Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0299, Submission # Submission-2016-0351, UID # 4276
Status: Compliance Inspection Accepted
 

System Status

System status on date: 07/29/2016 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
050302124000711505 HILLCREST CT N, CITY OF GRANT11505HILLCRESTCTNWHITE BEAR LAKECITY OF GRANT55110MENNE MICHAEL & KATHRYN9MEADOWLARK PRESERVE2002
Owner's representative:
Name:
Jerry Sauber
Phone:
(651463 - 7434
Email:
septic@co.washington.mn.us

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

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: 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.:
Yes
Verification method(s):
Conducted soil observation(s) (Attach boring logs)
A. Bottom of distribution media: 100 Decimal Feet
B. Periodically saturated soil/bedrock: 97 Decimal Feet
C. System separation: 3 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

Comments or recommendations:
Septic & Pump tanks- w pressure mound distribution Add cover soil to mound area & rockbed
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Sauber Plumbing & Heating CoL317651-463-7434100 Third St Farmington, MN 55024NoYesNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: septic@co.washington.mn.us

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 #1198 (08/04/2016)

Charge Cost Quantity Total
Non-Taxable
added 08/04/2016 2:46 PM

$40 Flat Fee

$40.00 x 1 $40.00
Grand Total
Total $40.00
Payment 08/04/2016$40.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJerry Sauber - 08/04/2016 2:47 PM - witnessed by Kati Hallermann
abe5c5febcafcea650917569975faf05
d025873f95f27f00d0d5f2ed1192182f
 
#1 Compliance Inspection AcceptedKati Hallermann - 08/04/2016 2:47 PM
f11d3471e72863b8b9905781a7683185
47d48b9849228a73bfbb84ba97946f62
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    File(s):
      Compliance Letter Type: Who's signature should be on the letter? Permit number to reference in "No Replace" letter:
      Was the letter sent? Compliant/Non-Compliant:
      Certificate of Compliance:
        Letter of Non-Compliance:
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