SSTS Permitting

System status on date:

08/27/2019

System Status:

Noncompliant

Reason(s) for noncompliance:

Tank Integrity (Compliance Component #2) - Failing to protect groundwater

Soil Separation (Compliance Component #4) - Failing to protect groundwater

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
			1402921440025	10823 32ND ST N, CITY OF LAKE ELMO	10823	32ND	ST	N	LAKE ELMO	CITY OF LAKE ELMO	55042	SAVELKOUL RICHARD & SHANNON	2	1	RUTH'S 1ST ADD TO LAKE ELMO	1986	No

Owner's representative:

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 Homeowner testimony (See Comments/Explanation)	Comments/Explanation:	There have never been any issues per owner.

System consists of seepage pit, cesspool, drywell, or leaching pit:	No
Sewage tank(s) leak below their designed operating depth:	No
Verification method(s):	Unable to verify (See Comments/Explanation)
Comments/Explanation:	Tanks were under a deck and the pumping could not be done since there was no access.

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 known:

No

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:	2 Decimal Feet
B. Periodically saturated soil/bedrock:	1.25 Decimal Feet
C. System separation:	0 Decimal Feet
D. Required compliance separation:	3 Decimal Feet

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

Attach Files:

Inspector:

Name	License Number	Phone Number	Address	Maintainer	Installer	Service Provider	Designer	Inspector
David R. Brown	L3649	651-788-3296	PO Box 251026 Woodbury, MN 55125	No	No	No	Yes	Yes

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Inspector Email Address:

drufusb1@yahoo.com

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

Charge	Cost	Quantity	Total
Non-Taxable
Compliance Inspection Fee added 08/28/2019 1:21 PM $41 Flat Fee	$41.00	x 1	$41.00
Subtotal			$41.00 0
Grand Total
Total			$41.00
Payment 08/27/2019			$41.00
Due			$0.00

Action: Print

Approval	Signature	Options
Applicant	Dave Brown - 08/28/2019 1:25 PM - witnessed by Denise Lange 7adf2b68ab7745eb845123f456962632 8f57780c9873715f7e63b728d910a450

Compliance Letter Type:	Failed System, Notice and Order to Comply, Separation	Who's signature should be on the letter?	Paul O'Neel	Permit number to reference in "No Replace" letter:
Was the letter sent?	Yes	Compliant/Non-Compliant:

Text:
File(s):