Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0398, Submission # Submission-2016-0411, UID # 4981
Status: Compliance Inspection Accepted
 

System Status

System status on date: 09/08/2016 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
250292133001311048 11TH ST N, CITY OF LAKE ELMO1104811THSTNLAKE ELMOCITY OF LAKE ELMO55042HILL JEFFREY K & KATHRYN B121TARTAN MEADOWS 3RD ADD1989
Owner's representative:
Name:
Rick Nasby
Phone:
(651894 - 2078
Email:
nasby1@comcast.net

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
Homeowner testimony (See Comments/Explanation)
Comments/Explanation:
None found

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:
Other inspection form

Other Compliance Conditions

Maintenance hole covers are damaged, cracked,
unsecured, or appear to be structurally unsound:
Unknown
Other issues (electrical hazards, etc.) to
immediately and adversely impact public
health or safety:
No
Explain:
Other inspection noted missing baffle
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: 09/14/1989

Soil Separation

Shoreland/Wellhead Protection/Food, beverage, lodging? No
Drainfield has at least a two-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):
Conducted soil observation(s) (Attach boring logs)
A. Bottom of distribution media: 2 Decimal Feet
B. Periodically saturated soil/bedrock: 5 Decimal Feet
C. System separation: 3 Decimal Feet
D. Required compliance separation: 2 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:
Inspect Minnesota completed an inspection and deemed the tank watertight but needed a new baffle and access points. We reviewed the soil because of a dispute and determined that the observations of the inspection were no consistent with our observations that were closer to the ssts.  
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Soil Investigation & Design, Inc.L3263651-260-37832809 78th Ave N Brooklyn Center, MN 55444NoNoNoNoNo
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): Paul Brandt
Inspector Email Address: pbrandt@soilinvestigations.us

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 #1372 (09/14/2016)

Charge Cost Quantity Total
Non-Taxable
added 09/14/2016 4:17 PM

$40 Flat Fee

$40.00 x 1 $40.00
Grand Total
Total $40.00
Payment 09/19/2016$40.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantPaul J. Brandt - 09/14/2016 4:17 PM
45fe301dc08ee588d9072193ba683f2a
a2ad4412a5a399e2351dc9d6da65e3f3
 
#1 Compliance Inspection AcceptedChristopher W. LeClair REHS - 09/26/2016 2:42 PM
3f089435f37e4af834f8c920289f4579
1cf47c1660017fa91b870371db4af541
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    File(s):
      Compliance Letter Type: Who's signature should be on the letter? Permit number to reference in "No Replace" letter:
      Was the letter sent? Compliant/Non-Compliant:
      Certificate of Compliance:
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