Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2869, Submission # Submission-2021-3069, UID # 36725
Status: Compliance Inspection Accepted
 

System Status

System status on date: 09/27/2021 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
03029213100039480 53RD ST N, CITY OF LAKE ELMO948053RDSTNLAKE ELMOCITY OF LAKE ELMO55042BOSTON JAMES K & CAROLYN C21FOX FIRE ESTATES1987
Owner's representative:
Name:
Paul Parish
Phone:
(612849 - 1133
Email:
lindaparish@hotmail.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:
Tanks visually inspected inside and around the tanks.  No sign of sewage.  Homeowner did not report any sewage backups.

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:
Tanks pumped and inspected.  No signs of leaking below liquid depth. Tanks in good condition.  *Note: 1st tank has baffles laying at bottom of tank. Recommend repairing baffles. See picture attached.

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:
Tested pump and alarm. Both are in good working order.

Date of Install

Date of install known: Yes
Date of installation: 07/01/2014

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.:
Yes
Drainfield meets the designed vertical separation
distance from periodically saturated soil or bedrock.:
No
Verification method(s):
Conducted soil observation(s) (Attach boring logs)
Comments/Explanation:
See site plan and soil boring lots attached.
A. Bottom of distribution media: 98 Decimal Feet
B. Periodically saturated soil/bedrock: 94.5 Decimal Feet
C. System separation: 3.5 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 borings
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 #7447 (10/04/2021)

Charge Cost Quantity Total
Non-Taxable
added 10/04/2021 5:08 PM

$47 Flat Fee

$42.00 x 1 $42.00
Grand Total
Total $42.00
Payment 10/04/2021$42.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJesse J. Kloeppner - 10/04/2021 5:08 PM
d86ec00667b8f2a8dcfb0f598036253a
5f9772512b523ad5a81c01e76e8d8982
 
#1 Compliance Inspection AcceptedSarah Borrell - 10/07/2021 7:37 AM
83fdcbc3fd2c65ef9034fe35a665d039
d01297502c70616f221bde4fb7d7373f
 
Inspection has been approved. All signatures have been obtained.
Text:
Shoreland Management.
File(s):
    Text:
    Confirmation Number: 3815333894
    File(s):
      Compliance Letter Type: Certificate of Compliance 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: Compliant
      Certificate of Compliance:
        Letter of Non-Compliance:
          Powered by