Compliance Inspection Compliance Inspection Compliance Inspection # CI-2020-2375, Submission # Submission-2020-2524, UID # 30809
Status: Compliance Inspection Accepted
 

System Status

System status on date: 10/07/2020 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
360272143001811920 LOFTON AVE S, CITY OF COTTAGE GROVE11920LOFTONAVESHASTINGSCITY OF COTTAGE GROVE55033SCHILTGEN GARRETT S82COUNTRYWOOD1978
Owner's representative:
Name:
Sewer Services, Inc
Phone:
(952873 - 3292
Email:
sewerservices.commercial@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

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
Examined empty (pumped) tank(s)

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: 07/16/2014

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.:
Yes
Drainfield meets the designed vertical separation
distance from periodically saturated soil or bedrock.:
Yes
Verification method(s):
Conducted soil observation(s) (Attach boring logs)
Comments/Explanation:
Boring:   1-23" 10yr 3/2 Loam
24-29"  10yr 4/4 sand loam
No Redox
A. Bottom of distribution media: 2 Decimal Feet
B. Periodically saturated soil/bedrock: 2.5 Decimal Feet
C. System separation: 4.5 Decimal Feet
D. Required compliance separation: 3 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

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Sewer Services, IncL2502952-873-329225648 200th St Belle Plaine, MN 56011YesYesNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Contact (If 'self/other' is selected from the Inspector Lookup): Joshua Swedlund
Inspector Email Address: sewerservices.commercial@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 #6144 (10/09/2020)

Charge Cost Quantity Total
Non-Taxable
added 10/09/2020 9:14 AM

$41 Flat Fee

$41.00 x 1 $41.00
Grand Total
Total $41.00
Payment 10/09/2020$41.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantConnie Byerly - 10/09/2020 9:15 AM
09e440448bcd07d69cd550a53db39f46
49f065a68130e6d4c1a68257fea0cd88
 
#1 Compliance Inspection AcceptedDenise Lange - 10/09/2020 10:32 AM
0bd7cc8b08666154f6f2355193a4127c
17ffa912b6768f46e2066444472842dc
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    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:
          Powered by