SSTS Permitting

Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3047, Submission # Submission-2022-3265, UID # 40454
Status: System Replaced

System Status

System status on date:

04/07/2022

System Status:

Noncompliant

System - Noncompliant

Reason(s) for noncompliance:

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

Property Information

Property Information:

Compliance 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
			1503021210013	9475 96TH ST N, CITY OF GRANT	9475	96TH	ST	N	WHITE BEAR LAKE	CITY OF GRANT	55110	BENNETT JUSTIN C & AMY A	6	1	VICTORIA STATION NO.3	1997

Owner's representative:

Name:

Ken Wohlferd

Phone:

(612

) 383

- 6861

Email:

kenneth_wohlferd@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. The homeowners did not report back-ups in 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

Date of Install

Date of install known:	Yes
Date of installation:	04/24/1984

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:	Periodically saturated soil/bedrock observed. Trench depth verified by digging to outlet pipe of Distribution Box.
A. Bottom of distribution media:	93.2 Decimal Feet
B. Periodically saturated soil/bedrock:	92.7 Decimal Feet
C. System separation:	.5 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

Comments or recommendations:	See attached soil boring logs and site plan location of trenches and borings.
Attach Files:	File 1: KSD_SSTS_INSPECTION_9475_96th_St_N_Grant_Ver_1.0_4-7-22.pdf

Certification

Inspector:

Name	License Number	Phone Number	Address	Maintainer	Installer	Service Provider	Designer	Inspector
SELF/OTHER	n/a	n/a	n/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 #7912 (04/12/2022)

Charge	Cost	Quantity	Total
Non-Taxable
2025 Compliance Inspection Fee added 04/12/2022 7:41 PM $47 Flat Fee	$44.00	x 1	$44.00
Subtotal			$44.00 0
Grand Total
Total			$44.00
Payment 04/12/2022			$44.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Jesse J. Kloeppner - 04/12/2022 7:41 PM d073f9ee57301e320185ecd29a7319fb 4516aeac3191ec3f8ef46155583f7fdc
#1 Compliance Inspection Accepted	Sarah Borrell - 04/13/2022 9:16 AM 877f9324bd2364f1a0bf92dd1302bdc6 04a1021d5d8f24845ee8a7c9337b60f9

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: