Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3156, Submission # Submission-2022-3340, UID # 40811
Status: Compliance Inspection Accepted
 

System Status

System status on date: 05/19/2022 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
28030212100048495 80TH ST N, CITY OF GRANT849580THSTNSTILLWATERCITY OF GRANT55082HER CHEE & MAI YANG1982
Owner's representative:
Name:
Sarah Balestri
Phone:
(612919 - 3704
Email:
rlashinski@gmail.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

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):
Probed tank(s) bottom
Examined empty (pumped) tank(s)

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: 11/06/2013

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.:
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)
Two previous verifications (Attach boring logs)
A. Bottom of distribution media: 18 Decimal Feet
B. Periodically saturated soil/bedrock: 55 Decimal Feet
C. System separation: 39 Decimal Feet
D. Required compliance separation: 36 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
Lashinski SepticL65763-434-39151244 Crosstown Blvd NE Ham Lake, MN 55304NoNoNoNoNo
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: rlashinski@gmail.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 #8072 (05/19/2022)

Charge Cost Quantity Total
Non-Taxable
added 05/19/2022 4:11 PM

$47 Flat Fee

$44.00 x 1 $44.00
Grand Total
Total $44.00
Payment 06/28/2022$44.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantRyan E. Lashinski - 05/19/2022 4:11 PM
6a8918c49e34c17946a294c6205018f9
aa7a2b1b845d08da63bc8cb1eacb62e1
 
#1 Compliance Inspection AcceptedSarah Borrell - 06/29/2022 6:07 AM
1fb7f2d88ac20e639fe8c2d08914e8c8
600ad1d6ef40ae67e4c20f8d2a4a2463
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    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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