Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2479, Submission # Submission-2021-2653, UID # 32791
Status: Compliance Inspection Accepted
 

System Status

System status on date: 02/10/2021 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
140322043000921150 OZARK CT N, CITY OF SCANDIA21150OZARKCTNSCANDIACITY OF SCANDIA55073TK INSPIRATIONAL LLC21HAWKINSON BUSINESS PARK
Owner's representative:
Name:
Matt Miller
Phone:
(612328 - 2591
Email:
miller@brooksidebarandgrill.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
Comments/Explanation:
see report

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):
Examined empty (pumped) tank(s)
Comments/Explanation:
see report

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
Explain:
see report
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: 10/25/2005

Soil Separation

Shoreland/Wellhead Protection/Food, beverage, lodging? Yes
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:
see report
A. Bottom of distribution media: 96.58 Decimal Feet
B. Periodically saturated soil/bedrock: 93.46 Decimal Feet
C. System separation: 3.12 Decimal Feet
D. Required compliance separation: 3 Decimal Feet

Operating Permit and Nitrogen BMP

Is system operating under an Operating Permit: Yes
Is the system required to employ Nitrogen BMP: No

Operating Permit

A. Operating Permit number: 2019-0117
B. Have the Operating Permit requirements been met? Yes
C. Is the required nitrogen BMP in place and properly functioning? Yes

Comments and File Attachments

Comments or recommendations:
See report
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Ten Thirty Environmental Solutions, SBCL4082612-248-42811684 132nd Ave NE Blaine, MN 55449NoNoYesYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: alex.pepin@tenthirtyenvironmental.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 #6434 (02/16/2021)

Charge Cost Quantity Total
Non-Taxable
added 02/16/2021 9:06 AM

$47 Flat Fee

$42.00 x 1 $42.00
Grand Total
Total $42.00
Payment 02/16/2021$42.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantAlex Pepin - 02/16/2021 9:06 AM
ac35a8e5910dadf3af240e749f0adb5f
a03fa0453ec63f4d8930327956b21b32
 
#1 Compliance Inspection AcceptedTyler Dale - 03/03/2021 9:17 AM
173622677ab8dd0c7df425e847052e02
b48a832aff3c144b970829d4098198f8
 
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:
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