Compliance Inspection Compliance Inspection Compliance Inspection # CI-2024-3955, Submission # Submission-2024-4170, UID # 53220
Status: Compliance Inspection Accepted
 

System Status

System status on date: 06/05/2024 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
260312011000115150 SQUARE LAKE TRL N, TOWN OF MAY15150SQUARE LAKETRLNSTILLWATERTOWN OF MAY55082HOLT RONALD MNo
Owner's representative:
Name:
Brian McGoldrick
Phone:
(651387 - 1000
Email:
brianjmcgoldrick@hotmail.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):
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
Visual Inspection of the area

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 where pumped and inspected by Smilie's Sewer Service the tanks may be reused when designing a new system for
the site.

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: 07/15/1993

Soil Separation

Shoreland/Wellhead Protection/Food, beverage, lodging? Yes
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)
Comments/Explanation:
The existing trenches to the Southwest near the camp entrance were inspected. The inspection reveals this site is compliant.
A. Bottom of distribution media: 874.5 Decimal Feet
B. Periodically saturated soil/bedrock: 868.5 Decimal Feet
C. System separation: 6 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 soil observations logs
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
SELF/OTHERn/an/an/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 #10286 (06/06/2024)

Charge Cost Quantity Total
Non-Taxable
added 06/06/2024 10:50 AM

$47 Flat Fee

$46.00 x 1 $46.00
Grand Total
Total $46.00
Payment 06/06/2024$46.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJesse J. Kloeppner - 07/15/2024 6:40 PM
2f3029e142bb24276af79ff5c7f529c8
2ecf3baad2eca69322f62c109ea5e151
 
#1 Compliance Inspection AcceptedSarah Borrell - 07/19/2024 12:20 PM
9ebec807f3eef24bc0fcda9bec0237b4
d6ade0ebde1fe1e9fae9a20599720e05
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    File(s):
    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
    Certificate of Compliance:
      Letter of Non-Compliance:
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