Compliance Inspection Compliance Inspection Compliance Inspection # CI-2019-1963, Submission # Submission-2019-2012, UID # 23977
Status: System Replaced
 

System Status

System status on date: 09/17/2019 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
35032214400019155 182ND ST N, CITY OF FOREST LAKE9155182NDSTNFOREST LAKECITY OF FOREST LAKE55025LOHRE DANIEL & MAVIS1975
Owner's representative:
Name:
Tami Hanson
Phone:
(651433 - 2501
Email:
greenacres9155@frontiernet.net

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:
Homeowners have not had any issues with leakage or backups. No signs of ponding during site visit 9/13/2019

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:
Tanks does not have access cover. Tank was pumped 8/29/2019 by Smilies with no issues noted. During site visit 9/13/2019 I checked operating level and tank operating level was normal. Thank will be abandoned when system is replaced.

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: 01/01/1975

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:
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: 97.6 Decimal Feet
B. Periodically saturated soil/bedrock: 98 Decimal Feet
C. System separation: -.4 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

Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Zierke Soil Testing, LLCL119651-249-134628587 Jeffrey Ave Chisago City, MN 55013NoNoNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: benzierke@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 #4874 (09/23/2019)

Charge Cost Quantity Total
Non-Taxable
added 09/23/2019 9:11 PM

$41 Flat Fee

$41.00 x 1 $41.00
Grand Total
Total $41.00
Payment 09/23/2019$41.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantBenjamin J. Zierke - 09/23/2019 9:11 PM
8d565b923c7c49c8d01319c11a7fc084
28d6bede67a4df1f5142d7d070750ffc
 
#1 Compliance Inspection AcceptedTyler Dale - 10/15/2019 8:21 AM
710dfdfdb43cd0bdc7f1df6e41417d85
6937b373a917dd5a87a29c5ff02519c1
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    File(s):
      Compliance Letter Type: Failed System, Notice and Order to Comply, Separation Who's signature should be on the letter? Tyler Dale Permit number to reference in "No Replace" letter:
      Was the letter sent? Yes Compliant/Non-Compliant:
      Certificate of Compliance:
        Letter of Non-Compliance:
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