HomeMy WebLinkAboutSeptic Compliance Inspection 4-2017 . �
�`� �,� �innesota Pollution Compliance In�pection Form
��� Control Agency
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems (SSTS)
St.Paul,Mtd 55155-4194 Doc Type:Compliance and Enforcement
InspeCtii�n results based on Minnesota Poliution Control Agency(MPCA} For local tracking purposes:
requirements and attached forms—additional locaf requirements may also apply.
Submit completed form to Locai Unit of Government(LUG)and system owner
within 15 days
System Status
System status on date(mm/ddlyyyy); 4/17/2017
� Coimpliant— Certificate of Compliance ❑ Noncompliant— Notice of Noncompliance
(Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3.)
frame outlined in Loca/Ordinance,j
Reason(s)for noncompliance{check a!I applicable)
[] Impact on Public Health (Compliance Component#1)—Imminent threat to pubfic health and safety
❑ Other Compliance Conditions(Compliance Component#3)—Imminent th►�saf to public health and safety
❑Tank Integrity(Compliance Component#2)—Failing to protect groundwater
❑ Other Compliance Conditions(Compliance Component#3)—Failing to profect groundwater
❑Soil Separation (Compliance Component#4)—Failing to profect groundwater
❑Operating permiUmonitoring plan requirements(Compliance Component#5)—Noncompliant
Property Information Parcel ID#or Sec/Twp/Range:
Property address: 465 Hunter Pass, Orono Reason for inspection: Sale
Property owner: Jennifer Foster Owner's phone: 952-334-2757
or —
Owner's representative: _ _ Representative phone:
Local regulatory authority: City _ _� Regulatory authority phone:
Brief system description: 1300&1000 Septic with a 1300 gal pump tank 5 bdrm mound system
Comments or recommendations:
Electric cords for pump and floats is not in electrical conduit,they are just burisd in dirt. Top section of riser should be replaced with
plastic and a 2.5"electrical conduit installed
Certification
I hereby certify that aH fhe necessary information has been gathered to determine the compliance status of this system. No
determination of futu�system performance has been nor can be made due to unknown condifions during system construcfion,
possib/e abuse of the system, inadequate maintenance, or future water usage.
Inspector name: Josh Swedlund Certification number: C1659
Business name: Sewer S ' es I c� ___ License number: 2502 �
Inspector signature: _ Phone number: 952-873-3292
Necessary or � cally Required Attachments
�Soil boring 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 alternative formats
wq-wwists4-.31 . 3/f 6/12 _
Property address: 465 Hurrter Pass,Orono Inspector initials/Date: JS I 4/17/2017
(mm/dd/YYYY1
1. Impact on Public Health—Compliance component#1 of 5
Com liance criteria: Verificatlon method(s):
System discharges sewage to the ❑Yes �No �Seerched for surface outlet
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 ar surface waters.
❑ Homeowner testimony(See Comments/Explanation)
System causes sewage badcup into ❑Yes �No ❑"Biadc soil"above soil dispersal system
dwelling or establishmerrt.
❑System requires"emergency"pumping
Any"yes"answer above indicates the ❑ per{ormed dye test
system Is an immfnent threat to public ❑ Unable to verify(See Comments✓Explanatfon)
health and safety.
❑Other methods not listed(Ses Comments/Explane�on)
Comments/Explanation:
2. Tank Integrity—Compliance component#2 of 5
Com liance criteMa: Verif�ation method(s):
System c�nsists of a seepage pit, ❑Yes � No ❑ Probed tank(s)bottom
cesspool,drywelt,or leaching pit.
�Examined construction records
Seepage p;ts meehng 7080.2550 may be ❑ Examined Tank Inte n F
r,ompliant iiallowed in Joce/wdinance. 9 �h+ orm(Attach)
Sewage tank(s)leak below their ❑Yes �No �Observed liquid levei below operating depth
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 to verify(See Carnrrenfs/Explenetlon)
sysiem/s fafling to protect groundwafer. ❑Other methods not listed(See Commerrfs/F�cplanation)
Comments/Explanatfon:
3. Other Compliance Conditions—Compliance component#3 of 5
a. Maintenance h�e covers are damaged,cracked,unsecured�or appear to be structurally unsound. p Yes" �No Q Unknown
b. Clther issues(elactri�al hazero►s,etc.)to immediately and adversely impact public health or safety. ❑Yes" �No p unknown
*Sysrem!s an imminerrt threat to publlc health and safety.
Explaf n:
See notes on firs�page
c. System is rwn-protecdve of ground water for other condi�ons as determi�ied by inspector. ❑Yes* �No
*System Is fafJJng to prot�ect groundwater.
Explain:
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Avallabte in altemative formats
wq-wwrsts4-31 • 3/16/12
Property address: 465 Hunter Pass,Orono Inspector initials/Date: JS I 4/17/2017
(►►►�,vdd/YriY)
4. Soil Separation—Compliance component#4 of 5
Date of Installa#ion: 6/11�1998 ❑ Unknown Veriflcation method(s):
�m���� Soil obseruation does not expire. Pr�vious soil
Soh�orela�cuweilhead protsctloNFood beverage �Yes � No observations by two indepencienf parties are sufficient,
9 9 unless site conditions have been alter+ad or local
Com liance criteHa: requi�ments difler.
For systems bu/lt prior to ApRI 1, 1996, and ❑Yes ❑ No �Conducted soil observation(s)(Attach bo►ing/ogs)
not located in Shoreland or Weltheed ❑Two previous verifications(Attsch boring logs)
Protection Ansa or not serving a food,
bevergge or lodging establfshment: ❑Not applicable(Ho/ding tank(s),no dreinfie�
Drainfieid has at least a finrafoot vertical ❑Unable to verify(See Comments/Explanatron)
separation dlstance from periodically
saturated soil or bedra�c. ❑Other(See CommentsiExp►anation)
Non pe►formance systems builtAprill, �Yes ❑ No Comments/Expianation:
1996,or later or for non�Oerfom►ance
systems located fn Shoreland or WelJhead Boring:
P�tection Areas orseiving a f+ood, 1-1610 YR 2/2 Loam
beverage, or lodging establishment:
17-26"10 YR 4/4 Clay Loam
Drainfield has a three-foot vertical
separation distance ftom periodicaily No Redox
saturated soii or bedroc�c.*
"Experimenta!" "Othe�", or "Performance" ❑Yes ❑ No (ndlCate de ths or elevations
systems built uncier pre-2008 Rules; Type 1V
or V systems built under 2008 Ru/es(7080. A. Bottom of distribution media 12" lus
2350 or 7080.2400 (Advanced Inspector
License required) B. Pe�odicail saturated soiUbedrock over 26"
Drainfield meets the designed vertical C. S tem se aration 36" lus
separation distanoe from periodically
saturated soil or bedrodc.
D. R uired com liance se aration* 36"
Alty"na"answer above ind/cates 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 appllcable
Is the system operated under an Operating Pennit? ❑Yes ❑ No �If"yes",A below is required
Is the system required to employ a Nitrogen BMP? ❑Yes ❑No If"yes", B below is requlred
BMP=8est Management Precfice(s)specif'ied in the system design
!f the answer to both questlons is "no'; thfs section does not need to be comp/eted.
Compliance criteria
a. Operating Permit number:
Have the O ratin Permit r uirements been met? ❑Yes ❑ No
b. Is the r uired nit en BMP in lace and ro rl functionin ? Yes ❑No
Any"no"answer indlcates Noncompliance.
Upprade Requlremenb(Mlnn. Sfat§f 15.55)An lmminent threat to public heelth and safety(ITPHS)must be upgraded,repleced,or its use
discon�nued wlthln ten months of►�celpt of thls rrotice or withln a shQ�ter pe�od if roquired by local oadinence.If the system!s fe�ling to protect
ground water,the system must be upgraded,replar.ed,or its use dlsoa►tinued within the tlme requlned by h�cal arll»a►tce.!f en exisNng system
fs not fa!lfiig as deflned in lew,and hes at leesf!►tiro feet of desigit 8oi!separetlaT,then the system need not be upgreded,�pafrod,replaced,or
its use dlsoontinued,nodwld�atanding any loca!ordinarice that!s more sdre�t This provisipn does not appfy to systems in ssl'wrela►M aneas,
Wellhead Protection Areas,or those used/n connection wlth f�d,beve�age,and/odging establishments es deNned In Iaw.
www.pca.state.mn.us • b51-296-6300 • 800-657-3864 . TTY 651-282-5332 or 5�-657•3864 • Avaftable in alternative formaCs
wq-wwists4•31 • 3/16/12 „---,_�,
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