Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0046, Submission # Submission-2016-0076, UID # 1165
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
210292011002014740 28TH ST N, TOWN OF WEST LAKELAND1474028THSTNLAKELANDTOWN OF WEST LAKELAND55043SUSKI GREGORY A91PHEASANT RIDGE 4TH ADD1995
Owner's representative:
Name:
Gary Buchite
Phone:
(651470 - 2111
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
Excessive ponding in soil system/D-boxes

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: 01/01/1995

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:
0-7" Topsoil 10yr 3/2
7-24" Silt Loam 10yr 4/4
24-43" Sandy Loam 7.5yr 4/6
43-72L Loamy Sand 10yr 4/6
A. Bottom of distribution media: 38 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:
1,500 & 1,000 gallon pre cast septic tanks & 1,500SF gravity drainfield
Attach Files:

Certification

Inspector:
Name:
Tom Trooien
MPCA License #:
L1568
Business Name:
All State Septic Services
Phone:
(651439 - 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 #607 (03/16/2016)

Charge Cost Quantity Total
Non-Taxable
added 03/16/2016 11:09 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 11:09 AM - witnessed by Kati Hallermann
9d36feba7d0e3bc28a8a062add14b0f7
c7b90637e98ff77c60ce1cdd3a6eab03
 
#1 Compliance Inspection AcceptedKati Hallermann - 03/16/2016 11:10 AM
8d530b5105de981511f732d208f47ae1
a9cb278d6703db51a879f92a4dea7cc8
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    File(s):
      Compliance Letter Type: Failed system, No Replacement Who's signature should be on the letter? Chris LeClair Permit number to reference in "No Replace" letter: 123
      Was the letter sent? Compliant/Non-Compliant:
      Certificate of Compliance:
        Letter of Non-Compliance:
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