Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3220, Submission # Submission-2022-3432, UID # 41634
Status: Compliance Inspection Accepted
 

System Status

System status on date: 06/24/2022 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
130322034000315689 SCANDIA TRL N, CITY OF SCANDIA15689SCANDIATRLNSCANDIACITY OF SCANDIA55073HOHENSEE NATHANIEL & MARY L1968
Owner's representative:
Name:
Michael Cummins
Phone:
(612490 - 4824
Email:
mjcummins@usa.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):
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 construction records
Examined Tank Integrity Form (Attach)

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: 10/09/2009

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)
A. Bottom of distribution media: 103 Decimal Feet
B. Periodically saturated soil/bedrock: 99.5 Decimal Feet
C. System separation: 3.5 Decimal Feet
D. Required compliance separation: 3 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
Progressive Onsite Septic LLCL4145763-350-020625713 4th St W Apt 312 Zimmerman, MN 55398NoNoNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: septic@pos-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 #8265 (07/05/2022)

Charge Cost Quantity Total
Non-Taxable
added 07/05/2022 5:59 PM

$47 Flat Fee

$44.00 x 1 $44.00
Grand Total
Total $44.00
Payment 07/05/2022$44.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantWilliam G. Hetzler - 07/05/2022 6:00 PM
c5e4a86a36c93d1af75a1964736c7fbf
f5cb75841747207a70a2f3884e906ca0
 
#1 Compliance Inspection AcceptedSarah Borrell - 07/28/2022 12:04 PM
d1bac7bbb65120cf445360d219f05703
7eeacf5dbf294891c35bd5fae3b44088
 
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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