Compliance Inspection Compliance Inspection Compliance Inspection # CI-2024-4100, Submission # Submission-2024-4348, UID # 56055
Status: Compliance Inspection Accepted
 

System Status

System status on date: 09/23/2024 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
340312031000312361 NORELL AVENUE CT N, TOWN OF MAY12361NORELL AVENUECTNSTILLWATERTOWN OF MAY55082HILGER JEFF H51BAIRD ESTATES2001
Owner's representative:
Name:
Deb Hilger
Phone:
(111111 - 1111
Email:
notsure@mail.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. No signs of sewage to the ground surface. The homeowners did not report back-ups in to the
house.

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 pumped and visually inspected with camera. No signs of cracks or leaking in any of the tanks.

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: 02/20/2002

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):
Conducted soil observation(s) (Attach boring logs)
A. Bottom of distribution media: 94.9 Decimal Feet
B. Periodically saturated soil/bedrock: 92.3 Decimal Feet
C. System separation: 2.6 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 borings for Barn & original septic design from Eklin which Inspector reviewed and did not disagree
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Kloeppner Services & Designs LLCL4043763-843-41143540 Lexington Ave N Ste 203 Shoreview, MN 55126NoNoYesYesYes
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 #10721 (10/11/2024)

Charge Cost Quantity Total
Non-Taxable
added 10/11/2024 10:34 AM

$47 Flat Fee

$46.00 x 1 $46.00
Grand Total
Total $46.00
Payment 10/11/2024$46.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJesse J. Kloeppner - 10/11/2024 10:34 AM
7830f8c494f80990c8c53dd78629ecc4
4a21448641fef1c1e8ca2a94f37e270b
 
#1 Compliance Inspection AcceptedSarah Borrell - 12/23/2024 2:26 PM
04a927bdf14a6dbf5c4fd74ae62d660b
dc3f0094b7ff348fa22086f430dea812
 
Inspection has been approved. All signatures have been obtained.
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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