HomeMy WebLinkAbout05/09/2017 Septic Compliance Inspection (2) ' �: Minnesota Pollution Compliance Inspection Form
�-u Controi Agency
�' ' Existing Subsurtace Sewage Treatment Systems (SSTS)
S20 Lafayette Road North
! St.Paul,MN 55155-4194 Doc Type:Compliance and Enforcement
Inspe�tion results based on Minnesota Pollution Control Agency(MPCA) For local tracking purposes:
require�nents and attached forms—additional local requirements may aiso apply.
Submi�completed form to Local Unit of Government(LUG)and system owner
within',15 days
Systeim Status
S�ystem status on date(mmJdd/yyyy): 5/9/2017
❑ C�ompliant— Certificate of Compliance � Noncompliant— Notice of Noncompliance
(Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3.)
fi�ame outlined in Local Ordinance.)
I�eason(s)for noncompliance (check all applicab/e)
I ❑ Impact on Public Health (Compliance Component#1)—Imminent threat to public health and safety
', ❑Other Compliance Conditions(Compliance Component#3)—lmminent threat to public health and safety
, �Tank Integriry(Compliance Component#2)—Failing to protect groundwater
', ❑ Other Compliance Conditions(Compliance Component#3)—Feiling to protect groundwater
' � Soil Separation(Compliance Componenf#4)—Failing to protect groundwater
', ❑ Operating permit/monitoring plan requirements(Compfiance Component#5)—Noncompliant
Property Information Parcel IQ#or Sec/Twp/Range:
Property address: 525 Ferndale Road N, Orono Reason for inspection: Sale
Proper�y 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 tanks and a gravitY rock trench
Comments or recommendations: _-m�_.
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 cerfify that all the necessary information has been gathered to determine the compliance sfatus of this system. No
detem�rination of future system performance has been nor can be made due to unknown conditions during system construction,
possible a6use of the system, inadequafe maintenance, or future water usage.
Inspector name: Josh Swedlund � Certification number: C1659
Busine'ss name: Sewer Se ' s In License number: 2502
P � 9 Phone number: 952-873-3292
Ins ec or si nature:
Nece�sary or Locally Required Attachments
� Soil boring logs � System/As-built drawing � Forms per local ordinance
❑ O�ther information(list): � _
www.pcastate.mn.us • 651-296-6300 •�800-657-3864 • Ti'Y 651-282-5332 or 800-657-3864 • Available in altemative formats
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Property address: 525 Femdale Road N,Orono Inspector iniaals/Date: JS I 5/10/2017
(rr►m/dt!lYYYYJ
1. Impact on Public Health—Compliance component#1 of 5
Com liance cHteria: Verification method�s):
System discharges sewage to the ❑Yes �No ���ed 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
�le or surfaae weters.
❑ HomeoHmer testimony(See Comments/Exp/anatl�on)
System causes sewage badcup iMo ❑Yes �No ❑"Bladc soil"above soil dispersal system
dweiling or establishment.
❑System requires°emergency"pumping
Any"yes"answer above indfcates the ❑ Performed dye test
system is an imminer�t threat to public ❑Unable to verify(See Comments/Explanation)
hea/th and safety. ❑Other me�ods not listed(See CommantsiF�cplanat/on)
Comments/Explanatlon:
2. Tank Integrity—Gompliance component#2 of 5
Com Ilance crlteMa: Verification method(s):
System oonsists of a seepage pit, �Yes ❑ No �Probed tank(s)bottom
cesspool,drywell,or leaching pit.
❑ Examined constnaction recorcls
Seepage pits meedng 7080.2550 may be ❑ Examined Tank Integrity Form(Att�h)
com !ar►t if aJbwed in loca/wdlnance.
Sewage tank(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 tank(s)for"bl�ck soil"
Any"yes"answer above indicates the ❑ Unable to verify(See Comments/Explanadon)
system is falNng to protect 8roundwate►: �a�r methods not listed(See Comme►tts/Explanetion)
Commerhs/Explanation:
Labeled as concrete block tanks on aty inventory record
3. Other Compliance Conditions—Compliance component#3 of 5
a. Mafr�tenance hole covers are damaged,cracked,unsecured,or appear to be stn�rally unsound. ❑Yes" �No ❑Unkrawn
b. Otl�issues(e/echlcal hazaRfs,etc.)to immediately and adversely impact public health or safety. ❑Yes" �No p Unknown
'�ystem!s an lmmir�ent threat to public hea/th end saf�ety.
Explain:
c. System is norrprotedive of ground water irn other conditions as determined by insp�tor. ❑Yes• �No
'�ystem!s falNng ta prot�ect groundwat�er.
Explain:
www.pca.state.mn.us • 651-296-6300 • 8�-657-3864 • TTY 651•282-5332 or 800-657-3864 • Available in altemative farmats
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Property address: 525 Ferndale Road N, Orono Inspector initials/Date: JS � 5/10/2017
(mm/dd/YYYY)
4. Soil Separation—Compliance component#4 of 5
Date of installation: 6/1/1953 ❑ Unknown Verification method(s):
(mm/dd/yyyy) Soi!observation does not expire. Previous soi!
ShorelandlWellhead protection/Food beverage �Yes � No observafions by two independenf parties are su�cient,
lodging?
unless site conditions have been altered or local
Compliance Criteria: requirements differ.
For systems built prior to Apri11, 1996, and ❑Yes � No � Conducted soil observation(s}(Attach boring logs)
noi located in Shoreland or We!lhead
Prc�tection Area or not serving a food, ❑Two pr�vious verifications(Attach boring logs)
bei�erage orlodging esfablishment: ❑ Not applicable(Holding tank(s),no drainfield)
Dr�iinfield has at least a two-foot vertical ❑ Unable to verify(See Comments/Explanation)
seK►aration distance from periodically ❑Other(See Comments✓Explanation)
saturated soil or bedrock.
No,�-performance systems builtAprill, ❑Yes ❑ No Comments/Explanation:
19:�6, or later or for non-perfo►mance
sy:tems located in Shoreland or Wellhead Boring:
Prutection Areas orse�ving a food, 1-8" 10 yr 2/2 loam
be��erage, orlodgingestablishmenf:
9-22" 10yr 4/4 silty clay loam
Dr�iinfield has a three-foot vertical
se��aration distance from periodically redox-20"
saturated soil or bedrock.*
"E�perimental'; "Othe�'; or °Performance" ❑Yes ❑ No Indicate depths or elevations
sy��tems built under pre-2008 Rules; Type IV
or'✓systems built under 2008 Ru1es(7080. A. Bottom of distribution media 24"
23:i0 or 7080.2400 (Advanced Inspector
LiGanse required) B. Periodicall saturated soil/bed�ock 22"
Driinfield meets the designed vertical C. S stem se aration 0
seF�aration distance from periodically
saturated soil or bedrock. D. Re uired com liance se aration* 24"
—�._. __.......................
Ariy "no"answer above indicates the system is "`May be reduced up to 15 percent if allowed by Local
fai'ling to protect groundwater. Ordinance.
5_Operating Permit and Nitro�gen BMP*—Compliance component#5 af 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
If the answer to both questions is "no'; this section does not need to be comp/eted.
Compliance criteria
a. Operating Permit number:
Have the Operating Permit requirements been met? ❑Yes ❑ No
b. Is the required nitrogen BMP in place and ro erl functionin ? ❑Yes ❑ No
Any "no"answer indicates Noncompliance.
Upgrade Requlrements(Minn. Stak§?15.55)An imminent threat to pubfic heslth and safety(fTPHS)must be upgraded,replaced,or its use
�iscontinued within fen months of receipt of this notice or within a shorter perrod if required by loce!adinance. If the system is fsiling to protect
�round water,the system must be upgraded,replaced,or its use discontinued within the time required by local ordinance. fi an existing sysfem
�s not failing as defined in law,and has at leasf two feet of design soil separation,then the sysfem need not be upgracied,repaired,replaced,or
�ts use discontinued,notwithstanding any local orcfinance that is more strict. This provision does nof apply to systems in shoreland aress,
Wellhead Protection Areas,or fhose used in connection with food,beverage,and lodging establishments as defrned in law.
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SEPTIC SYSTEM INVENTORY
�tte address: 525 Ferndale Rd N PID 36-118-23-14-0005
Owner Name: James 8 Margaret Ogiand
Owner Address: 525 Ferndale Rd N Wayzata MN 55391
BuildinqType: residence Instailer: unknown
Date of Permit:
Svstem Tvpe: trench BR's Designed for 4
In Musa?: No Shoreland?: Yes
SEPTIC TANKS:
Material: concrete block Capacitv: unknown Tank Filter:
DRAINFIELD:
Treatment Area: Soil Boring: yes DF Ht above Wt: 0.5
WELL DATA
Setbacks-Well Tanks: 50 Well DF: Report In File: Depth:
� L�P�CTION RECORD,� ____ ___,____� PUMPOUT RECORDS
Date Notes i e Date GallonsOfLiquid -�
8/1/2005 Non-compliant,replace by 12/31/2010(s/h/b 2Q07) 4/24/2012 1500 f
8/12/2003 non-compliant,replace by 12/31/2010 5/7/2009 1500 f
7/26/2001 non-compliant,replace by 12/31/2010 6/18/2004 500 i
3/21/2000 non-compliant, no surfacing, repair 12/31/08 ; 10/4/2000 1000' �
7/6/1998 non-compliant-DF surfacing,repair 10/15/98 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 '
i
7/10/1981 no surfacing I
7/10/1981 no surfacing I�
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