SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2459, Submission # Submission-2021-2645, UID # 32691
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 02/02/2021 | System Status: | Compliant |
Property Information
| Property Information: | |||||||||||||||||
| Owner's representative: |
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[ Search Result Limit: 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 Inspection |
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: | Washington County Maintenance Form - see attached |
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 |
| Explain: | Visual Inspection |
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.: |
Yes |
| Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock.: |
No |
| Verification method(s): | Other (See Comments/Explanation) |
| Comments/Explanation: | see attached soil borings and site plan |
| A. Bottom of distribution media: | 24 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 66 Decimal Feet |
| C. System separation: | 38 Decimal Feet |
| D. Required compliance separation: | 31 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: | See attached soil borings & site plan |
| Attach Files: |
KSD_SSTS_INSPECTION_11660_Lehigh_Ave_S_Hastings_MN_VER_1.0_2-5-21.pdfCertification
| Inspector: |
Please search for and choose SELF/OTHER if what you need does not appear in the list
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| 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 #6414 (02/05/2021)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 02/05/2021 12:22 PM $47 Flat Fee |
$42.00 | x 1 | $42.00 |
| Grand Total | |||
| Total | $42.00 | ||
| Payment 02/05/2021 | $42.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Jesse J. Kloeppner - 02/05/2021 12:22 PM 0d2dea09a0c92d4c927b925d0f02075e 1b954ad5c8f7511f885c52a27df9bb6a | |
| #1 Compliance Inspection Accepted | Tyler Dale - 03/03/2021 8:44 AM b7d230503279e0afc8d05a2c276bb09b 3f2df8ca0c3106cc1291eb25fa7df88a |
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: |