SSTS Permitting

Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0175, Submission # Submission-2016-0216, UID # 2877
Status: Compliance Inspection Accepted

System Status

System status on date:

05/28/2016

System Status:

Compliant

Property Information

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
			1102820430077	16630 18TH ST S, CITY OF LAKE ST CROIX BEACH	16630	18TH	ST	S	LAKELAND	CITY OF LAKE ST CROIX BEACH	55043	SHOEN MASON W & SOFIA				1968

Property Owner's Mailing Address
(if different than property address):

Rex & Nenita Spencer
16630 18th St S
Lakeland	MN	55043

Owner's representative:

Name:

Greg Hilger

Phone:

(952

) 240

- 1309

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:	12/05/1995

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:	0-14 loam topsoil.....10yr3/3 14-26 sand.....10yr 4/4 26-44 sand.....7.5yr 4/6 44-72 sand.....10yr 5/4
A. Bottom of distribution media:	36 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:

2 1,000 gallon septic tanks, 1,000 gallon pump tank & 10x25 pressurized seepage bed. Ran a large volume of water from both the upper and lower level fixtures to cycle the ejector pump. Everything functioning normally. Also tested the ejector pump alarm located in lower level bathroom -OK. the washing machine standpipe in the lower level laundry room appears to be a makeshift installation with an air admittance valve on it? The drainfield drop boxes are at normal level.

Attach Files:

File 1: 1102820430077-comp_insp-20160528.pdf

Certification

Inspector:

Name:

Tom Trooien

MPCA License #:

L1568

Business Name:

All State Septic Services

Phone:

(612

) 594

- 4496

Email:

tomtrooien@aol.com

Address:

12020 Square Lake Trl 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 #927 (06/03/2016)

Charge	Cost	Quantity	Total
Non-Taxable
Compliance Inspection Fee added 06/03/2016 10:51 AM $40 Flat Fee	$40.00	x 1	$40.00
Subtotal			$40.00 0
Grand Total
Total			$40.00
Payment 06/03/2016			$40.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Tom Trooien - 06/06/2016 2:44 PM - witnessed by Kati Hallermann 9bcc5220aa63e10332a074a512ead6d5 b8b12166afc1b5b4d08eef05762c77ca
#1 Compliance Inspection Accepted	Kati Hallermann - 06/06/2016 2:45 PM 928e1c9ffb87865e48610566cca3e36c 0da86c58cf17e12a29d52f503f280251

Inspection has been approved. All signatures have been obtained.

Public Notes

Text:
File(s):

Internal Notes

Text:
File(s):

Create Letter

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:

Letter of Compliance

Certificate of Compliance:

Letter of Non-Compliance

Letter of Non-Compliance: