Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2559, Submission # Submission-2021-2737, UID # 33483
Status: System Replaced
 

System Status

System status on date: 04/15/2021 System Status: Noncompliant

System - Noncompliant

Reason(s) for noncompliance:
Other Compliance Conditions (Compliance Component #3) - Failing to protect groundwater

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
060262022001012181 MARGO AVE S, TOWN OF DENMARK12181MARGOAVESHASTINGSTOWN OF DENMARK55033JBL PROPERTIES LLC43SPECIALIZED ACRES
Owner's representative:
Name:
Twin City Pallet
Phone:
(612363 - 4287
Email:
brianl@twincitypallet.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):
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:
Tanks pumped and visually inspected inside the tank.

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):
Other (See Comments/Explanation)
Comments/Explanation:
See attached soil boring & site map. Gravelles trenches where placed in limiting layer of soil.
A. Bottom of distribution media: 101.2 Decimal Feet
B. Periodically saturated soil/bedrock: 101.8 Decimal Feet
C. System separation: -0.6 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

Comments or recommendations:
See attached soil borings
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
SELF/OTHERn/an/an/a
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 #6671 (04/23/2021)

Charge Cost Quantity Total
Non-Taxable
added 04/23/2021 10:15 AM

$47 Flat Fee

$42.00 x 1 $42.00
Grand Total
Total $42.00
Payment 04/23/2021$42.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJesse J. Kloeppner - 04/23/2021 10:15 AM
4ae23c30d20d7dd37e38b760ac9ad3cf
0ef35ceb267c6ed379514f65b4b1bdef
 
#1 Compliance Inspection AcceptedTyler Dale - 04/28/2021 3:54 PM
c0a484c660d747a03a5d0476dc7418a1
0a16945b9bfdf71c7482810c9b8ad46b
 
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? Tyler Dale 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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