HomeMy WebLinkAboutSeptic Compliance Inspection 5-4-2017 ` Minnesota Pollution Compliance Inspection Form
Control Agency
520 Lafayette Road No�h Existing Subsurface Sewage Treat�nent Systems
St.Paul,MN 55755-4194 �s$TS�
Doc Type:Compliance and Enforcement
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Instructions: Inspection results based on Minnesota Poliution Control Agency(MPCA) : For lacai tracking purposes: j
requirements and attached forms—additionai loca!requirements may aiso appiy. �
Submit compieted gorm to Local Unit of Govemment(LUG)and system awner �
within 15 days - ,��
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System Status
System status on date(mmldd/yyyy): 5/4/2017
� Compliant--Certiflcate of Compliance ❑ Noncompliant— Notice of Noncompliance
(Va/id for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3)
frame outlined in Lcxal Ordinance.)
Reason(s'for noncampliance (check al!applicabte)
❑ Impact an Public Health(Campliance Compo€rent #1)—Imminent threat to public health and safety
❑Other Compliance Conditions(Cor�npliance Componer►f#3}—lmminent threat to publrc health and safety
❑Tank Integrity(Complr'ance Component #2)—Failing fo protect grc�undwater
❑Other Compliance Conditions(Compliance Componeni#3)—FaiJing to profect groundwater
❑Soil Separation(Compliance Component #4)—Failing to protect groundwater
❑Operating permiUmonitoring plan requiremenis(Compliance Component #5)—Noncomplianf
Property information Parcel ID#or Secffwp/Range: 311182311,0�17
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r roperty address: 575 Kokesh Farm Road,Orono, MIV __ Fteason for inspection: Prope Transfer
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Property owner: James Leslie Owner's hane: 952 994-3839
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or
Owner's representative: Representative phone: _
Local regulatory authority: _ City of Orono Regulatory authority phone: 952-249-4600 ' �
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Approximately 1-1500, 1-1040 gallon septic tanks,1-1000 gallon lift station and 630 square feet of
Brief system description: mound rockbed.
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Comments or recorrtmendations:
TBM: Top of fift station manhole cover
CertifiCattOn
1 irereby certrfy that al(the necessary information has been gathe�d fo determine the campliance status of this system. No
determination of future systern performance has been nor can be made due to unknown conditions durrng system construction,
possible abuse of the system, rnadequate marntenance, or futur�s water usage.
Inspeetar name, Joseph J Olson Certification number: 1255
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Business name: Rusty_O s Soii& Perc.Testing License number: 81Q
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Inspectar signature: __ __ __ Phone number: 763^498-8779
Necessary r ocally Required Attachments
� Soil boring logs []Systerts/As-bui(t drawing ❑ Farms per local ordinance
❑ Other information(Eist):
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www.pca.state.mn.eas • 651-296-63� • 800-657-3864 • TTY G51-282-5332 or 800-657-3864 • Availabte in altetnative forrnats
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� Praperty address: 575 Kokesk Farm Road, Orano, MN__ inspector i ��te: ,�,;Q..�4/17 ,:
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1. tmpact ott Public Health —Compiiance componen�#� a�5
Compliance criteria: Verification method(s):
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System discharge sewags to the Q Yes � No � Searched for surface outlet
grounc!surface. � 5earehed for seeping in yard/badcup in home
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System discharge sewage to drain tile ❑Yes � No � Excessive ponding in soil system/D-baxes
or surEace wasErs. ❑ Homeowner testimony(See Comments✓Explanatian)
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System cause sewage backup into ❑Yes � No " lack soi above soi ispersal system
dwelling or establishrnent ❑ System requires`emergenc�`pumping
,____-- --___.....__..__-- ❑ Performed dye test
Any"yes"answer above indicates the system is ❑ Unable to verity(See CommentsiExptanation}
an Imminent Threat to Public Heatth and Saiety. ❑ Oiher methods not listed�see CommentsrExpranar�on�
Com mentslExpianation:
2. '�ank Integrity—Compiiance component#2 af 5
Compliance criteria� _ _ �_ Verification method(s):
System consists of a seepage pit, �Yes � No � Probed tank(s}bottom
cesspool,drywell,ar leaching pit.
� Examined construction records
Seepage pits meeting 7080.255Q msy be ❑ Examined Tank(ntegrity Focm(Attachj
compliant i�allowed in tacat ordinence.
Sewage tank{s}leak below their ', �Yes � No � Observed liquid level beiow operating depth
designed o rating depth.
❑ Examined empty(pumped)tanks(s)
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If yes,which sewage tank(s) leaks ' ❑ Probed outside tank{s)for"black soil"
____.. �.- ---_ -- ------ ❑ Unable to verify(See Comments/Explanation)
Any "yeS"aTISWet'abOV�itldlCatBS fhe ❑ Other methods not listed (See Comments/Exptanation)
system is Failing to P�otect Groundwater.
Comments/Exp lanation:
The tanks were pumped on 11/16/15. I opened the the tanks and the iiquid level was a#the operating level and the baffels
were in place.
3. Other Comptiance Conditions—Compliance component#3 of 5
a. Maintenance hote covers are damagecl,cracked,unsecured,or ap�ear to strudurally unsound. �Yes* �No p Unknown
b. 4ther issues(etectncat hezards,etc.)to immediately and adversely impact public hea�h or safety. �Yes" �No ❑Unknown
"System is an imminent threaf to public health and safety
ExpCa'rn:
c. Systern is non-protective af ground water for other canditians as determined by inspectar 0 Yes• �No
*Sysiem is failing to Fr»l�ect groundwater
Explain:
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www.pcastate.mn.us • 651-296-63Q0 • 800-657•3864 • TTY 651-282-5332 or 800•657-3864 • Availabte i+rt atternative formau
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� Property address: _.575 Kokesic Farm Road, Orono,MN __ _ Inspector initialslDate: J.0. 5/04l'E7
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4. Soil SepBratiOn —Compliance component#4 of 5 '°��9�� '"�"''"�"`�° " "
Date of installation: 11/08/02 � Unknown Veri�cation method(s): �
ShorelandlWeiihead protectioNFood Beverage
Lodging? ❑Yes � No Soi!observatior�does not expire. Previous soiJ
observations by two independeni paRies are su�cisnf,
CompGdnce cri4eria: unless site conditions have been altered orloca!
Far systems buiit prior to April�, 1996, and ❑Yes ❑ No �quirernents differ.
nat focafed in Shoreland or Wetlhead � Conducted soii observatian{s)(Artach 6orrng tags)
Protection A�ea or not servfng a faod, ❑ Two previaus verifications(Attach banng�ogs)
beverage ortadgfng esiabiishmer+t:
� Not appiicabie(ttad,ng tank(s),no drainfreld)
Drainfieid has at least a two-foot vertical ❑ Unabie to verify(See CommentslExptanarson)
separation distance from periodicaliy
saturated soil or bedrock. 0 Other(See Commenis/Expianation)
Non-performance systems buiif Apri!1, �Yes ❑ No Comments✓Exptanation:
1996, or later or for non-perfom►ance
systems located in Shoreland or WeUhead
Protection Areas or serving a food,
beverage, or Jodging establishment:
Drainfieid has a three-foat vee-t6cal
separation distance from periadicaliy
saturated soil or bedrock.'`
"Experimental; `Other; or "Performance" ❑Yes ❑ No Indicate depths af elevations
systems buitt under pre-20(l8 Rules: Type!V ' � "-"�" --����-—
or V sysfems built under 2008 Rutes(7080. A. Bottam of distribution media 104.2
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2350 or 7080.2400 (Advanced Inspector :
License required) ' B. Periodically saturated soillbedrock 101.6
Drainfield meets the designed vertical C. System seearation__�_ 2.6
separation distance fram per'rodicaify .___..._ _ _____
saturated soil or bedrock. D. Required compliance,separation�. , 2.6
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Any "no"answer above lndicates the system is
`May be reduced up to 15 percent if aliowed by Local
Failing fo Protect Groundwater. Ordinance.
5. C}perating Permit and Nitrogen BMP*—Comp�iance component#5 of 5 � Not applicabte
!s the system operated under an Operating Permit? Q Yes ❑ No !f"yes",A below is required
(s the system required to employ a Nitragen BMP? ❑Yes � No If"yes", B belrsw is required
BMP=Best Management Pracfice(s)specfied in the system design
If the answer ta both questians is "na", this section does not need ta be compteted.
Com liance criteria
a. Operating Permit number: ' �
- � ❑Yes � No
� Have the Operating Pe�mit requirements been met?
_b. Is the_re uired nitrogen SMP in place anci properi fy unctioning? Yes a No `
Any "no"answer indicates Noncompliance.
Upgrade Requirements(Minn. Stat.§115.55)Arr imminent threat to public heatfh and safety(lTPHS)musf 4e upgraded,rep/aced,or its use
drscantrnue�`within ten months af receipt of this notice or within a shorter period if requirgd by loca!ordinance. lf the system is failing to protecP
ground water,the sys[em must be upgraded,replaced.or its use disconiinusd withirt the time requirad by locaf ordina»ce.!f an existing system
is not failing as defirted in taw,and has at feast two feet of design soil separation,then the system need nof be upgraded,repaired,replaced, or
its use drsconfinued,nohaithstanding any/ocat ordinanCe that is mae stricf. This provlsion does not appJy to systems in shor8lar�d areas,
Wellriead Profection Aress,or those used in connectron with food,beverege, and ladging establishments as defined in lew.
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www.pcastate.mn.us • 551-246•6300 • 8�-657-3864 • TTY 651-282-5332 or 800-657-3854 • Available in attemative formats
wq-ww�sts4-3t • 1124/f2 ,.___ , _�,
� Soil t�bservation Log �� ��w vW ���
ti4wu.SepticResource.com�ers 12.4
Owner Information
Property Owner`project: lames Leslie Date 5/3/2017
Property Acfdress f PID: 57J KOkesh Farnl Road
Sail Surve Information � refer ta attached soil sunrey
Aarent rnatl's: '�T(� ❑Outwash ❑ latustrine ❑Alluvium � Organic ❑ Bedrock
landscape position: ❑ Surnmit �Shoulder i�i Side siope ❑Toe slope
soil survey map units: L41ll2 stope % direction- Lineal
Soil Lo #1
`� Boring � P�t Eievation 10�.0 Depth to SHWT 36 Inches
pepth(in) Texture fragment% matrix color redo�color consistence arade sha e
0-lb Fiil <35 Loose Loose s�n�iegra�n
t5-26 Topsoil <35 lOyr312 Loose Strong gt��ck�}
26-30 Loam <35 10yr4f3 Friable Strong Blocky
.i0-36 Clay Loam <35 I Oyr5/4 Friable Strong B►ocky
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36-4? Ciay Loam <3� IOyrS.`3 10y4/8,3-SIlOy Firnt Stron� Prismacic
Comments:
' S7j Kakesh Farm Road Soil Lo #2
`� ��n� ❑ �t Elevation 105.0 Depth to SHWT 42 Inches
Depth(in> Tex�ure fragment°fo matrix calar redoa coiar cansistenee �rade shape
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4-22 Fitl <�5 - - Loose Loose Single�rain
22-28 Topsoil �35 IOyr3t2 Loose Stron� ��ocky
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?8-38 � Loam <;5 t0yr�13 Friable Strong Bi�rckr°
b
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38-�2 Clay Loam <35 IOyrSI� Friable Str�ng afock�•
42-48 Clay Loam <35 10yr5�'4 IUy�I!$,l-6/l0y Firm Strang Prismai�c
575 Kokesh Farm Road Soil Lo #3
.��r�n�9 � �� Elevation Depth to SHWT
Depth(in} Tekture fragment% matrix calar redox calor consistencz �rade shape
{35 loose loose s;n�e�ra;n
35 -SO friable weak ganu�ar b�Uc�:v
�50 firm inoderate prismatic p�acy
rigid strong massive
<35 loose ioose single�rai�t
35 -50 friable weak granular blacky
�,O f1i�71 moderate prismatic pfaty
rigtd strong massive
<35 loose 3oos� single grain
35 -50 friable weak gra�uiar btoeky
>50 f� moderate prismactc piacy
ri�i� strong massive
� laose foose
� <j� single grain
3S -SQ friable weal: sranu�ar hk�ck��
>50 f� moderate p��smatic piac�,
rigid stron� massive
,�3� IOOS� IOOSe single�rain
35 -50 friabte weak grannular biackv
>50 f� moderate pEismatic pi�z��
i'I�It� SLi'Oflf�T ma55ive
1 herebvi certify this work wcrs compl�ted in accordance with MN 70$0 and an}�toeal req's.
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Rusty Qlson's Soil & Perc $t(3
;ner Signature Company License#
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. ' SEPTIC SYSTEM INVENTORY
Site Address: 575 Kokesh Farm Rd PID 31-118-23-11-0Q11
Owner Name: James� Nortna Leslie
Owner Address: 575 Kokesh Farm Rd Maple Ptain MN 55359
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BulidlnpTvRe: residence Instalisr: Swedlund
Date of Permit: 10/23/02 h ����, �-�:�
"� i -:�� ��.�.,.:
Svstem Tvpe: mound BR's Designed for 5 w_
In Musa�: No Shorelan@?:
SEPTIC TANKS:
Material: precast concrete Capacihr: 1500, 10Q0, 1000 Tank Fiker:
DRAINFIELD:
Treatment Area: 55*98 Soil Boring: y� DF Ht above Wt: 3
WELL DATA
Setbacks -Well Tanks: 75 Weii DF; 1�0 Report in File: Depth: 294
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INSPEC tON ECQRD PUMP T RECORDS
Date Notes Qate Gallons4fLiquid
11/8/2002:installation 11/15/2015 2750;
,
OK 9/28/2012 2750
10/25/2Q11 1Qpp�
11/26/2010 ippp�
r1ls/2oos 3000�
9/2Q/2007 2500
9/21/2006 2500�
9/19f2005 15�
8/28/2004 1000:
lOJ9/2003 1500