Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0375, Submission # Submission-2016-0045, UID # 1028
Status: Compliance Inspection Accepted
 

System Status

System status on date: 02/04/2016 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
31028211300106603 CRACKLEBERRY TRL, CITY OF WOODBURY6603CRACKLEBERRYTRLWOODBURYCITY OF WOODBURY55129DANAE J BRUNING TRS61WILD CANYON RIDGE1986
Owner's representative:
Name:
Dave Brown
Phone:
(651788 - 3296
Email:
septic@co.washington.mn.us

Impact on Public Health

System discharges sewage to
the ground surface:
No System discharges sewage to
drain tile or surface waters:
No System causes sewage backup
into dwelling or establishment:
No
Verification method(s):
Searched for surface outlet
Searched for seeping in yard/backup into home

Tank Integrity

System consists of seepage pit,
cesspool, drywell, or leaching pit:
No
Sewage tank(s) leak below their
designed operating depth:
No
Verification method(s):
Probed tank(s) bottom
Examined construction records

Other Compliance Conditions

Maintenance hole covers are damaged, cracked,
unsecured, or appear to be structurally unsound:
No
Other issues (electrical hazards, etc.) to
immediately and adversely impact public
health or safety:
No
System is non protective of groundwater for other
conditions as determined by the inspector:
No

Date of Install

Date of install known: Yes
Date of installation: 07/16/1986

Soil Separation

Shoreland/Wellhead Protection/Food, beverage, lodging? No
Drainfield has at least a two-foot vertical separation
distance from periodically saturated soil or bedrock:
Yes
Drainfield meets the designed vertical separation
distance from periodically saturated soil or bedrock.:
No
Verification method(s):
Conducted soil observation(s) (Attach boring logs)
A. Bottom of distribution media: 2.6 Decimal Feet
B. Periodically saturated soil/bedrock: 4.8 Decimal Feet
C. System separation: 2.1 Decimal Feet
D. Required compliance separation: 2 Decimal Feet

Operating Permit and Nitrogen BMP

Is system operating under an Operating Permit: No
Is the system required to employ Nitrogen BMP: No

Comments and File Attachments

Comments or recommendations:
1 Septic tank to gravity drainfield. System was installed in 1986 with a permit from the city of Woodbury. This system meets the required 24" of soil separation as required by systems installed prior to April 1, 1996.
Attach Files:

Certification

Inspector:
Name:
Dave Brown
MPCA License #:
L3649
Business Name:
David R. Brown
Phone:
(651788 - 3296

Terms

Certification
  • By submitting this form I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of the 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

Invoice #517 (02/12/2016)

Charge Cost Quantity Total
Non-Taxable
added 02/12/2016 2:06 PM

$40 Flat Fee

$40.00 x 1 $40.00
Grand Total
Total $40.00
Payment 09/13/2016$40.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantDavid R. Brown - 09/13/2016 1:39 PM - witnessed by Kati Hallermann
d1fe202346154a1b2c1420b7ce72d3bf
6897e77fb13ed542d7245dfba50597d3
 
#1 Compliance Inspection AcceptedKati Hallermann - 09/13/2016 1:39 PM
79912ca61f5d71fe0019f8f191b7a0c5
a695fbb7d61d1fef6318f1216b621276
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    File(s):
      Compliance Letter Type: Who's signature should be on the letter? Permit number to reference in "No Replace" letter:
      Was the letter sent? Compliant/Non-Compliant:
      Certificate of Compliance:
        Letter of Non-Compliance:
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