Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3648, Submission # Submission-2023-3870, UID # 48135
Status: System Replaced
 

System Status

System status on date: 08/26/2023 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
24027223400105440 99TH ST S, TOWN OF GREY CLOUD ISLAND544099THSTSST PAUL PARKTOWN OF GREY CLOUD ISLAND55071DALE D MILLER & GLORIA J MILLER JT REV LIV TRS1969
Owner's representative:
Name:
Tom Trooien
Phone:
(651439 - 7323
Email:
tomtrooien@aol.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

Tank Integrity

System consists of seepage pit,
cesspool, drywell, or leaching pit:
Yes
Sewage tank(s) leak below their
designed operating depth:
Yes
Verification method(s):
Examined empty (pumped) tank(s)

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: No

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.:
No
Drainfield meets the designed vertical separation
distance from periodically saturated soil or bedrock.:
No
Verification method(s):
Not applicable (Holding tank(s), no drainfield)
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

Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
All State Septic ServicesL1568651-439-732312155 Norell Ave N Stillwater, MN 55082NoNoNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: tomtrooien@aol.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 #9488 (08/26/2023)

Charge Cost Quantity Total
Non-Taxable
added 08/26/2023 1:31 PM

$47 Flat Fee

$45.00 x 1 $45.00
Grand Total
Total $45.00
Payment 08/26/2023$45.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantTom Trooien - 08/26/2023 1:31 PM
f209693cdbe838d6e0b9b44fa568743d
c712fe32b2cb69899b25656947e21589
 
#1 Compliance Inspection AcceptedSarah Borrell - 09/27/2023 10:59 AM
bbfcd4d81e594a612d859de3f3669c73
e8bc34181db7631db482ca12fbf971e3
 
Inspection has been approved. All signatures have been obtained.
Text:
Mail the orders to the following address:
Trustee of property is who 
DALE D & GLORIA J MILLER JT REV LIV TRS
13505 193rd Way East
Hastings, MN 55033
File(s):
    Text:
    Trustee - Sherry McPherson 
    Phone # 651-437-4780
    Mailing Address: 13505 193rd Way E Hastings,  MN  55033
    Email : slmcness@gmail.com
    Sherry would like the Non Compliant letter both mailed to her and emailed. 
    The Property is for sale, and there is a buyer. FHA is requiring this documentation to set up escrow for closing.
    Once she has the design from Ed Eklin, she will get 3 bids. DL
    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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