Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3017, Submission # Submission-2022-3221, UID # 39595
Status: Compliance Inspection Accepted
 

System Status

System status on date: 03/09/2022 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
30030201200107760 MINAR AVE N, CITY OF STILLWATER7760MINARAVENSTILLWATERCITY OF STILLWATER55082MARCHETTI MICHAEL J & KAREN D33BOUTWELL VALLEY ESTATES1983No
Owner's representative:
Name:
Brian Christianson
Phone:
(651436 - 8517
Email:
brianthebuilder@mail.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
Homeowner testimony (See Comments/Explanation)

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:
Tanks were pumped and inspected.

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
Date of installation: 03/09/1983

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 has at least a three-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)
Comments/Explanation:
Performed soil boring near trenches to 6.0 feet.  No limiting condition observed.
A. Bottom of distribution media: 3 Decimal Feet
B. Periodically saturated soil/bedrock: 6 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

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Kloeppner Services & Designs LLCL4043763-843-41143540 Lexington Ave N Ste 203 Shoreview, MN 55126NoNoYesYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
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 #7822 (03/09/2022)

Charge Cost Quantity Total
Non-Taxable
added 03/09/2022 4:30 PM

$47 Flat Fee

$44.00 x 1 $44.00
Grand Total
Total $44.00
Payment 03/09/2022$44.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJesse J. Kloeppner - 03/09/2022 4:30 PM
5a3a8f788aca8a02b541c9552f8d0741
71ab3a553f1eb5601d3679a09c8c3d09
 
#1 Compliance Inspection AcceptedSarah Borrell - 03/11/2022 8:23 AM
1db6b6211a5acf1a169418524b4aed31
e14c20a75b6d123087aa0e868d617af4
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    For a mother in law suite addition per City. System originally designed for 4 bedrooms, the addition will result in 3 bedrooms; see attached correspondence.
    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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