SSTS Permitting

Compliance Inspection Compliance Inspection Compliance Inspection # CI-2024-3915, Submission # Submission-2024-4148, UID # 52923
Status: System Replaced

System Status

System status on date:

05/13/2024

System Status:

Noncompliant

System - Noncompliant

Reason(s) for noncompliance:

Tank Integrity (Compliance Component #2) - Failing to protect groundwater

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
			3403021320011	9150 64TH ST N, CITY OF GRANT	9150	64TH	ST	N	STILLWATER	CITY OF GRANT	55082	ERICKSON BLAINE R & BARBARA J	5	2	VALLEY HOMES ESTATES	1980

Owner's representative:

Name:

Karin Moore

Phone:

(612

) 490

- 5471

Email:

karinmoore523@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):	Unable to verify (See Comments/Explanation)
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:	08/10/1979

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)
A. Bottom of distribution media:	94.9 Decimal Feet
B. Periodically saturated soil/bedrock:	99 Decimal Feet
C. System separation:	-4.1 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: Erickson_Inspection_5-13-24.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 #10230 (05/20/2024)

Charge	Cost	Quantity	Total
Non-Taxable
2025 Compliance Inspection Fee added 05/20/2024 10:06 PM $47 Flat Fee	$46.00	x 1	$46.00
Subtotal			$46.00 0
Grand Total
Total			$46.00
Payment 05/20/2024			$46.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Benjamin J. Zierke - 05/20/2024 10:06 PM cb5a5c0695ad5a9e00cf9e5071b4ebda 2b576280b306cfac21cf6333c95c02b9
#1 Compliance Inspection Accepted	Sarah Borrell - 07/19/2024 8:47 AM d1b93607cac6e5b16308e47995b88b96 9a8193b5512d81d6ce64fcdedf492d79

Inspection has been approved. All signatures have been obtained.

Public Notes

Text:
File(s):

Internal Notes

Text:
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: