Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3597, Submission # Submission-2023-3818, UID # 47366
Status: Compliance Inspection Accepted
 

System Status

System status on date: 07/27/2023 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
360272131001311640 LEEWARD AVE S, CITY OF COTTAGE GROVE11640LEEWARDAVESHASTINGSCITY OF COTTAGE GROVE55033LENNES RAYANNA35PINE COULEE1974
Owner's representative:
Name:
Rayanna Kieffer
Phone:
(651764 - 2745
Email:
rayannakieffer@gmail.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:
Pictures attached.
Visual Inspection of the area. No signs of sewage to the ground surface. The homeowners did not report back-ups in to the house. There is an area on east most trench with sunken and soil added to fill area.  The soil was dry but it could be a sign of surfacing, or the trench is completely full of sand.

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):
Examined empty (pumped) tank(s)
Comments/Explanation:
Tanks pumped and visually inspected with camera.  Roots removed 7/26/23 and intrusion from the roots were sealed.

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
Explain:
Inspected area around tanks.

Date of Install

Date of install known: Yes
Date of installation: 09/11/2006

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.:
Yes
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 boring.
No Periodically saturated soil/bedrock observed. Trench depth verified.
A. Bottom of distribution media: 97.5 Decimal Feet
B. Periodically saturated soil/bedrock: 94.3 Decimal Feet
C. System separation: 3.2 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.
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
SELF/OTHERn/an/an/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 #9318 (07/19/2023)

Charge Cost Quantity Total
Non-Taxable
added 07/19/2023 10:50 AM

$47 Flat Fee

$45.00 x 1 $45.00
Grand Total
Total $45.00
Payment 07/19/2023$45.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJesse J. Kloeppner - 07/19/2023 10:50 AM
bace7caadfd5bf573b5274c48fec5fba
deec86e063761046a669d4d0342fd29e
 
#1 Compliance Inspection AcceptedSarah Borrell - 08/08/2023 10:10 AM
3d20e5cae78c535d7618894a89929123
ce309768b1cd8b0e3611650c7ffce1b5
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    (SB 8/8/23) - attached below was the original report submitted by Inspector. The root intrusion was above the OL and they addressed this and completed a second inspection report which is reflected up above. Sunken trenches is not a compliance criteria.
    File(s):
    Compliance Letter Type: Certificate of Compliance 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: Compliant
    Certificate of Compliance:
      Letter of Non-Compliance:
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