SSTS Permitting

Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3439, Submission # Submission-2023-3649, UID # 44820
Status: System Replaced

System Status

System status on date:

01/23/2023

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
			2603220310012	19371 ORWELL AVE N, CITY OF SCANDIA	19371	ORWELL	AVE	N	MARINE ON ST CROIX	CITY OF SCANDIA	55047	LARSON JASON A	20		MERRYWOOD	1970

Owner's representative:

Name:

Alfred Boll

Phone:

(651

) 485

- 1988

Email:

alboll@alboll.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:	Visual Inspection of the area. No signs of sewage to the ground surface. The homeowners did not report back-ups in to the house.

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:	Tanks not pumped or visually inspected with camera. If tanks are to be reused, the tanks must be pumped and certified.

Other Compliance Conditions

Maintenance hole covers are damaged, cracked, unsecured, or appear to be structurally unsound:	Unknown
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
Explain:	Inspected area around tanks. Pump Tank showed no signs of damage or electrical issues. 1,200 gallon sewage tank must have manhole riser unearthed to inspect property.

Date of Install

Date of install known:	Yes
Date of installation:	08/01/1977

Soil Separation

Shoreland/Wellhead Protection/Food, beverage, lodging?	Yes
Drainfield has at least a two-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):	Conducted soil observation(s) (Attach boring logs)
Comments/Explanation:	See attached soil boring log and site plan for location of trenches and borings.
A. Bottom of distribution media:	2.5 Decimal Feet
B. Periodically saturated soil/bedrock:	1.5 Decimal Feet
C. System separation:	-1 Decimal Feet
D. Required compliance separation:	2.6 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 attached soil boring log and site plan for location of trenches and borings.
Attach Files:	File 1: KSD_SSTS_INSPECTION_19371_Orwell_Ave_N_Scandia_Ver_1.0_1-24-23.pdf

Certification

Inspector:

Name	License Number	Phone Number	Address	Maintainer	Installer	Service Provider	Designer	Inspector
SELF/OTHER	n/a	n/a	n/a

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):

Jesse Kloeppner

Inspector Email Address:

jesse@ksd-mn.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 #8819 (02/13/2023)

Charge	Cost	Quantity	Total
Non-Taxable
2025 Compliance Inspection Fee added 02/13/2023 7:37 PM $47 Flat Fee	$45.00	x 1	$45.00
Subtotal			$45.00 0
Grand Total
Total			$45.00
Payment 02/13/2023			$45.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Jesse J. Kloeppner - 02/13/2023 7:37 PM 97635fd2a6cd379f8be4245be1dc2013 9692e0eec11bf11a0b9d9fc80ba3b205
#1 Compliance Inspection Accepted	Sarah Borrell - 02/17/2023 11:27 AM 2db59a96361be711f5b110e166a6d4d3 17bd96b6e4164899ec22b4f3b3bcb8cf

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: