HomeMy WebLinkAbout05/09/2017 Septic Compliance Inspection ��n�� . Minnesota Pollution C0171 liance Ins ection Form
� Control Agency p p
�°�- t Existing Subsurfaae Sewage Treatment Systems (SSTS}
520 Lafayette Raad North
St.Paul,MN 55i55-4194 Doc Type:Compliance and Enforcement
In8pe�tion results based on Minnesota Pollution Control Agency(MPCA) For local tracking purposes:
requirejnents and attached forms—additional local requirements may also apply.
Submit completed form to Local Unit of Government(LUG)and system owner
within I15 days
System Status
S�ystem status on date(mm/dd/yyyy): 5/9/2017
❑ ($ompliant— Certificate of Compliance � Noncompliant— Notic� of Noncompliance
(Valid for 3 years from repo►t date, unless shorter time (See Upgrade Requirements on page 3.)
fi�eme ouNined in Local Ordinance.)
I�eason(s)for noncompliance (check al!applicab/e)
i� ❑ Impact on Public Health (Compliance Component#1)—lmminent threat to public health and safety
I ❑Other Compliance Conditions(Compliance Component#3)—fmminent threaf fo public health and safety
', �Tank Integrity(Compliance Component#2)—Failing to protect groundwater
❑ Other Compliance Conditions(Compliance Component#3)—Failing to protect groundwater
', � Soil Separation(Compliance Component#4)—Failing to protecf groundwater
', ❑ Operating permit/monitoring plan requirements(Compllance Componenf#5)—Noncompliant
Property Information Parcel ID#or SeclTwp/Range: ____
Property address: 525 Ferndale Road N, Orono Reason for inspection: Sale
Property owner: James Ogland Owner's phone: 612-986-4541
or
Owner's representative: Representative phone:
Local regulatory authority: Ciry of Orono _ ____ Regulatory authority phone:
Brief system description: 2 -block ta�ks and a gravity�ock trench
Comm�ents or recommendations:
System had been inspected by city and labeled as non-compliant on 7/26/2001 and was supossed to be replaced by 12/31/2010
Certi�'ication
1 hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No
dete�jnation of future system performance has been nor can be made due to unknown conditions during system construcfion,
possible abuse of the system, inadequate maintenance, or future water usage.
Inspector name: Josh Swedlund Certification number: C1659
Business name: Sewer Se ' s In �icense number: 2502
Inspector signature: Phone number: 952-873-3292
Nece�sary or Locally Required Attachments
� Spil boring logs � System/As-built drawing � Forms per local ordinance
❑Other information (list): _._ __
www.p�a.state.mn.us • 651-296-6300 • St10-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in altemative formats
wq-wwi;ts4-31 • 3/16/12 Page 9 of 3
Property address: 525 Femdale Road N,Orono Inspector initials/Date: JS I 5J10/2017
(mMdd/yyyy)
1. Impact on Publit Health—Compliance component#1 of 5
Com liance crfteria: Ve�ification method(s):
System discharges sewage to the ❑Yes �No �Searched for surFace ouUet
round surface. �Searched for seeping in yard/badcup in home
System discharges sewage to drain ❑Yes �No ❑Excessive ponding in soil system/D-boxes
tile or surfaoe waters. ❑ Homernmer testimony(See Comments/Explenatlon)
System causes sewage badcup into ❑Yes �No ❑'Bladc soil"above soil dispersal system
dwetling or establishment.
❑System requires°emergency"pumping
Any"yes"an:wer above indfcates the ❑performed dye test
system is an imminent threat to public ❑Unable to verify(See Comments/Enpianatlon)
he�/th and safety. ❑Other me�'tods not(isted(See Comments/Explanatlon)
CommenblExplana�on:
2. Tank Integrity—Compliance component#2 of 5
Com Ilance criteria: Verificatfon method(s):
System oonsists of a seepage pit, �Yes ❑ No � Probed tank(s)bottom
cesspool,drywell,or leaching pit.
❑Examined constnaction recoMs
Seep�ge pits meedng�080.2550 may be ❑Examined Tank Integrity Form(Attach)
com iarrt if albwed in loca/ordinanoe.
Sewage ta�k(s)leak below their �Yes ❑No �Observed liquid level below operating depth
designed operating depth. ��mined empry(pumped)tanks(s)
If yes,which sewage tank(s)leaks: ❑ Probed outside tenk(s)for"black soii"
Any "yes"answer above indicates the ❑ Unable to verify(Sse Comments/ExplenaHa►)
system IS faJling to pl"oteCt 8roundwatel: ��her methods not listed(see commeMs/�icp/a►►atlon)
Commer�ts/Explanation:
Labeled as concrete blodc tanks on aty inventory record
3. Other Compliance Conditions—Compliance component#3 of 5
a. Maintenar�ce hole oovers are damaged,cracked,unsecured,or appear to be stnx�uraily unsound. ❑Yes" �No ❑Unknown
b. Other issues(elechica/hazaRis,etc.)to immediately and adversely impact public t�alth or safety. ❑Yes" �No ❑Unknown
*System Is an Imminent threat to pubNc heslth and safety.
Explain:
a System is non-protedive of ground water for other oorxl�ions as determined by inspector. p Yes• �No
"System is falNng M proLect�narndweber.
Explain:
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651•282•5332 or 800-657-3864 • Available in altematfire famats
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Property address: 525 Femdale Road N Orono Inspector initials/Date: JS I 5/10/2017
(mm/dd/YriY1
4. Soil Separation—Compliance component#4 of 5
Date of installatfon: 6/1/1953 ❑ Unknown Verification method(s):
(mM�y� Sofl obsenraHon does not expiro. Previous soi!
ShorelandlWallhead protectloNFood beverage �Yes �No observations by(wo independent parties are sufhclent,
��9��g� unless site c�onditions have been alter�d or bcaJ
Com liance criteria: requirvments dilfer.
For systems built prior to April 1, 1996,and ❑Yes � No �Conduded soil observation(s)(Attad►bortng logs)
not located in Sho�land or Wellhead ❑Two previous verifications(Attach baing Ibgs)
Protecaon Area or nof serving a food,
beverage or lodging establishment: ❑Not appticable(Holding tank(s),rm dreinheld)
Drainfield has at least a two-foot vertical ❑Unable to verify(See Commants/Explsnetion)
separation distance from periodicaliy ❑pther(See Can�ntsiExplanation)
saturated soil or bedrock.
Non�e►fom►ance systems built April 1, ❑Yes ❑No CommentslExplanation:
1996,or later or for non pe►fom►ance
systems located in Sho�sland or Wellhead Boring:
Protection Areas orserving a food, 1-8"10 yr 2/2 loam
beverege, orlodgingesteblishment:
9-22"10yr 4/4 silty clay loam
Drainfield has a three-foot verticai
separation distance from periodically redox-20"
saturated soil or bedrodc."
"Experimental; `Othe�', or °Performence" ❑Yes ❑No Indicste de hs or elsvations
systems built under pr�-200B Rules; Type!V
or V systems built under 2008 Ru1es(7080. A. Bottom of distribut�n media 24"
2350 or 7080.2404 (Advanoed Inspector
License required) B. Periodical saturated soiUbedrodc 22„
Drainfieid meets the designed ve�tical C. S tem aration 0
separation distance from periodically
saturated soil or bedrock. D. R uired r,om Ilance se ration• 24"
Any"no"answer above indicates the system is *May be reduced up to 15 percent if allowed by Locai
failing to protect groundwater. Ordinance.
5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 � Not appflcable
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 requirod
BMP=Best Management Practice(s)specif'ied in the system design
If the answer to both questions ls "no'; this sectlon does not need too be comp/eteaf.
Com Ilance cHteria
a. Operating Permit number:
Have the O ratin Permit uirements been met? ❑Yes ❑ No
b. Is the uired ni en BMP in lace and ro erl fun+ctionin ? Yes ❑ No
Any"no"answer Jndlcates Noncompliance.
Upgrade Requirements(Minn.Stat§115.55)An imminent thr�af to publk hesJth ancf safety(ITPHS)must be upgraded,repleoed,or its use
discontinued within ten morrtha of receipt of thls notioe or wlGhin a shorter period!f requfred by bca!obinence.1f the system!s feflfng to proted
ground water,the system must be upg►�ded,neplecec!or fts use disaa►Hnued wlthin the flme nsquired by local ordinanoe.ff an exlsting system
Is not faNing as deflned in law,and has et least t�o teet of deslgn sof!separet/an,then the system need not be u�ropa/red,repleced,or
lts use dlscoMlnued,rrohNlthstanding any bca/ordinanre thst is more sM�t. fiis provlabn does nof apnfy to systems fn shoreland areas,
Wellhead ProtecSon Areas,or d�o�used in connectJar wlth food,bever�e,arnf bdgfng establishments as defined in law.
www.pca.state.mn.us • 651-296-6300 • 800�657-3864 • TTY 651-282-5332 or 800•657-3864 • Avaitable in altemative formats
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SEPTIC SYSTEM INVENTORY
&1te Address: 525 Ferndale Rd N PID 36-118-23-140005
Owner Name: James 8 Margaret Ogland
Ownsr Address: 525 Femdale Rd N Wayzata MN 55391
BulldfnpTvpe: residence Installer: unknown
Date of Pennit:
Svstem Tvpe: trench BR's Deslgned for 4
In Musa?: No Shoreland?: Yes
SEPTIC TANKS:
Material: concrete block Capacitv: unknown Tank Filter:
DRAINFIELD:
Treatment Area: Sofl Boring: yes DF Ht above Wt: 0.5
WELL DATA
Setbacks-Wsll Tanks: 50 Well DF: Report In Flle: Depth:
��:I .. o ;-w . ' . � '`��►. : T�� �2A�Q ". ', :: �� :�.:�'�,
� �. . ��� ��. �
� x:
8/1/2005 Non-compliant,replace by 12/31/2010(s/h/b 2007) � 4/24/2012 1500j
8/12/2003 non-compliant,replace by 12/31/2010 5/7/2009 1500;
7/26/2001 non-compliant,replace by 12/31/2Q10 6/18/2004 500;
3/21/2000 non-compNant,no surfacing,repair 12/31/08 10/4/2000 1000P
7/6/1998 non-compliant-DF surfacing,repair 1Q/15/98 5/1/1996 1000;
7/7/1995 non-conforming-repair by 12/31/97,pump tanks 9/1/1992 1000�
9/1/1992 no surfacing-need risers 9/1/1987 '
7/2/1990 no surfacing-need risers 9/1/1987 #
6/30/1987 no surFacing-pump tanks
7/10/1981no surfacing
7/10/1981 no surfacing �