The URL can be used to link to this page

Home My WebLink AboutCompliance inspection Minnesota Pollution Compliance Inspection Form Control Agency p p 520 Lafayette 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/1yyy): 8/16/2016 ® Compliant—Certificate of Compliance ❑ Noncompliant— Notice of Noncompliance (Valid for 3 years from report(late, unless shorter time (See Upgrade Requirements on page 3) frame outlined in Local Ordincince.) Reason(s)for noncompliance (check all applicable) ❑ Impact on Public Health (Compliance Component #1)—Imminent threat to public health and safety 0 Other Compliance Conditions(Compliance Component#3)—Imminent threat to public health and safety ❑ Tank Integrity(Compliance Component #2)—Failing to protect groundwater ❑ Other Compliance Conditionls(Compliance Component#3)—Failing to protect groundwater ❑ Soil Separation (Compliance Component #4)—Failing to protect groundwater 0 Operating permit/monitoring plan requirements(Compliance Component #5)—Noncompliant Property Information Parcel ID#or Sec/Twp/Range: N/A Property address: Lot 1, Block 1 WhiteOak Funk Add.., Orono, MN Reason for inspection: Property Transfer Property owner: Brian Merz Owner's phone: or Owner's representative: Pat Hiller Representative phone: 612-804-9821 Local regulatory authority: City of Orono Regulatory authority phone: 952-249-4600 Brief system description: No tanks and 550 square feet of mound rockbed. per city records Comments or recommendations: Lot was subdivided.'The existing mound goes with lot 1 Certification I 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 I rc. sting License number: 810 Inspector signature: 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 wq-wwists4-31 • 1/24/12 Pnoo 1 of 1 Property address: Lot 1, Block 1 White Oak Funk Add.., Orono, MN Inspector initials/Date: J. O. 8/16/16 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 CIYes ® No ❑ Excessive ponding in soil system/D-boxes or surface waters. CIHomeowner testimony(See Comments/Explanation) CI "Black soil'above soil dispersal system System cause sewage backup into ❑ Yes ® No dwelling or establishment. ❑ System requires"emergency"pumping ❑ 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 lye ❑ Examined Tank Integrity Form (Attach) compliant if allowed in local ordinance. — ❑ 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: ❑ Probed outside tank(s)for"black soil" Any "yes"answer above indicates the 1=1Unable to verify(See Comments/Explanation) system is Failing to Protect Groundwater. ® Other methods not listed (See Comments/Explanation) Comments/Explanation: New tanks will be installed when the house is built. 3. Other Compliance Conditions-Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. ❑Yes* ®No 0 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 tp public health and safety Explain: c. System is non-protective of ground,water for other conditions as determined by inspector 0 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 Page 2 of 3 • Property address: Lot 1, Block 1 Wh�te Oak Funk Add.., Orono, MN Inspector initials/Date: J. 0. 8/16/16 4. Soil Separation—Complialnce component#4 of 5 Date of installation: ® Unknown Verification method(s): ShorelandlWellhead protection/Food Beverage ❑ Yes ® No Soil observation does not expire. Previous soil Lodging? observations by two independent parties are sufficient, Compliance criteria: unless site conditions have been altered or local For systems built prior to April 1, 1996, and ❑Yes ElNo requirements differ. not located in Shore/and or Wellhead ® Conducted soil observation(s) (Attach boring logs) Protection Area or not serving a food, ❑ Two previous verifications(Attach boring logs) beverage or lodging establishment: ❑ 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. ElOther(See Comments/Explanation) Non-performance systems built April 1, ®Yes ❑ No Comments/Explanation: 1996, or later or for non-performance systems located in Shoreland or Wellhead Protection Areas or sensing a food, beverage, or lodging establishment: Drainfield has a three-foot vertical separation distance from periodically saturated soil or bedrock.* i "Experimental", "Other'; or "Perfrmance" 11Yes ❑ No Indicate depths of elevations systems built under pre-2008 Rues; Type IV or V systems built under 2008 R les(7080. A. Bottom of distribution media 965.9 2350 or 7080.2400 (Advanced Inspector License required) B. Periodically saturated soil/bedrock 962.9 Drainfield meets the designed vertical C. System separation 3.0 separation distance from periodically saturated soil or bedrock. D. Required compliance separation* 2.6 Failing to Protect Groundwater. "no"answer above i' dicates the system is *May be reduced up to 15 percent if allowed by Local Ordinance. 5. Operating Permit and Nitrogen BMP*—Compliance component#5 of 5 ® Not applicable I 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 BMP=Best Management Prac`ice(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 ❑ No Any "no"answer indicate Noncompliance. I Upgrade Requirements(Minn. Stat.'i§115.55)An imminent threat to public health and safety(ITPHS)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 wa-wwists4-31 • 1/24/12 vnoa 1 nf 1