HomeMy WebLinkAboutSeptic Compliance {���
, ��.� Minnesota Pollution COrpp�laClCe �I'1SpCCt1011 FOrI'1'1
`�,;e.M.p Control Agency
520 Lafayette Road NorEh Existing Subsurface Sewage Treatment Systems (SSTS)
St.Paul,MN 55]55-4194 Doc Type:Compliance and Enforcement
InspeCti�n re8ults based on Minnesota Pollution Control qgency(MPCA) For local tracking purposes:
requirements and attached forms—additional local requirements may also apply.
Submit comp�eted form to Local Unit of Government(LUG)and system owner
within 15 days
System Status
System status on date(mmldd/yyyy): 5/30/2017
� Compliant— Certificate of Compliance ❑ Noncompliant— Notice of Noncompliance
(Valid for 3 years from report date, unless shorter time (See Upgrade Requirements on page 3.)
frame ou#lined in Local Ordinance.)
Reason(s)for noncompliance (check aU applicab/e)
❑ Impact on Public Wealth (Compliance Component#1)—Imminent threat to public health and safety
❑Other Compliancs Conditions(Compliance Component#3)—Immrnenf threat to 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 protect groundwater
❑ Operating permit/monitoring plan requirements(Compliance Component#5)—Noncompliant
Property Information Parcel ID#or Sec/Twp/Range:
Property address: 4440 Bayside Road,Orono Reason for inspection: Sale
Property owner: David Montecalvo _ Owner's phone: 952-472-0219
or -- _�
Owner's representative: _ Representative phone:
_—
Local regulatory authority: City Regulatory authority phone:
Brief system description: _2-1000 gal septic tanks& 1000 gal pump tank with a mound system
Comments or recommendations: —
Certification
I hereby certify that all the necessary information has been gathered to determine fhe compliance status of this system. No
determination of future system performance i►as been nor ean be made due to unknown conditions during system construction,
possible abuse of the system, inadequate maintenance, or future water usage.
Inspector name: Josh Swedlund Certification number: C1659
Business name: Sewer S ' s License number: 2502
Inspector signature: _ Phone number: 952-873-3292
Necessary or Lo ally 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 • Availabie in atternative formats
wq-wwists4-31 • 3/16/t2 „___ , _�,
. Property address: 4440 Bayside Road,Orono Inspedor initialsJDate: JS I 5/30/2017
(+nm/dd/YYYYI
1. Impact on Public Health—Compliance component#1 of 5
Com Ilance criterla: Veriflcation msthod(s):
System discharges sewage to the ❑Yes �No �Searched for surface outlst
round surFaoe. �Searc�ed for seeping in yard/badcup in home
System discharges sewage to drain ❑Yes � No ❑E�ccessive ponding in soil system/D-boxes
tile or surface waters.
❑Homeov►mer testimony(See Comments/Explanation)
System causes sewage backup into ❑Yes �No ❑"Bladc soil"above soil dispersal system
dwelling or establishment.
❑System requires"emergency°pumping
Any"yes"answer above Indlcates the ❑ Per�or,ned c�re tesc
system is an lmminent threat to pubUc ❑ Unable to verify(See Comments/Explanatlon)
health and safety.
❑Other methods not listed(See Comments/Explanstlon)
Comme�rts/Explanallon:
2. T�tnk(ntegrity—Compliance component#2 of 5
Com liance criteria: VeMfication method(s):
System consists of a seepage pit, ❑Yes �No ❑ Probed tank(s)bottom
cesspool,dryvrell,or leaching pit.
� Examined construction records
SeepagAs pits meet/ng 7080.2550 may be ❑ Examined Tank Integrity Form(Attach)
com isnt if aHowed in loca/adinance.
Sewage tank(s)leak below their ❑Yes � No ��bserved Bquid level below opereting depth
designed operating depth. � Examined empty(pumped)tanks(s)
if yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for'bladc soil'
Any"yes"answer above indfcafes the ❑ Unable to verify(See Comments/Ezplanationj
system is failing to protect groundwater. ❑otner metnods not iis�ed�ses co►„menrs��anatron�
Comments/Explanadon:
3. Other Compliance Conditions—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to be stnacturally unsound. ❑Yes* �No ❑unknown
b. Other issues(eledmc�hazarcls,etc.)to imrnediately and adversely imped public heatth a'safety. ❑Yes" �No p UNcnowm
"Sysiem!s an Imminent flrreat to puWlc health and safety.
Explain:
a System is r�on-protedive of ground water for other condipons as determined by inspector. p Yes• �No
'System is falHng to pr+�t�ctgrnundwat�er.
Explain:
www.pcastate.mn.us • 651-296-6300 • 800-657-3864 • TTY b51-282-5332 or�0-657-3864 • Available in altemative formats
wq-wwlsts4-31 • 3/16/f2 PQge 2 of 3
, Property address: 4440 Bayside Road,Orono Inspector initials/Date: JS �, 5/30/2017
(rrn►✓dd�YYYY)
4. Soil Separ�tion—Compliance component#4 af 5
Date of installation: 8/4/2004 ❑ Unknown Verificatlon method(s):
�m��� Soi!o6servation does not expire.Previous soil
ShorelandNVelihead protectioNFood beveraa�e �Yes � No observations by two independent pa�ties ar�sutficient,
�0���� unless sife condi�ons have been altered or local
Com liance crlterla: requiremenfs dii�er.
For systems buitt prior to Apri11, 1996, and ❑Yes ❑ No �Conducted soil obsenration(s)(Attach tmring kk�ps)
not located in Shoreland or Wellhead
Protection A�ea or not serving a iood, ❑T+^ro P�''e�ous verifications(Attach bor;ng/ogs)
beverege or lodging esfablishment: ❑ Not appl'�cable(Holding tsnk(s),no drainfre/d)
Drainfieid has at least a two-foot vertical ❑ Unable to verify(See Comments/Fxplanation)
separation distance from periodically ❑Other(See Comments�Exp/anetlon)
saturated soil or bedrock.
Nony�erformance systems built Apri!?, �Yes ❑ No CommernslExpianation:
1996, or lafer or for non�erfom�ance
systems located ln Shoreland orWe!lhead ��ng�
Protection Areas or serving a f+ood, 1-15"10yr 2/2 Loam
bever�ge,or bd�ng establishmer►t.•
1&26'10 YR 4/4 Ciay Loam
Drair�field has a three-foot vertical
separation distance from periodically Redox�24"
saturated soil or bedrodc.*
Experimental; "Other", or °Performence" ❑Yes ❑ No IndiCate de hs or elevations
systems built under pre-2008 Rules;Type IV
or V systems built under 2008 Rules(7080. A. Boaom of dlstribution media lus 12"or more
2350 or 7080.2400 (Advan�d lnspedor
License required) e, periodicall saturated soiUbedrock 24"
Drainfield meets the designed vertical C. S tem ration 36"+
separation distanoe from periodically .
satureted soil or bedroc�Cc. D. R utred c�m ianoe se ration* 36"
Any"no"answer above lndicates the system is *May be reduced up to 15 peroent if allowed by Local
failing to protect groundwater. Ordinance.
5. Operating Permit and Nitrogen BMP*—Compiiance component#5 of 5 � Not Appltcable
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
SMP=Besf Management Prectice(s)spec"ri'ied in the system design
If the answer to both questJons/s "no'; th/s section does not need to be comp/eteaL
Com Ifance criteria
a. Operating Permit number.
Have the O ratin Permit re uirements been met? ❑Yes ❑No
b. Is the r uired n' en BMP in lace and ro er1 functionin ? Yes ❑No
Any"no"answer indlcates Noncompllance.
Upgrade Requlrements(Minn.Stat.§115.55)An immirrent threat to public heslfh end s�ety(fTPNS)must be upgreded,repfeced,orits use
dlscontlnued wlthln ten months of reoeipt of fhis noHoa w wid�ln a shorter period if roqulied by bca!ond4inance.lf the syst�sm is iallfng to protect
ground weter,Nte sysf�m must be upgr+adetl,replaoed,or Its use dfscwntinued within the Hme requfied by locel adinance.'If an existing system
is not fafJfng as defrned!n/aw,end has at/east two feet of destgn soil separat�n,then the system need not be upgraded,repeired,replaced,or
its use discondnued,notwffh�anding any bcaf ordlnanc�r that is more�ct Thts provlslon does not a�ly to systems in�lar►d aroas,
We!lhead FrotectMn Areas,or those used!n conrreetion with food,bevereg�e,and lodging establishments as�flned!n Jaw.
www.pca.state.mn.us • 651-296-6300 • 500-657-3864 • TT1f 651-282-5332 or 800-657-3864 • Available in altemative formats
wq-wwtsts4-39 • 3/i6/12 Page 3 of 3
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