SSTS Permitting

Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-2979, Submission # Submission-2022-3185, UID # 38915
Status: System Replaced

System Status

System status on date:

12/22/2021

System Status:

Noncompliant

System - Noncompliant

Reason(s) for noncompliance:

Soil Separation (Compliance Component #4) - Failing to protect groundwater

Property Information

Property Information:

Compliance Status		Property Record		Property Address								Property Owner	Property Attributes
Compliance Expiration	Compliance Status	Parent GeoCode	PIN	Site Address	Building Number	Street Name	Type	Dir	City	Municipality	zip	Owner	Lot	Block	Plat	Year Built	Property Hold
			1902920320008	12115 24TH ST N, TOWN OF WEST LAKELAND	12115	24TH	ST	N	LAKE ELMO	TOWN OF WEST LAKELAND	55042	EICHTEN DAVID W	1	2	MANNINGTON DOWNS	1994

Owner's representative:

Name:

Terri Smith

Phone:

(651

) 334

- 0890

Email:

terrioreillysmith@yahoo.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:	Visual Inspection of the area. No signs of sewage to the ground surface. The renter did not report back-ups in to 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:	Tanks pumped and visually inspected with camera. No signs of cracks or leaking in any 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:	Sewage tanks, lids and baffles are in good condition.

Date of Install

Date of install known:	Yes
Date of installation:	08/01/1994

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:	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:	See soil boring and site map for location of boring, tanks, and trenches. Note: The bottom of the distribution media is below the observed depth of the Periodic Saturated Soil level of 18". Also, effluent was observed above the expected level in the trenches. The system appears to be at the end of its useful life.
A. Bottom of distribution media:	24 Decimal Feet
B. Periodically saturated soil/bedrock:	18 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:	See soil boring log and site map for location of boring, tanks and trenches.
Attach Files:	File 1: KSD_SSTS_INSPECTION_12115_24th_St_N_Lake_Elmo_VER_1.0_12-23-21.pdf

Certification

Inspector:

Name	License Number	Phone Number	Address	Maintainer	Installer	Service Provider	Designer	Inspector
Kloeppner Services & Designs LLC	L4043	763-843-4114	3540 Lexington Ave N Ste 203 Shoreview, MN 55126	No	No	Yes	Yes	Yes

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 #7691 (01/19/2022)

Charge	Cost	Quantity	Total
Non-Taxable
2025 Compliance Inspection Fee added 01/19/2022 9:56 AM $47 Flat Fee	$44.00	x 1	$44.00
Subtotal			$44.00 0
Grand Total
Total			$44.00
Payment 01/19/2022			$44.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Jesse J. Kloeppner - 01/19/2022 9:56 AM 6ed08fb59226fc47382283ab48ae0051 70c0a3645f3c6d55117d1e397a1dc856
#1 Compliance Inspection Accepted	Sarah Borrell - 01/20/2022 12:49 PM 388322b226948ee190e06c1ee762423d 6dada807cd4ebb1798579043210910fb

Inspection has been approved. All signatures have been obtained.

Public Notes

Text:
File(s):

Internal Notes

Text:
File(s):

Create Letter

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

Letter of Compliance

Certificate of Compliance:

Letter of Non-Compliance

Letter of Non-Compliance: