Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2948, Submission # Submission-2021-3147, UID # 38190
Status: System Replaced
 

System Status

System status on date: 12/08/2021 System Status: Noncompliant

System - Noncompliant

Reason(s) for noncompliance:
Tank Integrity (Compliance Component #2) - Failing to protect groundwater
Other Compliance Conditions (Compliance Component #3) - Failing to protect groundwater

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
350292013002016724 UPPER 5TH ST N, CITY OF LAKELAND16724UPPER 5THSTNLAKELANDCITY OF LAKELAND55043CLEMENCY JOHN JR1KLAKELAND1948No
Property Owner's Mailing Address
(if different than property address):
5600 GRANITE PKWY
GRANITE PARK VII
PLANO TX 75024
Owner's representative:
Name:
Bud Holst- Agent
Phone:
(763242 - 3727
Email:
noemail@noemail.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:
Unable to verify,

Tank Integrity

System consists of seepage pit,
cesspool, drywell, or leaching pit:
Yes
Sewage tank(s) leak below their
designed operating depth:
No
Verification method(s):
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
Visual

Other Compliance Conditions

Maintenance hole covers are damaged, cracked,
unsecured, or appear to be structurally unsound:
Unknown
Other issues (electrical hazards, etc.) to
immediately and adversely impact public
health or safety:
Unknown
Explain:
Old system, likely a non-solid bottom tank.
System is non protective of groundwater for other
conditions as determined by the inspector:
Yes
Explain:
Old system, likely a non-solid bottom tank.

Date of Install

Date of install known: No

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.:
No
Drainfield meets the designed vertical separation
distance from periodically saturated soil or bedrock.:
No
Verification method(s):
Other (See Comments/Explanation)
Comments/Explanation:
Unable to identify bottom of tank depth.  Distribution media elevation unable to determine.
A. Bottom of distribution media: 0 Decimal Feet
B. Periodically saturated soil/bedrock: 0 Decimal Feet
C. System separation: 0 Decimal Feet
D. Required compliance separation: 0 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:
Please see Compliance Report
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Sauber Plumbing & Heating CoL317651-463-7434100 Third St Farmington, MN 55024NoYesNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: noemail@noemail.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 #7631 (12/14/2021)

Charge Cost Quantity Total
Non-Taxable
added 12/14/2021 3:05 PM

$47 Flat Fee

$42.00 x 1 $42.00
Grand Total
Total $42.00
Payment 12/22/2021$42.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantSauber Plumbing and Heating - 12/14/2021 3:06 PM - witnessed by Denise Lange
b83cc61bf3ef5312cf6b7dd8422b98a4
96b83e1393beb727c02c538ae93cbc5a
 
#1 Compliance Inspection AcceptedSarah Borrell - 12/27/2021 2:27 PM
95ef5e8563c1278ea4dd8d4b7217e99a
c28423cfac603376068ec5118498c3db
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    Invoiced 12-14-21 DL
    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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