Compliance Inspection Compliance Inspection Compliance Inspection # CI-2020-2236, Submission # Submission-2020-2363, UID # 28810
Status: System Replaced
 

System Status

System status on date: 06/30/2020 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
21029211400168875 27TH ST N, CITY OF LAKE ELMO887527THSTNLAKE ELMOCITY OF LAKE ELMO55042STERNER JOHN W & JENNIFER R62TABLYN PARK 2ND ADD1954
Owner's representative:
Name:
Tom Regan
Phone:
(123456 - 7890
Email:
noemail@noemail.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
Excessive ponding in soil system/D-boxes
Homeowner testimony (See Comments/Explanation)

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 methods not listed (See Comments/Explanation)
Comments/Explanation:
Lowered underwater camera into tank - baffles and tank walls OK.

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: 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)
Other (See Comments/Explanation)
Comments/Explanation:
System installed 1982
A. Bottom of distribution media: 3.75 Decimal Feet
B. Periodically saturated soil/bedrock: 3.5 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

Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Midwest Sewer ServicesL2896651-492-75506616 Indian Wells Trail Grant, MN 55110YesYesYesYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: brian@midwestsoiltesting.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 #5716 (07/02/2020)

Charge Cost Quantity Total
Non-Taxable
added 07/02/2020 3:53 PM

$41 Flat Fee

$41.00 x 1 $41.00
Grand Total
Total $41.00
Payment 07/07/2020$41.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantBrian Humpal - 07/02/2020 3:53 PM
c4926bc0d155b71644ffc1a0ec13d7ec
cbff8fa3db4d1f1b05849ff6f05d9104
 
#1 Compliance Inspection AcceptedPaul O'Neel - 07/14/2020 8:45 AM
3d96baa6be354132764cc2c73ea0ea99
29de35620b48b71f3b6d7cbc9938a17b
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    07-06-2020: I was notified Tom Regan had questions regarding the recent failed SSTS inspection. I called (651-779-7712)at 9:41a.m. Tom was not available, but his wife answered and stating Tom had questions on what to do. I left my number with his wife and requested that Tom give me call when he can. I spoke with Tom at 1:23p.m. Tom requested more information. I emailed Tom the process that needs to be done to have a new system installed. Email pdf attached. PMO
    07-10-2020: I responded to Tom's questions via email. See attached email pdf. PMO
    File(s):
    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: Noncompliant
    Certificate of Compliance:
      Letter of Non-Compliance:
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