SSTS Permitting

Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3467, Submission # Submission-2023-3684, UID # 45518
Status: System Replaced

System Status

System status on date:

04/14/2023

System Status:

Noncompliant

System - Noncompliant

Reason(s) for noncompliance:

Impact on Public Health (Compliance Component #1) - Imminent threat to public health and safety

Other Compliance Conditions (Compliance Component #3) - Imminent threat to public health and safety

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
			3303121440005	12165 UPPER HEATHER AVE N, CITY OF HUGO	12165	UPPER HEATHER	AVE	N	HUGO	CITY OF HUGO	55038	VOLGREN JOHN R & KRISTIN A DAHL	9	2	DELLWOOD RIDGE	1994

Owner's representative:

Name:

Kristin Dahl

Phone:

(612

) 747

- 2960

Email:

kristin@kristindahl.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:	Yes
Verification method(s):	Searched for surface outlet Searched for seeping in yard/backup into home Other methods not listed (See Comments/Explanation)	Comments/Explanation:	The first sewage tank collapsed.

Tank Integrity

System consists of seepage pit, cesspool, drywell, or leaching pit:	No
Sewage tank(s) leak below their designed operating depth:	Yes
:	First Tank
Verification method(s):	Observed liquid level below operating depth Other methods not listed (See Comments/Explanation)
Comments/Explanation:	The tank collapsed.

Other Compliance Conditions

Maintenance hole covers are damaged, cracked, unsecured, or appear to be structurally unsound:	Yes
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:	The first sewage tank collapsed and may allow effluent into groundwater.

Date of Install

Date of install known:	Yes
Date of installation:	02/24/1994

Soil Separation

Shoreland/Wellhead Protection/Food, beverage, lodging?	No
Drainfield has at least a two-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):	Two previous verifications (Attach boring logs)
A. Bottom of distribution media:	2.8 Decimal Feet
B. Periodically saturated soil/bedrock:	6.2 Decimal Feet
C. System separation:	3.4 Decimal Feet
D. Required compliance separation:	2 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:	The system is an Imminent Threat to Public Health. Please approve this application so a new design can be submitted and approved to install new tanks.
Attach Files:	File 1: KSD_SSTS_INSPECTION_12165_Upper_Heather_Ave_N_Hugo_Ver_1.0_4-14-23.pdf

Certification

Inspector:

Name	License Number	Phone Number	Address	Maintainer	Installer	Service Provider	Designer	Inspector
Kloeppner Services & Designs LLC	L4043	763-843-4114	3540 Lexington Ave N Ste 203 Shoreview, MN 55126	No	No	Yes	Yes	Yes

Please search for and choose SELF/OTHER if what you need does not appear in the list

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 #8982 (04/17/2023)

Charge	Cost	Quantity	Total
Non-Taxable
2025 Compliance Inspection Fee added 04/17/2023 9:51 AM $47 Flat Fee	$45.00	x 1	$45.00
Subtotal			$45.00 0
Grand Total
Total			$45.00
Payment 04/17/2023			$45.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Jesse J. Kloeppner - 04/17/2023 9:51 AM 6a440a94be6b099c8d855012663232f2 3701a081aa7842b3408bed2e5315aa16
#1 Compliance Inspection Accepted	Sarah Borrell - 05/05/2023 6:48 AM c09af5ec5a939d503cddfb0e4fb46489 aee6697cd02b7428a124ca05ff27c200

Inspection has been approved. All signatures have been obtained.

Public Notes

Text:
File(s):

Internal Notes

Text:
File(s):

Create Letter

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

Letter of Compliance

Certificate of Compliance:

Letter of Non-Compliance

Letter of Non-Compliance: