Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3303, Submission # Submission-2022-3433, UID # 41572
Status: Compliance Inspection Accepted
 

System Status

System status on date: 06/29/2022 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
350312123000612558 IRISH AVE N, CITY OF HUGO12558IRISHAVENHUGOCITY OF HUGO55038JOHNSON DEBORAH & OYEWOLE1973No
Owner's representative:
Name:
Sharon Christopherson
Phone:
(123456 - 7890
Email:
noemail@noemail.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):
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
See Report

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:
See Report

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
Explain:
See Report
System is non protective of groundwater for other
conditions as determined by the inspector:
No
Explain:
See Report

Date of Install

Date of install known: No
Date of installation: 01/01/2007

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)
Other (See Comments/Explanation)
Comments/Explanation:
See Report
A. Bottom of distribution media: 3.2 Decimal Feet
B. Periodically saturated soil/bedrock: 5.8 Decimal Feet
C. System separation: 2.63 Decimal Feet
D. Required compliance separation: 2.55 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 REVISED report after meeting with Ed Eklin (L3321, C3268) to review a soil pit.
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Midwest Sewer ServicesL2896651-492-75506616 Indian Wells Trail Grant, MN 55110YesYesYesYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: brian@midwestsoiltesting.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 #8257 (07/06/2022)

Charge Cost Quantity Total
Non-Taxable
added 07/06/2022 11:46 AM

$47 Flat Fee

$44.00 x 1 $44.00
Grand Total
Total $44.00
Payment 07/12/2022$44.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantBrian Humpal - 12/23/2022 11:57 AM - witnessed by Sarah Borrell
0d37db2d4f0925884bee1780b7493513
59b302d7263cf2a24e6d861fcb8383f9
 
#1 Compliance Inspection AcceptedSarah Borrell - 12/23/2022 11:57 AM
65d42a5a49fde980a0dc16a2b939d218
b23eb1908420589908c6e12eea7e7fc1
 
Inspection has been approved. All signatures have been obtained.
Text:
Disputing parties met onsite and observed a soil pit. No opinion rendered by the Department.
File(s):
    Text:
    SB) Dispute resolved (prior notes - Inspector requested Cty inspector onsite during dispute. Other inspector wants to schedule time for pits. County will not go onsite to observe or render an opinion. Pits are not required and would have to voluntarily be agreed upon. Homeowner does not want pits to be done as they are trying to sell.)
    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:
        Powered by