Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0384, Submission # Submission-2016-0361, UID # 4339
Status: Compliance Inspection Accepted
 

System Status

System status on date: 08/02/2016 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
2003021410061390 MAPLE ST, CITY OF MAHTOMEDI390MAPLESTMAHTOMEDICITY OF MAHTOMEDI55115LARSON JOYCE R & DONALD J ELIASON1951No
Owner's representative:
Name:
Don Eliason
Phone:
(612328 - 5430
Email:
noemail@noemail.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):
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
See Report

Tank Integrity

System consists of seepage pit,
cesspool, drywell, or leaching pit:
Yes
Sewage tank(s) leak below their
designed operating depth:
Yes
: All Tanks
Verification method(s):
Probed tank(s) bottom
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? Yes
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 #1225 (08/11/2016)

Charge Cost Quantity Total
Non-Taxable
added 08/12/2016 3:15 PM

$40 Flat Fee

$40.00 x 1 $40.00
Grand Total
Total $40.00
Payment 08/13/2016$40.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantBrian Humpal - 08/12/2016 3:15 PM
5063bc7d6f572438efb4bcc3be0f377a
d6749a3220300125a3afe59d789a4376
 
#1 Compliance Inspection AcceptedChristopher W. LeClair REHS - 09/16/2016 9:10 AM
693fef74aa8413beb3ea40b23b65c006
3a6d7d9147b68d564a18f3cc84d14250
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    Spoke with homeowners on 12/27/19. They are getting new tanks in the spring. JS
    
    No place to put notes on the main page. Abandonment form and map added to main page 6/10/22. Abandonment from April 2020. We never received the as-built and no abandonment permit was created. With system being hooked up to city sewer I am inactivating the system so pumping cards are not sent out in the future. JH
    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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