SSTS Permitting

Compliance Inspection Compliance Inspection Compliance Inspection # CI-2017-0984, Submission # Submission-2017-1027, UID # 10960
Status: System Replaced

System Status

System status on date:

10/12/2017

System Status:

Noncompliant

System - Noncompliant

Reason(s) for noncompliance:

Other Compliance Conditions (Compliance Component #3) - Imminent threat to public health and safety

Soil Separation (Compliance Component #4) - Failing to protect groundwater

Property Information

Property Information:

Compliance Status		Property Record		Property Address								Property Owner	Property Attributes
Compliance Expiration	Compliance Status	Parent GeoCode	PIN	Site Address	Building Number	Street Name	Type	Dir	City	Municipality	zip	Owner	Lot	Block	Plat	Year Built	Property Hold
			0303021330002	9120 110TH ST N, CITY OF GRANT	9120	110TH	ST	N	STILLWATER	CITY OF GRANT	55082	UNKLESBAY AMY & MATTHEW J				1890

Owner's representative:

Name:

Tom Trooien

Phone:

(651

) 439

- 7323

Email:

tomtrooien@aol.com

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 Excessive ponding in soil system/D-boxes Homeowner testimony (See Comments/Explanation)

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:	Yes
Explain:	Wiring at the exterior junction box is exposed and only covered by a 5 gallon bucket
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:	12/06/1985

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:	No
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 Decimal Feet
B. Periodically saturated soil/bedrock:	2.67 Decimal Feet
C. System separation:	.67 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

Attach Files:

File 1: 9120_110th_St_N_comp_report.pdf

Certification

Inspector:

Name	License Number	Phone Number	Address	Maintainer	Installer	Service Provider	Designer	Inspector
All State Septic Services	L1568	651-439-7323	12155 Norell Ave N Stillwater, MN 55082	No	No	No	Yes	Yes

Please search for and choose SELF/OTHER if what you need does not appear in the list

Inspector Email Address:

tomtrooien@aol.com

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 #2713 (10/12/2017)

Charge	Cost	Quantity	Total
Non-Taxable
Compliance Inspection Fee added 10/12/2017 6:14 PM $40 Flat Fee	$40.00	x 1	$40.00
Subtotal			$40.00 0
Grand Total
Total			$40.00
Payment 10/12/2017			$40.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Tom Trooien - 10/12/2017 6:14 PM c03c416095c0b3997b7882d04d635df8 cb26db95633d8257b58ede9a2b3783ad
#1 Compliance Inspection Accepted	Christopher W. LeClair REHS - 10/13/2017 10:27 AM 9cb7ee163023d590ae893d9b9fad1e14 3d09265112cc2a22b863f76be556b1cd

Inspection has been approved. All signatures have been obtained.

Public Notes

Text:
File(s):

Internal Notes

Text:
File(s):

Create Letter

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:

Letter of Compliance

Certificate of Compliance:

Letter of Non-Compliance

Letter of Non-Compliance:

File 1: 9120_110th_ST_N_ITPHS_10-13-2017.pdf