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Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0045, Submission # Submission-2016-0075, UID # 1162
Status: Compliance Inspection Accepted
 

System Status

System status on date: 03/05/2016 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
140282021010716438 22ND ST S, CITY OF LAKE ST CROIX BEACH1643822NDSTSLAKELANDCITY OF LAKE ST CROIX BEACH55043LARSON JEREMY L & MICHELE1901
Property Owner's Mailing Address
(if different than property address):
PO BOX 307
Lakeland MN 55043
Owner's representative:
Name:
Sheryl Cincoski
Phone:
(000) 000 - 0000
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:		 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: 07/26/1995

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)
Comments/Explanation: 
B1 0-05-16
0-7" Topsoil 10yr 3/2
7-36" Sandy Loam 10yr 4/4
36-70" Med to Course Sand 10yr 5/4
A. Bottom of distribution media: 42 Decimal Feet
B. Periodically saturated soil/bedrock: 0 Decimal Feet
C. System separation: 24 Decimal Feet
D. Required compliance separation: 24 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: 
2 1,000 gallon pre-cast septic tanks and 572SF rock trench gravity drainfield
Attach Files:

Certification

Inspector:
Name:
Tom Trooien
MPCA License #:
L1568
Business Name:
All State Septic Services
Phone:
(651) 439 - 7323
Email:
tomtrooien@aol.com
Address:
12020 Square Lake Trail Ct N
Stillwater MN 55082

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 #604 (03/16/2016)

Charge Cost Quantity Total
Non-Taxable
added 03/16/2016 10:34 AM

$40 Flat Fee

 $40.00 x 1 $40.00
Grand Total
Total $40.00
Payment 03/16/2016$40.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantTom Trooien - 03/16/2016 10:48 AM - witnessed by Kati Hallermann
d9e3bc08d462e6ad2058baadfa7a5f46
e2d8b3bd56c26dfd556568a280a2217f		 
#1 Compliance Inspection AcceptedKati Hallermann - 03/16/2016 10:48 AM
a124b10732c5b1d207951963354a9258
26a5255960cf473cd374077a3e4018b4		 
Inspection has been approved. All signatures have been obtained.
Text: 




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      Compliance Letter Type:

Who's signature should be on the letter?
Pete Ganzel
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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