Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3720, Submission # Submission-2023-3946, UID # 49332
Status: Compliance Inspection Accepted
 

System Status

System status on date: 10/13/2023 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
09029213200158109 HIDDEN BAY TRL N, CITY OF LAKE ELMO8109HIDDEN BAYTRLNLAKE ELMOCITY OF LAKE ELMO55042TORDIS HAMMER REV TRS12OACE ACRES 4TH ADD1970No
Owner's representative:
Name:
John Hammer
Phone:
(303263 - 2721
Email:
sssepticsolutions@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):
Searched for surface outlet
Searched for seeping in yard/backup into home

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 in good shape at time of inspection.  This is a replacement system from 2015.

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: 12/15/2015

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.:
Yes
Verification method(s):
Two previous verifications (Attach boring logs)
Comments/Explanation:
Attached newest soils from 2015 design and verified by Washington County.
A. Bottom of distribution media: 4 Decimal Feet
B. Periodically saturated soil/bedrock: 7 Decimal Feet
C. System separation: 3 Decimal Feet
D. Required compliance separation: 3 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
SS Septic Solutions LLCL4137651-343-911714845 113th St S Hastings, MN 55033NoYesNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: sssepticsolutions@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 #9661 (10/15/2023)

Charge Cost Quantity Total
Non-Taxable
added 10/15/2023 9:43 AM

$47 Flat Fee

$45.00 x 1 $45.00
Grand Total
Total $45.00
Payment 10/15/2023$45.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantShelley L. Schlomka - 10/15/2023 9:43 AM
a6bc2b2d5964615757b7a414b3db2dbc
ae5f108c3b2cc68f883634f144a89b5e
 
#1 Compliance Inspection AcceptedSarah Borrell - 12/05/2023 10:11 AM
fea7ff47d9b8af332c35af04e7875359
e0607436d4d641e16fcea9de3212cc07
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    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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