Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3423, Submission # Submission-2022-3186, UID # 38916
Status: Compliance Inspection Accepted
 

System Status

System status on date: 01/17/2022 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
330272124001211301 INMAN AVE S, CITY OF COTTAGE GROVE11301INMANAVESCOTTAGE GROVECITY OF COTTAGE GROVE55016BEACON HOME AT INMAN LLC1964No
Owner's representative:
Name:
Chad Magle
Phone:
(612203 - 1673
Email:
cpmagle@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:
Tanks visually  inspected around the tanks.  No sign of sewage. Homeowner did not report any sewage backups into 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):
Examined Tank Integrity Form (Attach)
Comments/Explanation:
See attached Tank Integrity Form from Pinky's Sewer - MPCA Lic # 1673

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:
Pump in good working order.

Date of Install

Date of install known: Yes
Date of installation: 01/01/1996

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.:
Yes
Verification method(s):
Other (See Comments/Explanation)
Comments/Explanation:
See site plan and soil boring lots attached.
A. Bottom of distribution media: 1.5 Decimal Feet
B. Periodically saturated soil/bedrock: 5.2 Decimal Feet
C. System separation: 3.8 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 site plan and soil boring lots attached.
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 #7692 (01/19/2022)

Charge Cost Quantity Total
Non-Taxable
added 01/19/2022 10:27 AM

$47 Flat Fee

$44.00 x 1 $44.00
Grand Total
Total $44.00
Payment 01/19/2022$44.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJesse J. Kloeppner - 01/19/2022 10:27 AM
ff43bf8df01522cbb99ed21d27c4cdc7
890542c5df55c5b177fc34e1ed30c754
 
#1 Compliance Inspection AcceptedSarah Borrell - 01/06/2023 1:33 PM
6db13431bb7f75ee3b86ed42e264a05e
91426154ea356e213ef11f8455ac4ee2
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
Text:
Emailed Chad on 2/2 and 3/16 regarding status.
See letter mailed 8/8/22. Both inspectors want to schedule time to meet onsite to resolve differences.
1/19/23 Contractor looking for records as they were contacted due to froze system. See communication under internal notes for property.
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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