Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2593, Submission # Submission-2021-2775, UID # 33676
Status: System Replaced
 

System Status

System status on date: 05/06/2021 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
190292031000712445 24TH ST N, TOWN OF WEST LAKELAND1244524THSTNLAKE ELMOTOWN OF WEST LAKELAND55042SMITH IAN & NICOLE92MANNINGTON DOWNS1996No
Owner's representative:
Name:
John Gundale
Phone:
(763219 - 0932
Email:
johngundale@msn.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:
Pumped and inspected inside tanks

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: 04/16/1996

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:
Two soil borings at some elevation as last trench - 96.8"
Redox found at 30" (94.3) Needed to find redox at 31" below 95.0' = 92.4'
A. Bottom of distribution media: 95 Decimal Feet
B. Periodically saturated soil/bedrock: 94.3 Decimal Feet
C. System separation: 0.7 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 report
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 #6738 (05/10/2021)

Charge Cost Quantity Total
Non-Taxable
added 05/10/2021 10:55 AM

$47 Flat Fee

$42.00 x 1 $42.00
Grand Total
Total $42.00
Payment 05/10/2021$42.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJesse J. Kloeppner - 05/10/2021 10:56 AM
d648125293ac855079158a2dce68296c
54504c1972d587fa5a98cdc0c003d5bb
 
#1 Compliance Inspection AcceptedBarbara Pena - 05/17/2021 3:45 PM
238e674eb802712d8aa9ff380174f9ae
88748efd1c65121dd86534fd33b1d091
 
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? Barbara Pena 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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