Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3215, Submission # Submission-2022-3407, UID # 40453
Status: System Replaced
 

System Status

System status on date: 07/07/2022 System Status: Noncompliant

System - Noncompliant

Reason(s) for noncompliance:
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
16029211400278982 35TH ST N, CITY OF LAKE ELMO898235THSTNLAKE ELMOCITY OF LAKE ELMO55042ACKERMAN LEO11BEAUT CREST ESTATES1999
Owner's representative:
Name:
Leo Ackerman
Phone:
(651338 - 8030
Email:
leoackerman@comcast.net

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.

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:
Tanks pumped and visually inspected with camera.  No signs of cracks or leaking in any of the tanks.

See attached Tank Integrity Form

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:
Inspected area around tanks. No signs of damage

Date of Install

Date of install known: Yes
Date of installation: 01/01/1999

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:
See attached soil boring logs and site plan for location of trenches and boring.
A. Bottom of distribution media: 2.3 Decimal Feet
B. Periodically saturated soil/bedrock: 3.2 Decimal Feet
C. System separation: .9 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 attached soil boring logs and site plan for location of trenches and boring.
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 #7913 (06/17/2022)

Charge Cost Quantity Total
Non-Taxable
added 06/17/2022 8:47 AM

$47 Flat Fee

$44.00 x 1 $44.00
Grand Total
Total $44.00
Payment 06/17/2022$44.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJesse J. Kloeppner - 07/14/2022 12:41 PM
03c2ac1b5b89f0f2f869463fa06c13ca
9faae7e69dbcbf38d7bfb345207719fc
 
#1 Compliance Inspection AcceptedSarah Borrell - 07/27/2022 1:16 PM
8d15cbd5727ede72b5f17f915c6d416a
ff8733fd5a42fb48abe4b29ee8d33dab
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    File(s):
      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
      Certificate of Compliance:
        Letter of Non-Compliance:
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