SSTS Permitting

Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3241, Submission # Submission-2022-3452, UID # 41769
Status: System Replaced

System Status

System status on date:

07/13/2022

System Status:

Noncompliant

System - Noncompliant

Reason(s) for noncompliance:

Tank Integrity (Compliance Component #2) - Failing to protect groundwater

Other Compliance Conditions (Compliance Component #3) - 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
			3403121230002	7606 125TH ST N, CITY OF HUGO	7606	125TH	ST	N	WHITE BEAR LAKE	CITY OF HUGO	55110	BORCHARDT JOCELYN & JENNIFER BORCHARDT				1965

Property Owner's Mailing Address
(if different than property address):

5265 269th Ave NE

Isanti	MN	55040

Owner's representative:

Name:

Danielle Lang

Phone:

(763

) 244

- 7430

Email:

mjlcontract@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 seeping in yard/backup into home

Tank Integrity

System consists of seepage pit, cesspool, drywell, or leaching pit:	Yes
Sewage tank(s) leak below their designed operating depth:	Yes
:	cesspool
Verification method(s):	Examined construction records

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:	Yes
Explain:	cesspool tank

Date of Install

Date of install known:

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.:	No
Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock.:	No
Verification method(s):	Other (See Comments/Explanation)
Comments/Explanation:	no drainfield cesspool tank
A. Bottom of distribution media:	10 Decimal Feet
B. Periodically saturated soil/bedrock:	0 Decimal Feet
C. System separation:	0 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

Attach Files:

File 1: Matt_Busson_Comp_Cover22.pdf
File 2: Matt_Busson_Comp_Site22.pdf
File 3: Matt_Busson_Non_Compliant_Report22.pdf

Certification

Inspector:

Name	License Number	Phone Number	Address	Maintainer	Installer	Service Provider	Designer	Inspector
MJL Contracting Inc	L2449	763-444-6668	5265 269th Ave NE Isanti, MN 55040	Yes	Yes	No	Yes	Yes

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):

Danielle Lang

Inspector Email Address:

mjlcontract@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 #8310 (07/15/2022)

Charge	Cost	Quantity	Total
Non-Taxable
2025 Compliance Inspection Fee added 07/15/2022 10:35 AM $47 Flat Fee	$44.00	x 1	$44.00
Subtotal			$44.00 0
Grand Total
Total			$44.00
Payment 07/15/2022			$44.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Danielle Lang - 07/15/2022 10:35 AM ff35a2f433b4e42e838c029cfcbe9769 812e65aea6d1059d5d113bd7513f8911
#1 Compliance Inspection Accepted	Sarah Borrell - 08/03/2022 8:17 AM aeba7f3591f1c8bd8326eef0967e4d5c a7b4c4b42dd7afb5fe385da10d5208a3

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: