Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3242, Submission # Submission-2022-3463, UID # 41770
Status: System Replaced
 

System Status

System status on date: 07/13/2022 System Status: Noncompliant

System - Noncompliant

Reason(s) for noncompliance:
Impact on Public Health (Compliance Component #1) - Imminent threat to public health and safety

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
17030201400029685 STONEBRIDGE TRL N, TOWN OF STILLWATER9685STONEBRIDGETRLNSTILLWATERTOWN OF STILLWATER55082EARLEY EMILY E S & JUSTIN W ODEN1974
Owner's representative:
Name:
Glenn Johnson
Phone:
(123456 - 7890
Email:
noemail@noemail.com

Impact on Public Health

System discharges sewage to
the ground surface:
Yes 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):
Other methods not listed (See Comments/Explanation)
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

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: 0 Decimal Feet
B. Periodically saturated soil/bedrock: 0 Decimal Feet
C. System separation: 0 Decimal Feet
D. Required compliance separation: 0 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 Report
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 #8311 (07/19/2022)

Charge Cost Quantity Total
Non-Taxable
added 07/19/2022 3:54 PM

$47 Flat Fee

$44.00 x 1 $44.00
Grand Total
Total $44.00
Payment 07/26/2022$44.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantBrian Humpal - 07/19/2022 3:54 PM
a491376d27fd5da1e39d07efa401850b
127542c421d08eebc0b5d1b984373fb5
 
#1 Compliance Inspection AcceptedSarah Borrell - 08/03/2022 10:09 AM
bbc29bb8a661180d2d685b1c4500ef8f
6f2e11bbc333df830ac7b589b7b04f2a
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    Home owner was in 7-27-22 and asked that the NON letter be mailed to: 
    Estate of David R Johnson
    2651 Oak Ridge Trail
    Woodbury, MN. DL
    
    9/6/2022 - Glenn Johnson called to inquire about the 90 days repair/replace requirement. HE stated that the tanks were pumped @ time of inspection, and the house in not occupied. He also stated that a design has been prepared. He stated he has been contacting installers but they have told him that they could not install system till 2023. I told him that a 6 month extension can be considered if requested. Expect a request.
    File(s):
    Compliance Letter Type: Imminent Threat, Abatement Notice and Order 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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