Compliance Inspection Compliance Inspection Submission # Submission-2019-1906, UID # 22829
Status: Permit Issued
 

System Status

System status on date: 07/22/2019 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
120322122000222900 JENSEN AVE N, CITY OF FOREST LAKE22900JENSENAVENFOREST LAKECITY OF FOREST LAKE55025HASELTINE KEVIN21KNOB HILL1974
Owner's representative:
Name:
Jeffrey Fertig
Phone:
(651253 - 2969
Email:
leah.hasslefree@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:
1- 1250 gallon septic tank and two gravity flow trenches

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):
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
Pumper testimony - Hassle Free Septic Pumped the tank.

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:
Yes
Explain:
Less than 24 inches of separation

Date of Install

Date of install known: No

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)
A. Bottom of distribution media: 3.5 Decimal Feet
B. Periodically saturated soil/bedrock: 2 Decimal Feet
C. System separation: 0 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

Comments or recommendations:
1-1250- gallon Septic Tank and two gravity flow trenches
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Sunrise Septic Services, IncL2299651-253-296912180 St. Croix Trl North Branch, MN 55056NoNoNoNoYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: leah.hasslefree@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 #4654 (07/30/2019)

Charge Cost Quantity Total
Non-Taxable
added 07/30/2019 11:32 AM

$41 Flat Fee

$41.00 x 1 $41.00
Grand Total
Total $41.00
Payment 07/30/2019$41.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
Applicant 
Status must be Pending Review
#1 Compliance Inspection Accepted 
Status must be Pending Review
Text:
File(s):
    Text:
    08/01/2019: Incomplete inspection. No soil boring log was included with the report. Need to contact inspector. PMO
    File(s):
    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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