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Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0357, Submission # Submission-2016-0270, UID # 3882
Status: System Replaced
 

System Status

System status on date: 06/29/2016 System Status: Noncompliant

System - Noncompliant

Reason(s) for noncompliance:
Tank Integrity (Compliance Component #2) - Failing to protect groundwater
Soil Separation (Compliance Component #4) - Failing to protect groundwater

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
110302122000110191 110TH ST N, CITY OF GRANT10191110THSTNSTILLWATERCITY OF GRANT55082HUOT RYAN & KATELYN1972
Property Owner's Mailing Address
(if different than property address):
Renee Zugschwert
10191 110th St N
Stillwater MN 55082
Owner's representative:
Name:
Robert Polgreen
Phone:
(763) 274 - 0925
Email:
jana@steinbrechercompanies.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 construction records

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: 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):
Conducted soil observation(s) (Attach boring logs)
Comments/Explanation: 
tank grade at observation tube = 100'
media bottom est from effluent level
B = redox in DF area, grade = 93.79'
possible cesspit, inaccessable depths.
A. Bottom of distribution media: 89.5 Decimal Feet
B. Periodically saturated soil/bedrock: 91.79 Decimal Feet
C. System separation: 0 Decimal Feet
D. Required compliance separation: 24 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: 
septic tank to unknown soil treatment.
No construction information available.
Attach Files:

Certification

Inspector:
Name:
Robert Polgreen
MPCA License #:
L2851
Business Name:
Steinbrecher Companies Inc
Phone:
(763) 274 - 0925
Email:
jana@steinbrechercompanies.com
Address:
13792 247th Ave
Zimmerman MN 55000

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 #1041 (06/30/2016)

Charge Cost Quantity Total
Non-Taxable
added 06/30/2016 9:59 AM

$40 Flat Fee

 $40.00 x 1 $40.00
Grand Total
Total $40.00
Payment 08/26/2016$40.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantBob Polgreen - 06/30/2016 10:00 AM - witnessed by Kati Hallermann
f330087effa0e624042e7f55b3cf49ab
f83dd4ed2cae31cfa1bcdc821c716356		 
#1 Compliance Inspection AcceptedChristopher W. LeClair REHS - 09/02/2016 8:52 AM
b13a621d76f454a27b0d85c9e8d5bdaa
4022b1cebbd2206edc9b060095474336		 
Inspection has been approved. All signatures have been obtained.
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        Letter of Non-Compliance:


        

        

        

        

        


        

		
        
		
		
        

        
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