Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2454, Submission # Submission-2021-2643, UID # 32670
Status: System Replaced
 

System Status

System status on date: 01/20/2021 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
32030211400057810 66TH ST N, CITY OF PINE SPRINGS781066THSTNOAKDALECITY OF PINE SPRINGS55128GILLES BRENT & LAUREN1980
Property Owner's Mailing Address
(if different than property address):
7810 66th St N
Pine Springs mn 55128
Owner's representative:
Name:
Derrick Veneman
Phone:
(651336 - 4991
Email:
derrickveneman@comcast.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):
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
Visual

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:
Not Pumped - Soil Separation Insufficient

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: 01/29/1980

Soil Separation

Shoreland/Wellhead Protection/Food, beverage, lodging? Yes
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):
Other (See Comments/Explanation)
Comments/Explanation:
See Soil Borings attached
A. Bottom of distribution media: 2.5 Decimal Feet
B. Periodically saturated soil/bedrock: 2.58 Decimal Feet
C. System separation: .8 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
Kloeppner Services & Designs LLCL4043763-843-41143540 Lexington Ave N Ste 203 Shoreview, MN 55126NoNoYesYesYes
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): Jesse Kloeppner
Inspector Email Address: jesse@ksd-mn.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 #6404 (01/29/2021)

Charge Cost Quantity Total
Non-Taxable
added 01/29/2021 6:37 PM

$47 Flat Fee

$42.00 x 1 $42.00
Grand Total
Total $42.00
Payment 01/29/2021$42.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJesse J. Kloeppner - 01/29/2021 6:38 PM
0e0582698633b46128f73d8800069a1a
c949910f1d98bec0b3724606921b726e
 
#1 Compliance Inspection AcceptedPaul O'Neel - 02/10/2021 11:20 AM
f5e03ddc5baeb1182cfab930c1065f50
e4831bb452907124e1f4840ef98817e5
 
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? 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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