SSTS Permitting

Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3773, Submission # Submission-2023-4002, UID # 50097
Status: Compliance Inspection Accepted

System Status

System status on date:

11/16/2023

System Status:

Compliant

Property Information

Property Information:

Compliance Status		Property Record		Property Address								Property Owner	Property Attributes
Compliance Expiration	Compliance Status	Parent GeoCode	PIN	Site Address	Building Number	Street Name	Type	Dir	City	Municipality	zip	Owner	Lot	Block	Plat	Year Built	Property Hold
			0903120410001	16320 NORELL AVE N, TOWN OF MAY	16320	NORELL	AVE	N	MARINE ON ST CROIX	TOWN OF MAY	55047	M W CALLAS FAMILY TRS				1998

Owner's representative:

Name:

Bill Callas

Phone:

(612

) 358

- 8195

Email:

billcallas@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):	Other methods not listed (See Comments/Explanation)	Comments/Explanation:	Visual Inspection of the area. No signs of sewage to the ground surface.

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. Root are intruding around inlet pipe of first tank.

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:	11/12/1997

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.:	No
Verification method(s):	Conducted soil observation(s) (Attach boring logs)
A. Bottom of distribution media:	1.5 Decimal Feet
B. Periodically saturated soil/bedrock:	4.7 Decimal Feet
C. System separation:	3.2 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:	File 1: KSD_SSTS_INSPECTION_16320_Norell_Ave_N_Marine_on_St_Croix_Ver_1.0_11-18-23.pdf

Certification

Inspector:

Name	License Number	Phone Number	Address	Maintainer	Installer	Service Provider	Designer	Inspector
SELF/OTHER	n/a	n/a	n/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 #9783 (11/20/2023)

Charge	Cost	Quantity	Total
Non-Taxable
2025 Compliance Inspection Fee added 11/20/2023 4:39 PM $47 Flat Fee	$45.00	x 1	$45.00
Subtotal			$45.00 0
Grand Total
Total			$45.00
Payment 11/20/2023			$45.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Jesse J. Kloeppner - 11/20/2023 4:39 PM dc4137b0bc497270211ac33eb8737a58 76f1039911482b2568d76801a01d2514
#1 Compliance Inspection Accepted	Sarah Borrell - 12/27/2023 1:37 PM 9e2ea651a2a5fdc652000f811d083219 e5a4fdf9d52e929b0aafb32d593b8a98

Inspection has been approved. All signatures have been obtained.

Public Notes

Text:
File(s):

Internal Notes

Text:
File(s):

Create Letter

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

Letter of Compliance

Certificate of Compliance:

Letter of Non-Compliance

Letter of Non-Compliance: