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975 Cliff Rd - Septic Compliance Inspection 2017-05-11 - Noncompliant Minnesota Pollution Comptiance Inspection Control Agency 520 Lafayette Road North Existing Subsurface Sewage Treatment Systems 5t.Paul,MN 55155-4194 ) Doc Type:Compliance and Enforcement instructions: Inspection results based on Minnesota Pollution Control Agency(MPCA) i 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/ddl Y ( YYYY): :s``"i0l° ❑ 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: 10-02600-56-010 Property address: 975 Cliff Road Eagan Reason for inspection: Property Transfer Property owner: Millicent Johnson Owner's phone: 651-238-6055 or Owner's representative: Representative phone: Local regulatory authority: Dakota County Regulatory authority phone: 651-675-5000 Brief system description: Comments or recommendations: 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: Gary M. Bohn Certification number: 959 Business name: Bohn Well DOMg Co. License number: 1043 Inspector signature: ` Phone number: (952)445-4809 Necessary or Locally Required Attach enU ❑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 • Available in alternative formats wq-wwists4-31 • 1124112 Page 1 of 3 Property address: 075 Cliff Road Eagan |nopeckorinkials/Date: 1 Impact on Public Health—Compliance component#1 of 5 Compliance Veri#cadionmmethod(s): System discharge sewage to the El Yes E No N Searched for surface outlet ground surface. IM Searched for seeping in yard/backup inhome R �x0000iuepondinginaoi|a��em/D-boxoa -'-`-''discharge--''-"-`-~'~''' ^''~ El Homeowner testimony(See CommantsxExplanatiom) or surface waters. [] ''B|eckxoi|^abovenoi|diapema|nyoem ovxu,///cause sewage backup into [] Sy�emrequires^emongoncy"pumping dwelling or establishment. F-1 Performed dye test Any"yes"answer above indicates the system hs [I Unable 0o verify(See an Imminent Threat bo Public Health and Safety. [] Other methods not listed(See&ommenbvExplanemnn) Comments/Explanation: 2. Tank Integrity-Compliance component#2 of G Compliance crihm i Verificationmmmthod(e): System consists of a seepage pit, El Yes E No M Probed tamh(s)bottom cesspool,drywell,or leaching pit. [1 Examined construction records Seepage pits meeting romuzx5o may be LJ Examined Tank Integrity Form (A#adh) compliant— [] Observed liquid level below operating depth Sewage tu'mp,/ leak below their [] Examined empty(pumpad)tonko(m) designed operating depth. F1 Probed outside tank(o)for"black soil" If yes,which sewage tank(s) leaks: F-1 Unable to verify(See[omm*nbslExplanabhn) Any "yes"-- El Other methods not listed(See CnmmontxExplanauion) system is Failing to Protect Groundwater. Comments/Explanation: 3. Other Compliance Conditions-Comp|ianoe component#3 of a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. []Yes IM No []Unknown b. Other issues(electrical hazards,etc.)to immediately and adversely impact public health or safety. []vas^ Rwn []Unknown *System is an imminent threat to public health and safety Explain: o. System is non-protective of ground water for other conditions as determined by inspector El Yes* RNo *System is failing to protect groundwater Explain: v*°w.pca.state.mn.u, ^ 651'2966300 ` 800657'3864 ~ TTY 651'Z8Z 53I2 or800857-3864 ^ Available in alternative fonnms Property address: 975 Cliff Road Eagan Inspector initials/Date: 4. Soil Separation—Compliance component#4 of 5 Date of installation: IM Unknown Verification method(s): ShorelandNVellhead protection/Food Beverage 0 Yes [M 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 No requirements differ. not located in Shoreland or Wellhead E 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 CommentslExplanation) separation distance from periodically saturated soil or bedrock. n Other(See Comments/Explanation) Non-performance systems built April 1, ❑Yes ❑ No CommentslExplanation: 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" ❑Yes ❑ 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 2350 or 7080.2400 (Advanced Inspector License required) B. Periodically saturated soil/bedrock a 6 Drainfield meets the designed vertical C. System separation separation distance from periodically saturated soil or bedrock. D. Required compliance separation*_ 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? ❑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 ❑ No Any "no"answer indicates Noncompliance. Upgrade Requirements(Minn. Stat §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 wq-wwists4-31 • 1124112 Page 3 of 3 UNIVERSITY OF MINNESOTA Septic System Drawing : 4 r Contact Information Project ID: Property Owner/Client: Millicent Johnson Address: 975 Cliff Road Eagan e List any construction issues: Mapping Checklist Map scale: indicate north show slope % direction Locate Easements Setbacks Elevations in feet CI Lot Dimensions/Property Lines (�Phone El Building System Corners: Dwellings and Other Improvements NW: Electric All water wells within 100 feet NE: Existing or Proposed System(s) L_j Gas Pressure Pipe Sw: Replacement Area Elevations E7j Water Suction SE: Unsuitable Area(s) Benchmark E Streams,Lakes Soil Borings. Public Water Supply Wells #1 pp y �Borings �Floodway and Fringe 10 Pumping Access F Perc Tests #3: j Inner Wellhead Zone E]Horizontal and Vertical Reference Points Tank Outlet: 0-4 w air o ai cs o v n v cs vn ai ro ^vo ai v e pl © u "b o cc ] of 7 o �s ip^y 6 w a x+i w G�'i 3 �W ai 3 w W .9�9 G4 W Lei 3 ui i e H 8 � a r=w e °c p CV �l q CQ �a vi ^a.d �.' '` C of `�. q vaai o a3 ° b °o cn34 a - � H A e Oil � -�c�7 � � •ate � � �c�7 � m •° y � � � 3 a.alarn wacn wL+.v, P—A CD CD Ul) IV wawa o . o m rl t # v m as m w a> a ww R. ay v C 7 p 7 r 7 rl a o © CU 7 CJ CO�,Cy 7 t o q aP.C t> - R rl) U U C) y o Cd a Coba 0 0 O _ <j v LL Cd u r� L O _ u A ew a o c. w cr d c' Piz •y as oy as w 10 . mf cd l R " ear ' q'1 a