Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3669, Submission # Submission-2023-3897, UID # 48677
Status: Compliance Inspection Accepted
 

System Status

System status on date: 09/06/2023 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
350312043000112110 PARADE AVE N, TOWN OF MAY12110PARADEAVENSTILLWATERTOWN OF MAY55082PEARSON MICHAEL J & KATHLEEN M91CARNELIAN CREEK1988
Owner's representative:
Name:
Mike Pearson
Phone:
(651775 - 3724
Email:
mike@performancepools.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.

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. No signs of cracks or leaking in any of the tanks.

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. No signs of damage.

Date of Install

Date of install known: Yes
Date of installation: 01/01/1988

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 boring.
A. Bottom of distribution media: 3.1 Decimal Feet
B. Periodically saturated soil/bedrock: 7 Decimal Feet
C. System separation: 3.9 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 boring.
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 #9556 (09/17/2023)

Charge Cost Quantity Total
Non-Taxable
added 09/17/2023 12:39 PM

$47 Flat Fee

$45.00 x 1 $45.00
Grand Total
Total $45.00
Payment 09/17/2023$45.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJesse J. Kloeppner - 09/17/2023 12:40 PM
67d56788e902a83b881c06c82a7edb9e
5486a4999f5cc64a042d267ca835ab91
 
#1 Compliance Inspection AcceptedSarah Borrell - 09/27/2023 1:04 PM
3158cadcf00d211f406255501d6111d7
106ff06147bd9dbd2f63a09dfbe0c834
 
Inspection has been approved. All signatures have been obtained.
Text:
SSTS must be adequate and conforming
File(s):
    Text:
    *SSTS Permit for reconstruction of home and addition of an accessory dwelling w/ water applied for*
    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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