SSTS Permitting

System Status

System status on date:

07/21/2021

System Status:

Noncompliant

System - Noncompliant

Reason(s) for noncompliance:

Soil Separation (Compliance Component #4) - Failing to protect groundwater

Property Information

Property Information:

Compliance Status		Property Record		Property Address								Property Owner	Property Attributes
Compliance Expiration	Compliance Status	Parent GeoCode	PIN	Site Address	Building Number	Street Name	Type	Dir	City	Municipality	zip	Owner	Lot	Block	Plat	Year Built	Property Hold
			0202921430003	5110 KIRKWOOD AVE N, CITY OF LAKE ELMO	5110	KIRKWOOD	AVE	N	LAKE ELMO	CITY OF LAKE ELMO	55042	LY ERIC & MAY Y LOR-LY	3	1	JESSE'S HIDEAWAY	1978

Owner's representative:

Name:

Tom Trooien

Phone:

(651

) 439

- 7323

Email:

tomtrooien@aol.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):	Examined empty (pumped) tank(s)
Comments/Explanation:	The tank was pumped for the inspection. Lowered a camera into the empty tank - bottom, walls, cover and baffles appear ok. There is an 8" access pipe to grade, but no manhole cover was observed.

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:	10/02/1978

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:	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:	3 Decimal Feet
B. Periodically saturated soil/bedrock:	2.7 Decimal Feet
C. System separation:	0 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

Attach Files:

File 1: 5110_Kirkwood_Ave_N_comp_report.pdf

Certification

Inspector:

Name	License Number	Phone Number	Address	Maintainer	Installer	Service Provider	Designer	Inspector
All State Septic Services	L1568	651-439-7323	12155 Norell Ave N Stillwater, MN 55082	No	No	No	Yes	Yes

Please search for and choose SELF/OTHER if what you need does not appear in the list

Inspector Email Address:

tomtrooien@aol.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 #7077 (07/21/2021)

Charge	Cost	Quantity	Total
Non-Taxable
2025 Compliance Inspection Fee added 07/21/2021 1:42 PM $47 Flat Fee	$42.00	x 1	$42.00
Subtotal			$42.00 0
Grand Total
Total			$42.00
Payment 07/21/2021			$42.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Tom Trooien - 07/21/2021 1:42 PM b3c1af088ecca637c8c722d3808b503a 955626dff7f412e3c88cf28d379a346d
#1 Compliance Inspection Accepted	Sarah Borrell - 07/28/2021 8:44 AM 0fbc2978234073cf73890836e7fbe4e2 9bf61e46d1e7aca06bdd2eaa00dd50e4

Inspection has been approved. All signatures have been obtained.

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

Text:	See #206 4.5. If an existing sewage tank is to be used with the design of the new soil dispersal system, the tank must also be baffled, watertight, and the manhole cover brought to grade.
File(s):