Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3260, Submission # Submission-2022-3478, UID # 42092
Status: System Replaced
 

System Status

System status on date: 07/28/2022 System Status: Noncompliant

System - Noncompliant

Reason(s) for noncompliance:
Tank Integrity (Compliance Component #2) - Failing to protect groundwater

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
29032214400066260 190TH ST N, CITY OF FOREST LAKE6260190THSTNFOREST LAKECITY OF FOREST LAKE55025SHERRILL MICHAEL S1968
Owner's representative:
Name:
Sam Scott
Phone:
(612263 - 1368
Email:
samscott1@hotmail.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
Homeowner testimony (See Comments/Explanation)

Tank Integrity

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

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: 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.:
No
Drainfield meets the designed vertical separation
distance from periodically saturated soil or bedrock.:
No
Verification method(s):
Not applicable (Holding tank(s), no drainfield)
Comments/Explanation:
Cesspool tank no drainfield
A. Bottom of distribution media: 7 Decimal Feet
B. Periodically saturated soil/bedrock: .5 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

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
MJL Contracting IncL2449763-444-66685265 269th Ave NE Isanti, MN 55040YesYesNoYesYes
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 #8350 (07/28/2022)

Charge Cost Quantity Total
Non-Taxable
added 07/28/2022 2:04 PM

$47 Flat Fee

$44.00 x 1 $44.00
Grand Total
Total $44.00
Payment 07/28/2022$44.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantDanielle Lang - 07/28/2022 2:04 PM
1e75dfbc600718278a67e91069e55188
600e78f0b2b835bcf7a6116997aca6b8
 
#1 Compliance Inspection AcceptedSarah Borrell - 08/03/2022 12:02 PM
35a4aad454d5b35e4d73b0f267646597
032bc910209fd86e01e149e0840fe401
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    8/15 - Realtor for buyer wanted to steps for buyer if they assume responsibility. Talked about how in 6 months we'll be in winter and there is a provision to request an extension. Explained how we ask for a written request and expect progress made which is typically in form of a design in hand.
    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:
          Powered by