Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3496, Submission # Submission-2023-3704, UID # 46086
Status: System Replaced
 

System Status

System status on date: 05/06/2023 System Status: Noncompliant

System - Noncompliant

Reason(s) for noncompliance:
Tank Integrity (Compliance Component #2) - Failing to protect groundwater
Soil Separation (Compliance Component #4) - Failing to protect groundwater

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
0503221220006050322122000823780 FLAY AVE N, CITY OF FOREST LAKE23780FLAYAVENFOREST LAKECITY OF FOREST LAKE55025MALIK RESHAL1993No
Owner's representative:
Name:
Chris Brown
Phone:
(651263 - 3249
Email:
cbrown@anconatitle.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 surface outlet
Searched for seeping in yard/backup into home
Homeowner testimony (See Comments/Explanation)
Comments/Explanation:
See attached report.

Tank Integrity

System consists of seepage pit,
cesspool, drywell, or leaching pit:
No
Sewage tank(s) leak below their
designed operating depth:
Yes
: Septic Tank
Verification method(s):
Examined empty (pumped) tank(s)
Comments/Explanation:
See attached 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
System is non protective of groundwater for other
conditions as determined by the inspector:
No

Date of Install

Date of install known: Yes
Date of installation: 01/01/1992

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:
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)
A. Bottom of distribution media: 97.6 Decimal Feet
B. Periodically saturated soil/bedrock: 98.2 Decimal Feet
C. System separation: -0.6 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

Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Zierke Soil Testing, LLCL119651-249-134628587 Jeffrey Ave Chisago City, MN 55013NoNoNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: benzierke@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 #9035 (05/06/2023)

Charge Cost Quantity Total
Non-Taxable
added 05/06/2023 1:35 PM

$47 Flat Fee

$45.00 x 1 $45.00
Grand Total
Total $45.00
Payment 05/06/2023$45.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantBenjamin J. Zierke - 05/06/2023 1:35 PM
c9ccb3af40a9686b2b93cca7f8eb3995
f36b13d632135afba9d0fa200fb252ae
 
#1 Compliance Inspection AcceptedSarah Borrell - 05/19/2023 4:05 PM
10643584c372ead4e46409217acca2a6
9746c47af93ae147f8bb367773deb78e
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
Text:
6/5 (SB) spoke w/ seller Chris Brown. He is working with Ben Zierke Letter dated 5/17 - 6 months gets us into November. He wants to empower new buyer with information and decisions on new ssts. They will be working with Zierke on design. Talked about extension, would expect a design and permit in. Extension is intended for circumstances uncontrolled by any person, like 'winter window'. This one is tought as they have all summer. There are many things that one can be doing in the meantime like the design, permit and contracting with a contractor. These are the things that would be considered in acknowledging a formal extension.
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:
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