Compliance Inspection Compliance Inspection Compliance Inspection # CI-2018-1228, Submission # Submission-2018-1270, UID # 5025
Status: Compliance Inspection Accepted
 

System Status

System status on date: 05/09/2018 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
110302123000310600 KELVIN AVE N, CITY OF GRANT10600KELVINAVENSTILLWATERCITY OF GRANT55082ERICKSON KEVIN V & SARA D41GRANT ESTATES1987
Owner's representative:
Name:
Greg Deuberry
Phone:
(651428 - 9360
Email:
gdeuberry@icloud.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
Homeowner testimony (See Comments/Explanation)

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):
Probed tank(s) bottom
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
Please see tank integrity report from Pinky's

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: 08/26/1986

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: 978 Decimal Feet
B. Periodically saturated soil/bedrock: 975.5 Decimal Feet
C. System separation: 2.5 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

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 #5182
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 #1378 (09/15/2016)

Charge Cost Quantity Total
Non-Taxable
added 05/16/2018 3:27 PM

$40 Flat Fee

$40.00 x 1 $40.00
Grand Total
Total $40.00
Payment 05/16/2018$40.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantPaul J. Brandt - 05/16/2018 3:27 PM
a70bbb63fca2622ca0ad3458da2a8e63
0367178ae7caac3f810214f242cb5f55
 
#1 Compliance Inspection AcceptedKati Hallermann - 05/17/2018 4:38 PM
56bbfd04674696629f01e5c0b29e33d6
8cfee701a1ad77c07caab04c8e72060d
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    Request copy of report: From: Kati Hallermann 
    Sent: Thursday, May 17, 2018 12:23 PM
    To: 'Brandt, Paul J.' <pbrandt@soilinvestigations.us>
    Subject: Compliance Inspection: 10600 KELVIN AVE N, CITY OF GRANT
    
    Hi Paul,
    Can you send me over a copy of the form that you fill out from the MPCA on the compliance inspection you did at 10600 Kelvin Ave N- Grant? I always make sure there is a copy of this attached when submitting the compliance reports in the database, plus that is usually what the homeowner or future homeowner looks for is the physical form that was completed by the inspector.
    
    Thank you,
    
    Kati Hallermann
    Washington County
    14949 62nd St N
    Stillwater MN 55082
    &#61480; 651-430-6696
    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:
        Letter of Non-Compliance:
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