SSTS Permitting

Compliance Inspection Compliance Inspection Compliance Inspection # CI-2024-3781, Submission # Submission-2023-4010, UID # 50454
Status: System Replaced

System Status

System status on date:

11/20/2023

System Status:

Noncompliant

System - Noncompliant

Reason(s) for noncompliance:

Soil Separation (Compliance Component #4) - Failing to protect groundwater

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
			0203120340004	14598 OLD GUSLANDER TRL N, TOWN OF MAY	14598	OLD GUSLANDER	TRL	N	MARINE ON ST CROIX	TOWN OF MAY	55047	GROOTAERS JAN-LODEWIJK				1993

Owner's representative:

Name:

Jan Loedwijk-Grootaers

Phone:

(612

) 518

- 7965

Email:

janlodewijkgrootaers@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 Homeowner testimony (See Comments/Explanation)	Comments/Explanation:	See attached report.

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 Tank Integrity Form (Attach)
Comments/Explanation:	See attached 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
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:	10/20/1992

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:	No
Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock.:	No
Verification method(s):	Conducted soil observation(s) (Attach boring logs) Other (See Comments/Explanation)
Comments/Explanation:	System previously failed for lack of separation.
A. Bottom of distribution media:	97.2 Decimal Feet
B. Periodically saturated soil/bedrock:	100 Decimal Feet
C. System separation:	-2.8 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

Attach Files:

File 1: Lodewijkgrootaers_Inspection_11-20-23.pdf

Certification

Inspector:

Name	License Number	Phone Number	Address	Maintainer	Installer	Service Provider	Designer	Inspector
Zierke Soil Testing, LLC	L119	651-249-1346	28587 Jeffrey Ave Chisago City, MN 55013	No	No	No	Yes	Yes

Please search for and choose SELF/OTHER if what you need does not appear in the list

Inspector Email Address:

benzierke@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 #9805 (12/05/2023)

Charge	Cost	Quantity	Total
Non-Taxable
2025 Compliance Inspection Fee added 12/05/2023 7:39 PM $47 Flat Fee	$45.00	x 1	$45.00
Subtotal			$45.00 0
Grand Total
Total			$45.00
Payment 12/05/2023			$45.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Benjamin J. Zierke - 12/05/2023 7:40 PM 15682b09c8d479158d08c9da9519256f c08ac6df596aeadc88e78e99c2888e58
#1 Compliance Inspection Accepted	Sarah Borrell - 01/08/2024 9:43 AM 42d25d2184f768072ab04bfcf28900ed ae09a9b9af45736e830be61f070a3a86

Inspection has been approved. All signatures have been obtained.

Public Notes

Text:
File(s):

Internal Notes

Text:	Note, noncompliant report filed in 2015
File(s):

Create Letter

Compliance Letter Type:	Failed System, Notice and Order to Comply, Separation	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:	Noncompliant

Letter of Compliance

Certificate of Compliance:

Letter of Non-Compliance

Letter of Non-Compliance: