Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3194, Submission # Submission-2022-3405, UID # 41234
Status: System Replaced
 

System Status

System status on date: 06/02/2022 System Status: Noncompliant

System - Noncompliant

Reason(s) for noncompliance:
Tank Integrity (Compliance Component #2) - Failing to protect groundwater
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
360272143000211700 LOCKRIDGE AVE S, CITY OF COTTAGE GROVE11700LOCKRIDGEAVESHASTINGSCITY OF COTTAGE GROVE55033AYOBI GRACE L & NAWID51COUNTRYWOOD1978
Owner's representative:
Name:
Harvey Mitchell
Phone:
(612940 - 7468
Email:
dan.mitch4310@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
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):
Unable to verify (See Comments/Explanation)
Comments/Explanation:
No manhole to grade only stand pipe, tank is noncompliant

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: 06/28/1978

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)
A. Bottom of distribution media: 2.3 Decimal Feet
B. Periodically saturated soil/bedrock: .4 Decimal Feet
C. System separation: -1.9 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
David R. BrownL3649651-788-3296PO Box 251026 Woodbury, MN 55125NoNoNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: drufusb1@yahoo.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 #8197 (06/16/2022)

Charge Cost Quantity Total
Non-Taxable
added 06/16/2022 9:54 PM

$47 Flat Fee

$44.00 x 1 $44.00
Grand Total
Total $44.00
Payment 06/16/2022$44.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantDavid R. Brown - 06/16/2022 9:55 PM
050c1c5d121762d242c4cb36a081b9ed
99695ab22a63a07d7bdd81e9dc067b27
 
#1 Compliance Inspection AcceptedSarah Borrell - 07/27/2022 12:06 PM
1681caa956d784b409b2e2fcbb8938e0
95229c68631d6b57121914d30b6f6e94
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    NON letter returned 08-08-22 DL
    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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