Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2788, Submission # Submission-2021-2913, UID # 34847
Status: System Replaced
 

System Status

System status on date: 06/29/2021 System Status: Noncompliant

System - Noncompliant

Reason(s) for noncompliance:
Tank Integrity (Compliance Component #2) - Failing to protect groundwater
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
09029211300018554 HIDDEN BAY TRL N, CITY OF LAKE ELMO8554HIDDEN BAYTRLNLAKE ELMOCITY OF LAKE ELMO55042THOMAS ANITA & KARL SLUIS2OACE ACRES1966
Owner's representative:
Name:
Brenda Jo Carlson
Phone:
(651210 - 6657
Email:
brendajocarlson@yahoo.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
Homeowner testimony (See Comments/Explanation)

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:
non-compliant

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? Yes
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):
Conducted soil observation(s) (Attach boring logs)
A. Bottom of distribution media: 1.2 Decimal Feet
B. Periodically saturated soil/bedrock: 1.8 Decimal Feet
C. System separation: .6 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

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
David R. BrownL3649651-788-3296PO Box 251026 Woodbury, MN 55125NoNoNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: drufusb1@yahoo.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 #7041 (07/13/2021)

Charge Cost Quantity Total
Non-Taxable
added 07/13/2021 8:56 PM

$47 Flat Fee

$42.00 x 1 $42.00
Grand Total
Total $42.00
Payment 07/13/2021$42.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantDavid Brown - 09/03/2021 3:05 PM - witnessed by Sarah Borrell
a0916987328f4e9790773eb3700dd821
0a23091eb422da543fb6e9ed7dad6fde
 
#1 Compliance Inspection AcceptedSarah Borrell - 09/03/2021 3:06 PM
4829f50762e01c802785882a81baa0c6
2142188c331564a27c82a06d5b1ff701
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    See email. Spoke w/ inspector 9/3/2021, cannot use tank maintenance form if it did not address all tank integrity and safety compliance questions. Options available: 1) pump tank and inspect through manhole access to certify, or 2) fail the tank for noncompliance, pumping would not be necessary. NON to be mailed 9/7/2021
    4/12 (SB) Anita 763-234-9715 called with update - they had a design figured out but wanted to look at alternatives as they had to remove 28 trees.  Met with a contractor last fall and they suggested seeing if adjoining parcel would sell them land for the replacement area.  They've recently been in communication with neighbors and are willing to sell the land, just need to go through the process.  Also working with the city as there is an old roadway in between parcels.  She understands that this new location will need to be suitable for a septic system and a new design submitted.  In the meantime, the are remodeling home and it is gutted without water on.  She doesn't know when this will be completed as it involves a lot of moving parts but the system is not in use.  Explained they will keep receiving notices until the system is compliant.
    File(s):
    Compliance Letter Type: Failed System, Notice and Order to Comply, Separation Who's signature should be on the letter? Sarah Borrell 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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