Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-2980, Submission # Submission-2021-3167, UID # 38314
Status: Compliance Inspection Accepted
 

System Status

System status on date: 11/28/2021 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
33030211200028765 68TH ST N, CITY OF GRANT876568THSTNSTILLWATERCITY OF GRANT55082KEYES JANET L & MARK W HATHERLY1976No
Owner's representative:
Name:
Jim Torseth
Phone:
(651491 - 2999
Email:
sssepticsolutions@gmail.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

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:
repumped and repaired inlet to old tank.  It's precast water tight

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: 06/01/1976

Soil Separation

Shoreland/Wellhead Protection/Food, beverage, lodging? No
Drainfield has at least a two-foot vertical separation
distance from periodically saturated soil or bedrock:
Yes
Drainfield meets the designed vertical separation
distance from periodically saturated soil or bedrock.:
Yes
Verification method(s):
Conducted soil observation(s) (Attach boring logs)
A. Bottom of distribution media: 2 Decimal Feet
B. Periodically saturated soil/bedrock: 5 Decimal Feet
C. System separation: 3 Decimal Feet
D. Required compliance separation: 2 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:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
SS Septic Solutions LLCL4137651-343-911714845 113th St S Hastings, MN 55033NoYesNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: sssepticsolutions@gmail.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 #7657 (12/21/2021)

Charge Cost Quantity Total
Non-Taxable
added 12/21/2021 4:23 PM

$47 Flat Fee

$42.00 x 1 $42.00
Grand Total
Total $42.00
Payment 12/21/2021$42.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantShelley L. Schlomka - 01/26/2022 3:50 PM
c3a39625bdc352e8c72fe1f0ac39072c
23c992296b9ba00d83f3fab182db4c55
 
#1 Compliance Inspection AcceptedSarah Borrell - 01/28/2022 3:21 PM
022b427cc5708c70b19faf7a07799b68
da2e141c331ba12ddaad97e45f2e32ea
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
Text:
System #1 (west of home). From inspector on 1/26/22 prior to amending report: Tank #1 - Tank is watertight.  I rechecked on 11/28/21 but I need to update the date on the report.  Inlet of the tank fixed.  All dirt sucked out of the bottom.  Backflushed the tank to ensure no cracks.
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:
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