Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2635, Submission # Submission-2021-2827, UID # 34043
Status: Compliance Inspection Accepted
 

System Status

System status on date: 06/03/2021 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
140312112000315960 JEFFREY AVE N, CITY OF HUGO15960JEFFREYAVENHUGOCITY OF HUGO55038SADOWSKI STEVEN JAWUNDERLICH HILLS1995
Owner's representative:
Name:
Mike Koch
Phone:
(612867 - 3221
Email:
pmi@pmihomesinc.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
Searched for seeping in yard/backup into home
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
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: 08/17/1995

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:
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: 97.27 Decimal Feet
B. Periodically saturated soil/bedrock: 94.05 Decimal Feet
C. System separation: 3.22 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

Comments or recommendations:
with compliant system may hookup proposed outbuilding bathroom and sink to existing septic.  If add a new tank will need a septic permit, if it is just hooking up the building sewer may not need a permit, but need to verify with County.  Have inspection report and hookup attached.
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 #6860 (06/06/2021)

Charge Cost Quantity Total
Non-Taxable
added 06/06/2021 5:14 PM

$47 Flat Fee

$42.00 x 1 $42.00
Grand Total
Total $42.00
Payment 06/06/2021$42.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantAlex Pepin - 06/06/2021 5:14 PM
0149a76a1decef526b26547c7454f983
a8e4e22408df8bbaed527fcc9960fda0
 
#1 Compliance Inspection AcceptedSarah Borrell - 06/28/2021 8:20 AM
8f758cb2ae1487b5b7cca32b69efadab
01a3e8e3714bdd2133c234ed6638c362
 
Inspection has been approved. All signatures have been obtained.
Text:
#206 Section 6.3 lists instances when a permit is required.  Review by an inspector required when use/plans are finalized.
File(s):
    Text:
    Change in use may require a permit. Not able to make that determination now until building plans are finalized. Lounging/wet bar area?
    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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