HomeMy WebLinkAboutCompliance Inspection 5-4-2017 ` Minnesota Rollution Complianc� Inspection Form
Controt Agency
520 Lafayette Road Na�th Ex�sting Subsurface Sewage Treatment Systems
St.Paul,MN 55t55-4194 ($�T$�
Doc Type:Compliance and Entorcement
Instructions: Inspection results based on Minnesota R�Ilution Control Agency(RAPCA) ; For local tracking purposes: '� � �
requirements and attached forms—additionai local requirerraents may a#so apply. '
Submit compieted form ta Local Unit of Government(LUGj and system owner �
within 15 days �
System Status
Systsm status on date(mrniddtyyyy): 514i2017
',� Cornpliant--Certifi�ate of Compliance � Noncompliant- Notice of Noncompliance
(Vatid for 3 years from report date, untess shorter time (See Upgrade Requirements on page 3)
frame outlined in l.oca!Ordinance.)
Reason(sy for noncompliance (check all applicab/e}
❑ Impact an Pubfic Health (Compliance Component #7)-lmminent threat ta pubJic health and safety
❑Other Compliance Conditions(Compliance Component#3)-Immrrrent thieat ta public health and safety
❑Tank lntegrity(Compliance Component #2)-Failing to pratect groundwater
❑Other CompUance Canditions(Complianc�Component#3)-Failing to protect groundwater
❑Soil Separatian(Complianc�Componen� #4}-Failing to pro#ect g►z�undwater
❑Operating permiVmonitoring plan requirements(Compliance Component #S}-Noncompliant
P�roperty lnformation Parce!ID#or SeclfwplRange: 3119823110011
_ ..�_. ____
Property address: 575_Kokesh Farm Raad,Orono,MN _ Reason far inspection: Pro�e Transfer
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Property owner: James„Leslie _ _ _� Owner's phone: 952-994-3839
or - -_ � �.__.—
Owner's representative: _ __ ___ Representative phone: �
__- _.. —
Locai regulatory authoriry: _ City of Orono Regulatory authority phone: 952-249-4600
Approximately 1-1500, 1-1040 gallon septic tanks,1-1000 gaUon lift station and 630 square feet of �
Brief system description: mound roekbed.
_...... _.._. _. .___ .__- —�_........ _--
Comments or recommendations
TBM: Top of lift station manhole cover
Certification
t hereby certify fhat al!the neces5ary infarrnaltion has besn gathered fo deferrnine fhe compliance sfafus of this system. No
determinatron of future system performance has been nor can be made due to unknown conditions during system construction,
possible abuse of the sysiem,rnadequate maintenance, or fufure water usage.
►nspectar name: Joseph J Olson Certification number: 1255
_.-_._._--___. ---_.... _
Business name: Rus�0 's Soil&Perc.Testing License number. 810
_ —_.._ __.—___ _ -
inspector signature: '__ __ �-_ Phone number. 763-498-8778
Necessary r ocalty Required Attachments
�5oil boring logs ❑ 5ystem/As-buiit drawing ❑Forms per local ordinance
❑ Other information{list}:
_ _. ___.__---. —
www.pca.siate.mn.vs • 651•296-6300 • 80Q-657-3864 • TfY 651-282-5332 or 8�-657-3864 • Avaitable in alterna[ive formats
wa-wwists4-3f . J124l1� „ . �_
� Property address: 575 Kokesk Farm Rt>ad Orono MN inspector initials/Date: J.0.5/04/17
1. Impact on Pubti� Health—Compiiance component#� of 5
Gom�liance criteri�: Ver�cation meth�l(a):
System discharge sewage to the ! ❑Yes � No � Searched for surfacs outiet
ground surFace. � Searc�ed for seeping in yard/backup in home
System discharge sewage to drain tile ' ❑Yes � No a �0��e ponding in soil systerrW-boxes
or surface weters. ❑ Homeowner testimony(see Ca,►ments/Explanation)
_ ..._.._.......
System cause sewage badcup into ; ❑Yes � Na ❑ �s�adc soil"above soil dispersal system
dweiling or estabiishment. ❑ System requi�es"emergency"pumping
❑ Perfortned dye t�st
A»y"yes"answ+er abave indicates the sys#em Is ❑ Unable to verify(Sse Comments/Facp►onation)
an/mminent Threat to Publfc Health and Ssfeiy. � pt►ter rnethods not listed(S�Comments/Explanation)
Commen4s/E�cplanation:
2. Tank Integrity—Compiiancs comRonent#2 of 5
Compiiance criteria: Vs�cation method(s):
System consists of a seepage pit, '; ❑Yes � No � Probed tank(s)bottom
cesspooi,dryweli,or leaching pit. � Examined construc�ion rec�rds
Seepagre pits meetir�7080.2550 mey be ❑ Examined Tank(ntegrity Form(Attach)
com�ieni ii auawed i»locel or�fnance. `
Sewage tank(s)teak betqw their 7 ❑Yes � No � Observed liquid levei below operating depth
designed operating depth. ❑ Examined empry(pumped)tanks(s)
If yes,v�ich sewage tank(s)leaks: ❑ Probed outside tank(s)for"bladc soil"
❑ Unab�to verify(See CommentslExptanation)
ar,y "yes"answer above indicatss the [�pther methods not listed(See Comrnants/Exptanation)
system is Failing fo Protect Gr+oundwater.
Comme��lanation:
The tanks were pumped on 11/16/15. I opened the the tanks and the liquid level was at the operating level and the baffels
were in place.
3. Other Comptiance Conditions—Compliance compcment#3 of 5
a. Maintenance ho�c�vers ar�damaged,cx�dced,unsecured,or appear to strudurally ur�sound. ❑Y�" �No ❑Unknown
b. Othe�issues(e/ec�ric�deza,rts a�.)fio immediately and adversely ir»pad pubi�heal�o�safety. O Yes" �No ❑Unknown
�ystem!s an immin�►t threat in pubric heat�h and�+
Exptain:
c. System is non-protective of ground wa�r fa�t�r cbnditi�s�c�tertnined by inspedor 0 Yes• �No
"Systern►s failinQ to pro�sct grouRah�ler
Explain:
www.pca.state.mn.us • 651•29b-6300 • 800-657-3864 • T7Y 651-282•5332 or 800-657-3864 • Availabie i�aEternative formats
wa-wwists4-3f . 1/24/1� _ _ __
' Pro�rty address: 575 Kokesk Farm Road Orono MN _ Inspector initiais/Date: J.�.5/04/17
4. Soil Sepat'ation—Compiiance component#4 af 5
Date of installation: 11/08l02 �Unknown Veri�c�tion metha!(s)�
ShorelandANslihaad proteeti�lFoad Bevenige �Y88 �NO SOi!Ob$@NetiOfl dOeS tlOt BX !ri°.Ft�ViOUS Sdi!
��,�? observat�ns by two inde�dent paRies arg sufflcienf,
COmpIiBnCe Criteris: unJess site conditions have been altered orlocal
For systems built prior to April 1, 1996, and �9U�r�rr►ents difRer.
i ❑Yes ❑No
not tocated in Shoreland or We/ihead ' � Cor�ducted soii observation(s)(Attach boring lags)
Protecdon Area or not serving a food, ` ❑ Two previous verifications(Attech bo�ng�ogs)
beverege or/odging establishment: ❑ Not epplicaibie(Holding tank(s).rro drainfield)
Drainfield has at least a Mro-foct vectical ; ❑ Unabie to verify(�ee Comments/Explanation)
separation distance from periodicaily ' � �f(��,�nrs/Exptanatian)
saturated soil or bedrock. '
Non-perforrnance systems builf Apri/1, ' �Yes ❑No CommentslEx�anation:
1996,or later or for non-perfarmance '
systems located in Shoreland or We/Ihesd '
Pratecffon Areas or serving a food, '
beverage,orlodging establishment:
Drainfield has a three-fooi ver�cal
separation distance from periadically
saturated soil or bedrodc.* !
"Experimental; "Othe�', or Performance" ' ❑Yes p No I�dicats depths of elevations
systems built underpr+a-2008 Ru/es;Type tV ': ,
or V systems bui/t under 20Q8 Rules(7080. ``: A eottam of distribution media 104.2
2350 or 7080.24� (Advanced inspector
License required) B. Periodicailv�turated soiubedrodc ' 101.6
Drainfield meets the designed vertical C. System seaar�tion ' 2.6
separation distance from periodically ------
saturated soil or bedrock. ' D. ReQuired compliance separation' ' 2.6
Any "no"�nswer above indicates the systst»is �May be reduced up to 15 perc�nt if ailowed by L�al
Failing to Protect Groundwate�: p�;t,a,�,
5. Operatin� Permit and Ni#rogen BMP"-Compliance component#5 of 5 �N�t appiicabis
ts the system operated under an Operating Pennit? ❑Yes ❑No if"yes",A below is
required
is ihe system required to employ a Nitrogen BMP? ❑Yes ❑No If"yes",B belaiv is required
BM�Sesf Manage�nent Piact/ce(s)speafied in the system desigr►
N the answer to bobr questlans fa "no'; thfs se�on does not ne�to bs camplete�at.
Compliance criter�a
a. Operating Permit number.
Nave the Operating Permit requirements been met'� � ❑Yes ❑No
b. !s the required nitrogen BMP in place and txopedy functioning? ` ❑Yes ❑No
Any "no"answer indfcates Noncompliance
Upgrade Rsquirome�ts(Mirtn. Stet.§115.55)M imminent th�t ta pubNc hesKh and safety(tTPHS)must be upgraded,repleced,or its use
tliscontinued within ten rrwnths of recefpt of this noG�e or within a s1►ortsr periad if requlred by/a�a!ordinarnae.!f the system is feiling to protecf
ground water,the syst�m musi be upgiacied.�ep/aceal,or its use dlsoontinueri witryin ri�e lirrie ret�uired by locet adinence.lf an exiating system
is not faiJing as dofrnsd i»law�and hes at lee�tw�twet of�s�grt a�a!s�pxati�,then dre syst�m r►eed not be upgreded,repeired,nsplaced,or
its us�e disc�r►t+ht�ed,norivithstand�rtg any bea!adinance that is mae�. This provi�on d9oes not appJy ro systems in shorelend areas,
Wetihead ProteCGon A�ees.or those used ia oonnecGia�with Aood,be+�s9rpge,anc!btl�ng eateWfshments es defined fn lew.
www.pcastate,mn.us • 651-296-8300 • 800-657-3864 • TTY 651-282-5332�800-657-38b4 • Avaitatrle in attemative formats
wq•wwisis4-31 • 1/24/12 , ��
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� Soil Observation Log
www.SepticRzsource.com vers 12.�
Owner Information
Property Owner J project: .Ta.ttles LeSlie Date 5(3/2017
Properry Address I PID: 575 KokeSh Fazm Rosd
Soit Sorve Info�ation ❑refer to attacfied soil survey
Parent matl's: ��1t� ❑Outwash ❑Lawstrine ❑Alisrvium ❑Organic ❑Bedrodc
landscape position: ❑Summit ❑Shoulder �Si�sl�e ❑Tce siape
soil survey map units: L41ll2 slope % direction-Lineal
Soil Lo #1
a �^� 0 � Elevation 105.0 Depth to SHWT 36 Inches
De th(in) Texture fragment% matrix color redox color cansistence de sha
0-16 Fili <3$ Loose Loose Singlegrain
16-26 Topsoil <35 lOyr3/2 Loose Strong atoc�y
26-30 Loam <35 10yr4l3 Friable Strong siocky
30-36 Clay Loam <35 I OyrS/4 Friable Strong stocky
36-42 Clay LQatn <35 IOyr5f3 IOy4l8,1-6/IOy Firm Strong Prismatic
Comments:
' S75 Kokesh Farm Road Soi!Lo #2
0�� ❑ �t Elevatiar► 105.0 Depth to SHWT 42 Inches
Depth(in) Texture fragment°!o matrix color redox color consistence de sh
0-22 Fill <35 Loose Loose Singie grain
22-28 Tapsoil <35 IOyr3/2 Loose Strong slocky
28-38 I.,oam <35 14yr4/3 Friable Strong s�oc�y
38-42 Glay Loam <35 10yr5/4 Friable Strong aiocky
42-4� Clay Loam <35 10yr5/4 IOy4/S,l-6/l0y Firm Strong prismat;c
575 Kokesh Farm Road Soil Lo #3
❑ Baring ❑Pit Elevation Depth to SHWT
Depth(in) Texture fragment% matrix color redox color cansistence ade shape
<35 loose loose sin�te grain
35-50 friabte weak $ranu��r blocky
�$� firm moderate Prismatic platy
rigid gtrpqg massive
<35 1oOSe 1poSe single grain
35-50 friable weak granular btacky
>50 fi� moderate prismatic ptaty
tigid St1'ong massive
�35 loose loose singie�rain
35-50 friable weak grar,u�ar bloc;ky
>50 fi� moderate prismatic p�acy
rigid strong macsive
<35 loase loose single grain
35-50 friable weak gra�,u�ar btocky
�50 firn1 mOderdte Prismatic platy
rigid strong massive
<35 i�� 1�� sin�le grain
35-50 friabie weak �rrar,ular blocky
��o f1rn1 modeC3te Rn��ic plary
rigid strong messive
I hereby cert�this work was completed ir�accordance with MN 7080 and arry locat req`s.
Rusty Olson`s Soil& Perc $1 p
gner Signature Company License#
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. ' SEPTIC SYSTEM INYENTORY
s��d�� 575 Kokesh Farnt Rd PID 31-118-Z3-11-0011
OMmer Name: James b Norma Leslie
Owner�ross: 5T5 Kok�esh Farm Rd Mapla Piain MN 55369
BuitdinpTvpe: rasidence Ir�,lisr. Swedlund
Date ot Perntit: 101Z3/a2
SYstetn TYpe: mound BR's D�igned far $
I�Muss�: No Shor+Nand?:
SEPTIC TAMKS:
Materiai: procast ca�c�e CapacitY: 1500,7�0,1000 Tank Fiiter:
DRAINFIELD:
Troabnent Aroa: 65•98 Soii Bo�tng: y� DF Ht above Wt: 3
WELL DATA
Setbacks-Wsll Tanks: 75 Well DF: 1� Report In File: De�: 290
P
�Oafie ; Notes Oate � �aElonsO�iquid
li/8/2fl02;installation 11/16/2015' . 2750;
OK 9/2$J2012 2750:
10/25/2011' 1��
11/25J2010 iqQO`
11/6/200s' 300Qi
9i20/2007 25��
9/21/2�6 25ppj
9/19/2005� _ 1,�;
8/28/2�4: 10�;
10/9/2�3 1500'`