SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2761, Submission # Submission-2021-2959, UID # 35400
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 07/29/2021 | System Status: | Compliant |
Property Information
| Property Information: | |||||||||||||||||
| Owner's representative: |
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[ Search Result Limit: 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: | Visually Inspected the area around system. No sign of sewage to the ground water and the homeowner did not report backup into the house. |
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: | Tasks pumped and inspected with a camera. No signs of damage and the operating depth of the liquid inside the tank was normal. Some roots were observed above the operating level of the 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 |
| Explain: | No issues observed. |
Date of Install
| Date of install known: | Yes |
| Date of installation: | 05/05/1998 |
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): | Other (See Comments/Explanation) |
| Comments/Explanation: | See soil boring logs and site map. The borings showed no signs of redoximorphic features in the soil to depth of 84" |
| A. Bottom of distribution media: | 4 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 7 Decimal Feet |
| C. System separation: | 3 Decimal Feet |
| D. Required compliance separation: | 2.6 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 Boring report |
| Attach Files: |
KSD_SSTS_INPSECTION_9480_206th_St_N_Forest_Lake_VER_1.0_8-2-21.pdfCertification
| Inspector: |
Please search for and choose SELF/OTHER if what you need does not appear in the list
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| 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 #7165 (08/03/2021)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 08/03/2021 12:23 PM $47 Flat Fee |
$42.00 | x 1 | $42.00 |
| Grand Total | |||
| Total | $42.00 | ||
| Payment 08/03/2021 | $42.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Jesse J. Kloeppner - 08/03/2021 12:23 PM ead6863b903d76141338222ae1a964fe 70195c9bc8799a71eb9d70edd2f79a71 | |
| #1 Compliance Inspection Accepted | Sarah Borrell - 08/24/2021 10:41 AM d9d6e9a53a1835a65c8435334e05fe99 184502a83524d1b6fd6d51ebbdd2ea35 |
Inspection has been approved. All signatures have been obtained.
| Text: | |
| File(s): |
| Text: | General note from 2021 inspector class; leakage into tank is not a compliance criteria but it may shorten the lifespan of the system. |
| 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: |