SSTS Permitting

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
			3103121430021	4874 120TH ST N, CITY OF HUGO	4874	120TH	ST	N	WHITE BEAR LAKE	CITY OF HUGO	55110	HARTNECK CRAIG & ABIGAIL	16	6	SHADYSIDE NO.4	1949

Owner's representative:

Name:

michael McElhatton

Phone:

(651

) 462

- 1510

Email:

macsewer12@gmail.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	Comments/Explanation:	No other visible problems observed at the time of inspection

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):	Examined construction records Examined empty (pumped) tank(s)
Comments/Explanation:	Tanks pumped at time of inspection by Ross Sewer Service Precast tanks Approx 1500 & 1000gal septic tanks & 1000gal lift tank (3tanks)

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

Soil Separation

Shoreland/Wellhead Protection/Food, beverage, lodging?	Yes
Drainfield has at least a three-foot vertical separation distance from periodically saturated soil or bedrock.:	No
Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock.:	Yes
Verification method(s):	Conducted soil observation(s) (Attach boring logs)
Comments/Explanation:	Drainfield meets separation requirement & therefore meets compliance
A. Bottom of distribution media:	30 Decimal Feet
B. Periodically saturated soil/bedrock:	66 Decimal Feet
C. System separation:	36 Decimal Feet
D. Required compliance separation:	36 Decimal Feet

Comments and File Attachments

Comments or recommendations:

Pressure bed with 1500 & 1000Gal. Septic tanks & 1000Gal. Lift Tank.
Note: remove & keep brush and debris off north end of drainfield area where it meets the tree line drainfield runs north/south & north half is being covered with brush & debris which will prevent proper evaporation that is needed for proper function.

Attach Files:

File 1: 4874_120th_st_comp_insp.pdf

Certification

Inspector:

Name	License Number	Phone Number	Address	Maintainer	Installer	Service Provider	Designer	Inspector
Mac's Sewer Services	L1476	651-462-1510	34918 Falcon Ave N North Branch, MN 55056	No	No	No	No	No

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

Inspector Email Address:

macsewer12@gmail.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 #2862 (11/21/2017)

Charge	Cost	Quantity	Total
Non-Taxable
Compliance Inspection Fee added 11/21/2017 10:23 AM $40 Flat Fee	$40.00	x 1	$40.00
Subtotal			$40.00 0
Grand Total
Total			$40.00
Payment 11/30/2017			$40.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Mac's Sewer Service - 11/30/2017 9:44 AM - witnessed by Kati Hallermann 54d51fc88095079ffa953cd6b8694ca6 442e4663b3a9587488aa093d109a8fe8
#1 Compliance Inspection Accepted	Kati Hallermann - 11/30/2017 9:44 AM 996c2b8f1d5b633d89849e71c0674bd1 1d989e633fccc78fdd97c685d43354d6

Inspection has been approved. All signatures have been obtained.

Public Notes

Text:
File(s):

Internal Notes

Text:

From: Mike McElhatton [mailto:macsewer12@gmail.com] 
Sent: Monday, November 20, 2017 9:17 PM
To: Dave Bowen <gowhitebear@gmail.com>
Cc: Kati Hallermann <Kati.Hallermann@co.washington.mn.us>
Subject: 4874-120TH ST-SEPTIC CERT

Septic certification & paid receipt attached.

Note to Kati--I will pay $40 report fee online & send you confirmation tomorrow.



-- 
Mike McElhatton
Mac's Sewer Service
651-462-1510

Designer-Inspector
MPCA 1476

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:

SSTS Permitting

System Status

Property Information

Impact on Public Health

Tank Integrity

Other Compliance Conditions

Date of Install

Soil Separation

Operating Permit and Nitrogen BMP

Comments and File Attachments

Certification

Terms

Invoice #2862 (11/21/2017)

Approvals

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