Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3714, Submission # Submission-2023-3938, UID # 49254
Status: System Replaced
 

System Status

System status on date: 07/20/2023 System Status: Noncompliant

System - Noncompliant

Reason(s) for noncompliance:
Impact on Public Health (Compliance Component #1) - Imminent threat to public health and safety

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
3402921210017747 JULEP AVE N, CITY OF LAKE ELMO747JULEPAVENLAKE ELMOCITY OF LAKE ELMO55042VARHOL PAUL L & CINDY W15STONEGATE 2ND ADD1996No
Owner's representative:
Name:
Cindy and Paul Varhol
Phone:
(602315 - 6808
Email:
noemail@noemail.com

Impact on Public Health

System discharges sewage to
the ground surface:
Yes 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:
See Report attached

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):
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
See 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
Explain:
See Report
System is non protective of groundwater for other
conditions as determined by the inspector:
No
Explain:
See report

Date of Install

Date of install known: No

Soil Separation

Shoreland/Wellhead Protection/Food, beverage, lodging? Yes
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.:
Yes
Verification method(s):
Other (See Comments/Explanation)
Comments/Explanation:
See Report.  Seems to be missing a couple of pages.
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

Comments or recommendations:
See Report.  There seems to be some pages missing.
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Schirmers Percolation Testing, IncL394763-497-3566951 Katydid Lane NE Saint Michael, MN 55376NoNoNoYesYes
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): Steve Schirmers
Inspector Email Address: deb@sptestinginc.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 #9643 (10/11/2023)

Charge Cost Quantity Total
Non-Taxable
added 10/11/2023 8:42 AM

$47 Flat Fee

$45.00 x 1 $45.00
Grand Total
Total $45.00
Payment 10/26/2023$45.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantDeb Shirmers - 12/05/2023 8:50 AM - witnessed by Sarah Borrell
0701d91000272c766da02119ef3a3ad7
dcae017123ac7337e0547d8547859536
 
#1 Compliance Inspection AcceptedSarah Borrell - 12/05/2023 8:52 AM
ed5d43944314230e9919a7c4a3fc9723
7af7b4dbf510d3d5cc96d44b917e566b
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    12/5/23 (SB) - Letter was not sent as there is a permit to replace all SSTS components and installation inspections have occurred at time of accepting the compliance inspection (did not want to cause confusion). Also, noted this is not a complete inspection report.
    10-12-2023- Called and spoke to Deb about the fee due.  I told her I would mail an Invoice. DL
    File(s):
      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? No Compliant/Non-Compliant: Noncompliant
      Certificate of Compliance:
        Letter of Non-Compliance:
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