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Compliance Inspection Compliance Inspection UID # 21112
Status: In Progress
 

System Status

System status on date: 05/02/2019 System Status: Noncompliant

System - Noncompliant

Reason(s) for noncompliance:
Soil Separation (Compliance Component #4) - Failing to protect groundwater

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
240322142001020280 KEATS AVE N, CITY OF FOREST LAKE20280KEATSAVENFOREST LAKECITY OF FOREST LAKE55025XIONG CHAI & PAKOU YANG51SUNNY WAY ACRES1976
Property Owner's Mailing Address
(if different than property address):
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
Homeowner testimony (See Comments/Explanation)
 Comments/Explanation: 
Nothing else 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: 
Tank pumping done by ross sewer service at time of inspection good precast tank approx. 1250gal tank may be reused subject to new drainfield design layout & sizing factors

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
Explain: 




System is non protective of groundwater for other
 conditions as determined by the inspector:		
No



Explain:








	





	
Date of Install

	


Date of install known:
No



Date of installation:







	





	
Soil Separation

	


Shoreland/Wellhead Protection/Food, beverage, lodging?
No



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.:		
No



Verification method(s):

Conducted soil observation(s) (Attach boring logs)




Comments/Explanation:

Drainfield does not meet compliance. Contact local zoning office for specific upgrade requirements




A. Bottom of distribution media:
42 Decimal Feet



B. Periodically saturated soil/bedrock:
28 Decimal Feet



C. System separation:
0 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:

System is original- extremely old 43 years old exceeds the average life expectancy of 20-30yrs drainfield does not have the vertical separation required which is required to properly treat the wastewater per MPCA Ch 7080 compliance code & therefore does not meet compliance tank is good




Attach Files:







	





	
Certification

	


Inspector:



	
	
	
	





NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector




Mac's Sewer ServicesL1476651-462-151034918 Falcon Ave N North Branch, MN 55056NoNoNoNoNo









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





Inspector Contact (If 'self/other' is selected from the Inspector Lookup):




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 #4326 (05/14/2019)

	






	
	Charge
	Cost
	Quantity
	Total
	




	Non-Taxable


	
	 added 05/14/2019 1:45 PM
$41 Flat Fee

	$40.00
	 x 1
	$40.00
	


	Grand Total


	Total
	$40.00

Payment 05/14/2019$40.00
Due$0.00
This Application has not been submitted, so you may not pay for this Invoice.
Action: Print  




	











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      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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