: Daniel Hartlein Owner's phone: or Owners representative: Erik Myhran Represenfative phone: 812-810-3745 LoCal regulatory authority: City of Qrono Regulatory authority phone: 952-249-460Q 2-1000 gallon septic fianks,l-1000 gallon lift station and 500 square feet of mound rockbed.per Gty Brief system description: records Comme�ts or recommendations: There is a large number of trees growing through the mound system.The trees must to be removed or they will destroy the system. Certification 1 hereby certify that al!the necessary irrformafron has 6een gathered to determine the comp/iance status of this system.No determination of Tuture sysfem perfamance has been rror can be made due lo unknowrt condifions dudng system consfn�ction, possible a6use of the sysfem,inadequate maintenance, or future water usage. Inspector name: Jose h J Olson Cert�cabon number: 1255 Business name: Rus O 's Soil&Perc.Testin License number: 810 Inspedor signature: Phone number: 763-498-8779 Necessary or Locally Required Attachments �Soil boring logs �System/As-buiH drawing ❑ Fornns per local ordinance ❑Other informatiort(list): www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651•282-5332 or 800-657-3864 . Available in altemative formats wq-wwlsts4-3r . f/z4/f2 Poge 1 of 3 Mar 17 2017 09:55AM HP FaxRusty Olson 7634988290 page 3 Property addres5: 1003 Cox Farm Road,Orono MN Inspec�or inEtials/Date� J. �.3l10/17 1. lmpact on PubliC Heaith—Cornpliance component#1 of 5 Compliance crlteria: VerEficatlon methad(s): System discharge sewage to the � ❑Yes �No � Searched for surfaoe ouflet ground surface. � Searched for seeping in yardlbackup in home System discharge sevrage to drain tile i ❑Yes � No ❑ �cessive ponding in soil system/D-boxes or surface waters. ❑ Homeowner testimony(See CommentsiExplanation) System cause sewage backup into � ❑Yes �No � 9g�adc soil'a6ove soil dispersal system I ❑ System requires"emergency'pumping dwelling or establishment. ; An " s"answer above indicates the s stem is � Qerformed dye test Y Ye Y ❑ Unable io verify(See Comments/ExF.vanation) an lmminent Thrieat to Pub!!c Health and Safety. ❑ Other methods not listed(see comments�Ex�fenatlon) CammerrtslExplanaaon: 2. Tank Integrity—Comptiance component#2 of 5 Com iiance criteria: Verif�catlon method(s): System cc�nsists of a seepage pit, , ❑Yes �No ❑ Probed lank(s)bottom cesspool,drywell,or I�ching pit. j ❑ Examined constn�ction records � Seepage pits meet;ng 7080.255o mey be � ❑ Examined Tank Ir�tegrity Form(Aaach) com iant if aNawed!n focaf orrlinanee. Sewage tank(s)ieak below their ❑Yes � Na � Observecl liquid level below operating depth designed operating depth. ❑ Examined empiy(pumped)tanks(s) If yes,which sewage tank(s)leaks: i ❑ Probed outside tank{s}for"bladc sail" ❑ Unable to vetify(See Commer►ts/Explanatlon) Any"yes"answer above indlcate�s the �Other methods not lisbed(See Comnrents/Expianation) system is Farling to Protect G�oundwater. Co mments/Explanation: Peterson Company pumped the tanks. 3. Other Complidnce Conditions—Campliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecx�red,or appearto sGvdurally unsound. ❑Yea" �No p Unknawn b. Ottter issues(elecbical harards,etc.)to immediately and adversely impad public healfh or safety. ❑Yes' �No � Unknawn "Systam!s an la►minent threat to publlc heafd�and safety Explain: c. System is non-protedive of ground water ior other oonditions as determined by inspector O Yes` �No •SysDem is fai!!ng tn protect groundwater Explain: www.pca.state.mn.us • 651•296-6300 • 800-65T-3664 . TTY 651-282-5332 or 806-657-3864 • Avaitable in altemative formats wq-wwists4-3i . 1l241!2 Poge 2 of 3 Mar 17 2017 09:55AM HP FaxRusty Olson 7634988290 page 4 Property address: 1Q03 Cox Farm Road,Orono,MN Inspector Initiais/Date: J. 0.3/10/17 4. 5011 Sepa�ati011—Compliance component#4 of 5 Date of instaltatlon: 8/17/94 ❑ Unknown Verificatian method(s): ShorelandNlfelihead pro2octioNFood Bevera8e �yes ❑ No Sa!observa6on does not expire.Previous soil Lodging� p,bservatrons by hvo independent parties are sufficient, Compliance criEeria: unJess site conditior►s have been alterBd orlocal For systems built prior ta ApriJ 1, 1996, and ' ❑Yes ❑No �7uirements dlffer. »�t located in Sirorelsnd or Wellhead � Conducted soil obsenration(s}(attaeh boring logs) Prof�ction Area ornafsenring a food, ! ❑ Two previous verifications(Attach bwinglogs) beverage or lodging establishment� � ❑ Not applicable(liokting tank(s),no dre;nfield) Drainfield has at least a two-foot vettical � ❑ Unabie to verify(See Commerrts/Explanation) separetion distance from periodically � saturated sdl or bedrock. ❑ Other(See Comments/Explanation) IVon-perfomtance systems builf Aprif 1, � �Yes ❑ No CommentslFxplanaHon: 1996,or later or for nan-performance i systems located in Shor�eland or Wellhead � Protection Ar�as or serving a food, � bever�ge,or lodging establishment_ i Drainfield has a three-foot vertical separation distance from periodically i saturated soil or bedrodc."` I "Experimental; �arner;or Perlorrnanae" � ❑Yes ❑ No Indicate de ths of elevations systems built under pie-2008 Rules;Type I V ' or V systems built under 20'08 Rulas(7080. � A. Bottom of distrlbutian media 'f 05.9 2350 or T080.2400 (Advanced Inspector ' License required) j 8. Perioditall saturated soil/bedrodc 103.2 Drainfield meets the designed verlical C. System separation 2.7 separation distance from periodically ; � — saturated soil or bedroCk. I D. Required compllance separation' I 2.6 Any"no"answer above indlcates the system is *May be reduced up to 15�ercerit if allowed by Local Faflirtg to Profect Groundwater. Qrdinance. 5. Operating Permlt and N�trogen BMP''-Compliance component#s af 5 � Not applicable Is the system operated under an Qperating Permit? ❑Yes ❑ No If"yes",A below is required Is the system required to empby a Nitrogen BMP? ❑Yes ❑ No H"yes",B below is required BMP=Best Management PracUce(s)specified in the sysfem design !f the answer to both quesilons is"no'; this secUo»does not need to be completed. Cornpliance criteria a. Operating PeRnit nurnber: i ❑Yes ❑No Have the Operatina Permii requiremer�ts been met? � b. Is the required nitroqen BMP in place and properly functioninq? ; ❑Yes ❑ No Arty"no"answer indicates Noncompliance. Upgrede Requlrements(Minn.Stet§ i 95.55)An imminent threat to public heslth and safety(ITPHS)must be upgraded,repleced,or its use discontinued within ten mpntbs of roceipt of this notice or withrn a sho�ter pedod N required by/oca!ortfinsnce.!/the system is failing to protect ground water,ti�e system must be upgredetl,replaced,or its ase discontinued witbin the time requirad byloca!ordinance.If en existing system !s notfeiling as defined in 1ew,and bas at least hvo lset of design soll separetion,then the system need not be upgreded,repeired,replaaed,or its use discontinr�ed,notwithstanding eny/oca!ordinance thet is more strict.This provision does nat apply to systems in shoralend eneas, WoNheed Prafection Areas,a those used in connection wrth food,6everage,and fodging establishmerrts as defined in law. www.pta.state.mn.us • 651•296-6300 • 800-657•3864 • TTY 651-282-5332 or 80D-657-3864 • Available in alternative formats wR-wwlsts4-31 . f/24/i2 Poge 3 ot 3 Mar 17 2017 09:55AM HP FaxRusty Olsai 7634988290 page 5 Tank Renort ��: March 10,2017 Elmer7,Petcrson Co. 5921 D�ue Ave. Delano,MN 55328 Phone 763-972-2420 Fax 763-972-7217 MPCA License#219 1QG3 Cox Fartn Road OrOno,MN 55356 Erik Myhran(Real�ar)612-$10-3745 Bal7les:�J� OFF Ttutk Capacity: 3-id00 Galfon Tanks #of Tarilcs: � Typc of Tanks: Concrete Gti.11ons Pumped: 2500 Manholes to Gradc: YES / NU Cominents: On March 10,2017,Elmer J.Peterspn Co.uncoveretl manholes(1"—9 inChes deep,2^�_13�nches deep,lift station to grade)and pumped septic ianks. No cracks or water leakmg m tsnks at tha°time. There is some corrosion in lift statlor.. NOTG:This is anly a tank report. This is not a compliance inspection for point of sale nor does it repiac:n a compiiance inspection. Mar 17 2017 09:55AM HP FaxRusty Olson 7634988290 page 6 PropertY addre�: 1003 Cox Farm Road ,�/ _,� InepectorinfidalDets; 3l10l17 Y � 1. Impaft on Pubtic Health-Camp�iance component�1 of 5 CompNance crlterla: __ _� VerRicatbn method(a): Syatem dieeherge sewape to the ' �Yes ❑No ❑ ��aurface outlet gro�nd surfeoe. ' ❑ Seardled forse ePirtg�yard/badcup in home 9ysarm WschaiQe aewape to drain tile 0 esY []ryp ❑ Exoesaive ponding in soii system/D-no�aes ar surtaca waters. � ❑ Horneowner�stimony rsaer commenlyF,rpbn�'o„� Syatem cause sevrega baqcup Irrto ❑Yes ❑No � �Bteck sal'above soil dispenal sysiem dweYing w estabGahmeM. ❑ Syslem requies'emer9m�Y'P��6 ARy•�yes•�1v�alarabara h►nllcaios tha ❑ Pertorrnad dya teat an In►minerK Threat to Pubflc Pla�lEh and Safoty. ❑ uneb�e to verily(see Comment�rpronaua�) _ _ ❑Otllermdthads not listed(See Commenr�Expranruon) �ann�ent�lE�IanaUon: 2. Tank I�tegr�ty-Comp�iance component�a ot 5 Complianr.e criterla_ Verificatlan method�a►: Syscem consists of a seepapa pit, � ❑Yea �No O Probed tanlc(s)ootmm wsspuW,drywell,or leaohing pit. � � Examvied constr�tion records seena9ePds meaHnp 7080.z55omeyee ❑ F�nined Tank Inteyrity Form tANach1 carr er+rMaBbunedln loeslc+rdrrwnca. Sativpge tank(s)leak below lheir ��'ed Iiquiu level below pperadag tlepth dqs'�eci operatir� de�. __��Ya �No � Examined emPty(P�+�+Pedl tanks(a) IF yes,whlch sgwgpe tenk(a)leake: ' ❑ Probed autsids tank(s)for"W��^ �4ny"y�ea"anawe�abovo indlcaMs the � ❑ u"'b1°iO"�"�'��OfY"B^�"�a�� system is Fa1!!ng t�o Protoct Groundwater. ❑omer metnoda not 6srad�sea cane�,�Xpe�onj CommentalExPlertatbn_ � On 3/1p/17,EMerJ.P�tarson Co.pumpsd tanks. 3. Other Comptiance Conditions-Campl�ance component�a ot 5 a. MefntenarK�Fwl�cove�s ero�ma9ad,etacked.unBEared,or apr,ear eo sau�n,ra�y unsound. ❑v�s• ❑ra Q una�, b. Othet iesuet(sacMcalha:aMs.e1cJ b immedietely andadveieeN�P�P�bGC heaflh or safety. ❑Yr• ❑No ❑Unknown 'Systwn ls+n iaxninant tlnoat t0 pubRchaaJtl►and safehr F�rpleln� c. SY��1-MO�dILe Of growtd wat8f kf oth9r O�rldib011s ae delEftl'Uned by irtBp�C6Df ❑Y�' �No 'Syslem IS(QIIi►rg[p p/ipLiCi Sjl(WI�dW��N Ezplaln: www.pa.�t�ce.mn.us . 65�-296-6300 - 800-657-3864 . TTY 651•2523332 or QOp65�-3861 . Availebie 6n alte�7ative fortnats wq•wwists4•31 • f/7�/12 Paqe t of) Mar 17 2017 09:56AM HP FaxRusty Olson 7634988290 page 7 Soi� Ubservation Log www.SepticResource.�om vers 12.4 Owner Information Property Owner/project: Daniel Hartlein Date 3/10/ZO1? Property Address/PID: 1456 Iffert Ave SE. Soil Snrve Information ❑�efer to attached soil wrvey Parent matPs: 0�ii ❑ o�wa�r, ❑ I.aa�strine ❑ai��m ❑o�a��c ❑ aedro�k landscape position: ❑Sumrnit ❑ Shoulder 0 Side slope �Tce slope soil survey map uni[s: L25A slope % direction- Soil Lo #1 �eoring ❑ P►t Elevation 107.4 Depth to SKWT 50 Inches Depth(in) Texture fragment% matrix color redox color consistence de shape 0-24 Fill <35 10yr4/2 Lopse Loose Singiegra� 24-50 Topsoil <35 10yr3/2 Friable Strong Blocky �5 loose loose 59�e grain 35-�0 friable weak granular blocky firm rnoderate urism�� p��v >50 rigid strong �ffis�ve <35 loose loose �;n�e grain 35-50 friable weak �u�a� blocky >50 f� rnoderate prismacic piazy rigid strong messive loose loose singie�sin �35 friable weak 35 -50 Sranula nlocky firm mOderSte Prismatic ptaty >50 rigid strong massive Comments: Mar 17 2017 09:56AM HP FaxRusty Olson 7634988290 page 8 1056 Iffert Ave SE. Soil Lo #2 �80�� ❑� Elevation 104.9 Depth to SHWT 20 Inches De th(in) Texture fragment% matrix coloc redox color consistence grade sh 0-12 Topsoil <35 I Oyr3/2 Loose Loose Single grain 12-20 Clay Loam �35 10yr4/3 Friable Strong Biocky 20-24 C1ay Loam <35 ]Oyr4/4 10y4/$,1-6/l0y Firm Strong Pdsmatic c3� 1O05e lOOse singlegain frisble weak granular blocky 35-50 firm rnoderate Prismatic platy >50 Clgld Sd'0[Ig massive <35 laose loose single�ain 35-50 friable weak granular biceky �5� firo'1 rnoderdte prismatic plety rigid strong "'°u"� 1056 Iffert Ave SE, Soil L #3 ❑ Boring ❑Pit Elevation Depth to SHWT Depth(inl Textvre fiagment% mad�ix color redox eolor consistence grade sha �35 loose loose single grain 35-50 friable weak ganu�ar btocky �,SQ fii'm moderate prismatic plary rigld strong massive 435 ipOSe loOSe single grain 35-50 friable weak granulsr blocky �5� ftrm moderate prismetic plary rigid strong m�s�Ye <35 ]oose loose Singla graia 35-50 friable weak grffi,u�ar blocky �5� fvm rnoderate pRsma�ic ptary rigid strong m�sive �35 �OOSC �OOSB single�sin friable wedlc granular blocky 35-50 firm moderate pnsmatic platy >50 rigid strong massive <35 1005e loose single grain 35-50 friable weak �anular blacky �SQ firm moderate P�� P1�Y ['lgld StrOflg massive I hereby certify thrs work was rnmpleted in accordance with MIV 7080 and arry local req's. �. Rusty Olson's Soi!&Perc S10 igner Signature Company License# Mar 17 2017 09:56AM HP FaxRusty Olson 7634988290 page 9 ��v Wx �� t Q sa►a � � �� _, I � � -� _ _ � � -- _ � ��i 1 I � �� . � >C � V/ � � � f . � � �7, m�# a7;q � `� � �.-' . o� 33a 309 �m� ��U 3�� . c�" ��;3 �l p3 1 �(l 1 `tS1 I [ �/v 3