HomeMy WebLinkAboutSeptic Compliance Inspection •
Minnesota Pollution Compliance Inspection Form
Control Agency
SZOLafayette Road North Existing Subsurface Sewage Treatment Systems
St.Paul,MN 55155-4194 (SSTS)
Doc Type:Compliance and Enforcement
Instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) For local tracking purposes:
requirements and attached forms—additional local requirements may also apply.
Submit completed form to Local Unit of Government(LUG)and system owner
within 15 days
System Status
System status on date(mm/dd/yyyy): 11/29/2017
® 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 outlined in Local Ordinance.)
Reason(s)for noncompliance(check all applicable)
❑ Impact on Public Health (Compliance Component #1)—Imminent threat to public health and safety
❑Other Compliance Conditions(Compliance Component#3)—Imminent 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: 0511723110006
Property address: 3285 Graham Hill Road,Orono, MN Reason for inspection: Property Transfer
Property owner: Lori Herkert Owner's phone: 305-878-1733
or
Owner's representative: Representative phone:
Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600
Approximately 2-1250 gallon septic tanks,1-1500 gallon lift station and 630 square feet of mound
Brief system description: rockbed.
Comments or recommendations:
TBM:Top of lift station manhole cover
Certification
1 hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No
determination of future system performance has been nor can be made due to unknown conditions during system construction,
possible abuse of the system, inadequate maintenance, or future water usage.
Inspector name: Joseph J Olson Certification number: 1255
Business name: Rusty n's Soil&Pero.Testing License number: 810
Inspector signatur • Phone number: 763-498-8779
Necessary or Locally Required Attachments
® Soil boring logs ®System/As-built drawing 0 Forms per local ordinance
0 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
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Property address: 3285 Graham Hill Road,Orono, MN Inspector initials/Date: J. O. 11/29/17
1. Impact on Public Health -Compliance component#1 of 5
Compliance criteria: Verification method(s):
System discharge sewage to the ❑Yes ® No ® Searched for surface outlet
ground surface. ® Searched for seeping in yard/backup in home
System discharge sewage to drain tile ❑Yes ® No ❑ Excessive ponding in soil system/D-boxes
or surface waters. I: Homeowner testimony(See Comments/Explanation)
D "Black soil"above soil dispersal system
System cause sewage backup into ❑Yes ® No ❑ System requires"emergency"pumping
dwelling or establishment. ❑ Performed dye test
Any"yes"answer above indicates the system is ❑ Unable to verify(See Comments/Explanation)
an Imminent Threat to Public Health and Safety. ❑ Other methods not listed(See Comments/Explanation)
Comments/Explanation:
2. Tank Integrity-Compliance component#2 of 5
Compliance criteria: Verification method(s):
System consists of a seepage pit, ❑Yes ® No ❑ Probed tank(s)bottom
cesspool,drywell,or leaching pit. ❑ Examined construction records
Seepage pits meeting 7080.2550 may be ❑ Examined Tank Integrity Form(Attach)
compliant if allowed in local ordinance.
0 Observed liquid level below operating depth
Sewage tank(s) leak below their ❑Yes ®No 0 Examined empty(pumped)tanks(s)
designed operating depth.
If yes,which sewage tank(s)leaks: ❑ Probed outside tank(s)for"black soil"
�� Unable to verify(See Comments/Explanation)
"yes"yes answer above indicates the ®Other methods not listed (See Comments/Explanation)
system is Failing to Protect Groundwater.
Comments/Explanation:
Elmer J. Peterson Company pumped the tanks.
3. Other Compliance Conditions-Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. El Yes* ®No ❑Unknown
b. Other issues(electrical hazards.etc.)to immediately and adversely impact public health or safety. 0 Yes* ®No ❑Unknown
*System is an imminent threat to public health and safety
Explain:
c. System is non-protective of ground water for other conditions as determined by inspector El Yes' ®No
*System is failing to protect groundwater
Explain:
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 . 1/24/12 Poge 2 of 3
Property address: 3285 Graham Hill Road, Orono, MN Inspector initials/Date: J. O. 11/29/17
4. Soil Separation—Compliance component#4 of 5
Date of installation: 6/01/2009 0 Unknown Verification method(s):
Shoreland/Wellhead protection/Food Beverage ❑Yes ® No Soil observation does not expire. Previous soil
Lodging7 observations by two independent parties are sufficient,
Compliance criteria: unless site conditions have been altered or local
requirements differ.
For systems built prior to April 1, 1996, and 0 Yes 0 No
not located in Shoreland or Wellhead ® Conducted soil observation(s)(Attach boring logs)
Protection Area or not serving a food, 0 Two previous verifications(Attach boring logs)
beverage or lodging establishment:
0 Not applicable(Holding tank(s), no drainfield)
Drainfield has at least a two-foot vertical ❑ Unable to verify(See Comments/Explanation)
separation distance from periodically
saturated soil or bedrock. ❑ Other(See Comments/Explanation)
Non-performance systems built April 1, ®Yes 0 No Comments/Explanation:
1996, or later or for non-performance
systems located in Shoreland or Wellhead
Protection Areas or serving a food,
beverage, or lodging establishment:
Drainfield has a three-foot vertical
separation distance from periodically
saturated soil or bedrock.*
"Experimental; "Other; or 'Performance" 0 Yes 0 No Indicate depths of elevations
systems built under pre-2008 Rules; Type IV
or V systems built under 2008 Rules(7080. A. Bottom of distribution media 104.9
2350 or 7080.2400 (Advanced Inspector
License required) B. Periodically saturated soil/bedrock 101.9
Drainfield meets the designed vertical C. System separation 3.0
separation distance from periodically
saturated soil or bedrock. D. Required compliance separation* 2.6
Any "no"answer above indicates 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 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? 0 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 completed.
Compliance criteria
a. Operating Permit number:
❑Yes ❑ No
Have the Operating Permit requirements been met?
b. Is the required nitrogen BMP in place and properly functioning? ❑Yes 0 No
Any "no"answer indicates Noncompliance.
Upgrade Requirements(Minn. Stat. § 115.55)An imminent threat to public health and safety((TPHS)must be upgraded.replaced,or its use
discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. If the system is failing to protect
ground water.the system must be upgraded,replaced,or its use discontinued within the time required by local ordinance. If an existing system
is not failing as defined in law.and has at least two feet of design soil separation, then the system need not be upgraded. repaired.replaced. or
its use discontinued,notwithstanding any local ordinance that is more strict. This provision does not apply to systems in shoreland areas.
Wellhead Protection Areas,or those used in connection with food.beverage,and lodging establishments as defined in law.
www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 - Available in alternative formats
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Tank Report
Date: November 29,2017
Elmer J.Peterson Co.
5921 Dague Ave.
Delano,MN 55328
Phone 763-972-2420
Fax 763-972-7217
MPCA License#219
Lori Herkert
3285 Graham Hill Road
Orono,MN 55356
305-878-1733
Baffles: ON OFF
Tank Capacity: 2-1250 Gallon Tanks,1-1500 Gallon Tank Per City Records
#of Tanks: 3
Type of Tanks: Concrete
Gallons Pumped: 3500
Manholes to Grade:�YES NO
Comments:
On November 29,2017,Elmer J.Peterson Co.pumped septic tanks. No cracks or water leaking in tank at
that time.
NOTE:This is only a tank report. This is not a compliance inspection for point of sale nor does it
replace a compliance inspection.
Property address: 3285 Graham Hill Road _ Inspector initials/Date: 11/29/17
1. Impact on Public Health—Compliance component#1 of 5
Compliance criteria: Verification method(s):
System discharge sewage to the • 0 Yes 0 No 0 Searched for surface outlet
ground surface. 0 Searched for seeping in yard/backup in home
System discharge sewage to drain tile ❑Yes 0 No
0 Excessive ponding in soil system/D-boxes
or surface waters. i ❑ Homeowner testimony(See Comrnents/Explanabon)
"Bla---
so
di
ystem
System cause sewage backup into 0 Yes ❑No soil"above encal pumping
dwelling or establishment. 0 System requires"emergency pumping
1 ❑ Performed dye test
Any"yes"answer above indicates the system is ❑ Unable to verify(See Comments/Explanation)
an imminent Threat to Public Health and Safely. 0 Other methods not listed(See Comments Explanation)
Comments/Explanation:
2. Tank Integrity—Compliance component#2 of 5
Compliance criteria: Verification method(s):
System consists of a seepage pit, ❑Yes ®No ❑ Probed tank(s)bottom
cesspool,drywall,or leaching pit. 0 Examined construction records
Seepage pits meeting 7080.2550 may be 0 Examined Tank integrity Form(Attach)
compliant if Mowed in kcal ordinance.
0 Observed liquid level below operating depth
Sewage tank(s)leak below their ❑Yes ®No
designed operating depth. ® Examined empty(pumped)tanks(s)
If yes,which sewage tank(s)leaks: 0 Probed outside tank(s)for'black soil"
0 Unable to verify(See Comments/Explanation)
Any"yes"answer above indicates the ❑Other methods not listed(See Comments/Explanation)
system is Failing to Protect Groundwater.
Commenls/Expl a nation:
On 11/29/17,Elmer J.Peterson Co.pumped tanks.
3. Other Compliance Conditions—Compliance component#3 of 5
a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. 0 Yes' 0 No 0 Unknown
b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. 0 Yes" 0 No ❑Unknown
'System is an imminent threat to public health and safety
Explain.
c- System is non-protective of ground water for other conditions as determined by inspector 0 Yes- 0 No
'System is failing to protect groundwater
Explain:
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 • 1/24/12 Page 2 of 3
Soil Observation Log
www.SepticResourec.com vers 12.4
Owner Information
Property Owner/project: Lori Herkert Date 11/29/2017
Property Address/PID: 3285 Graham Hill Road
Soil Survey Information ❑ refer to attached soil survey
Parent matl's: 0 Till ❑Outwash ❑ Lacustrine ❑Alluvium ❑Organic ❑ Bedrock
landscape position: D Summit ❑ Shoulder Q Side slope ❑Toe slope
soil survey map units: L41 C'2 slope % direction- Lineal
Soil Log#1
[]Boring ❑ Pit Elevation 107.4 Depth to SHWT 68 Inches
Depth (in) Texture fragment% matrix color redox color consistence grade shape
(1-46 rill , 35
46-58 I opxtil - 35 I(h r 3 2 Loose Moderate Block)
58-64 Clay Loam 35 101-4 3 Friable Strong Blocky
64-68 Clay Loam <35 10yr5/4 Friable SImn 13locky
loose loose
<35 single grain
friable weak granular blocky
35-50
firm ne moderate prismatic platy
rigid strong massive.
Comments:
3285 Graham Hill Road Soil Log#2
11 Boring ❑ Pit Elevation 107.0 Depth to SHWT 66 Inches
Depth(in) Texture fragment% matrix color redox color consistence grade shape
0-46 Fill -35
46-56 Topsoil 35 I0yr4/2 Loose Moderate Blocks
56-60 Clay Loam 35 I0vr5'4 Friable Strong Blocky
60-66 Clay Loam 35 I U�r5 4 Friable Strong Blocky
loose loose
<35 single grain
friable weak granular blocky
35-50
firm moderate prismatic platy
>50 rigid strong massive
3285 Graham Hill Road Soil Log#3
❑1 Boring E Pit Elevation Depth to SHWT
Depth(in) Texture fragment% matrix color redox color consistence grade shape
loose loose
<35 single grain
friable weak granular blocky
35-50
firm moderate prismatic plat
>50 rigid strong massive
<35 loose loose single grain
friable weak granular blocky
35-50
firm moderate prismatic plate
>50 rigid strong massive
<35 loose loose single grain
friable weak granular blocky
35-50
>50 firm moderate prismatic platy
rigid strong massive
<35 loose loose single grain
friable weak granular blocky
35-50
firm moderate prismatic platy
>50 rigid strong massive
<35 loose loose single grain
friable weak granular blocky
35-50
firm moderate prismatic platy
>50 rigid strong massive
1 her•eht•cert' •this work was completed in accordance with MN 7080 and any local reqs.
Rusty Olson's Soil & Perc 810
signer Signature Company License#
s
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