Compliance Inspection Compliance Inspection Compliance Inspection # CI-2024-4045, Submission # Submission-2024-4290, UID # 55145
Status: Compliance Inspection Accepted
 

System Status

System status on date: 08/22/2024 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
180292012000812511 40TH ST N, TOWN OF BAYTOWN1251140THSTNSTILLWATERTOWN OF BAYTOWN55082HASSETT KAREN M & VERLYN E NICE21FAIRVIEW RIDGE1999
Owner's representative:
Name:
Joshua Swedlund
Phone:
(952873 - 3293
Email:
sewerservices.residential@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):
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
Visual

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):
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
Redundant Question

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:
Visual

Date of Install

Date of install known: No

Soil Separation

Shoreland/Wellhead Protection/Food, beverage, lodging? No
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.:
Yes
Verification method(s):
Other (See Comments/Explanation)
Comments/Explanation:
Redundant Question
A. Bottom of distribution media: 2.66 Decimal Feet
B. Periodically saturated soil/bedrock: 6 Decimal Feet
C. System separation: 3 Decimal Feet
D. Required compliance separation: 3.33 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:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Sewer Services, IncL2502952-873-329225648 200th St Belle Plaine, MN 56011YesYesNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: sewerservices.residential@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 #10573 (08/26/2024)

Charge Cost Quantity Total
Non-Taxable
added 08/26/2024 10:58 AM

$47 Flat Fee

$46.00 x 1 $46.00
Grand Total
Total $46.00
Payment 08/26/2024$46.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJulie Schuettpelz - 08/26/2024 10:58 AM
de0878b27b61d5f5ca7a7f5aa6b9c68d
a65533ef24d41f7ae622c9d1e5b009e2
 
#1 Compliance Inspection AcceptedSarah Borrell - 11/21/2024 2:29 PM
6f3dd7e054445378bcb98a06ccd57e05
e7c7e1247e3460636baf0761f3945d5e
 
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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