Compliance Inspection Compliance Inspection Compliance Inspection # CI-2024-4066, Submission # Submission-2024-4367, UID # 56230
Status: System Replaced
 

System Status

System status on date: 10/14/2024 System Status: Noncompliant

System - Noncompliant

Reason(s) for noncompliance:
Other Compliance Conditions (Compliance Component #3) - Imminent threat to public health and safety
Tank Integrity (Compliance Component #2) - Failing to protect groundwater

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
210322141000120420 HARROW AVE N, CITY OF FOREST LAKE20420HARROWAVENFOREST LAKECITY OF FOREST LAKE55025WUCHTERL KENT & JANENE1902No
Owner's representative:
Name:
Janene Wuchterl
Phone:
(651747 - 7910
Email:
janene3@q.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):
Homeowner testimony (See Comments/Explanation)
Other methods not listed (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):
Other methods not listed (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:
Yes
Explain:
See attached report.
System is non protective of groundwater for other
conditions as determined by the inspector:
No

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.:
No
Drainfield meets the designed vertical separation
distance from periodically saturated soil or bedrock.:
No
Verification method(s):
Not applicable (Holding tank(s), no drainfield)
Other (See Comments/Explanation)
Comments/Explanation:
See attached report.
A. Bottom of distribution media: 0 Decimal Feet
B. Periodically saturated soil/bedrock: 0 Decimal Feet
C. System separation: 0 Decimal Feet
D. Required compliance separation: 0 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

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Zierke Soil Testing, LLCL119651-249-134628587 Jeffrey Ave Chisago City, MN 55013NoNoNoYesYes
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 #10771 (10/22/2024)

Charge Cost Quantity Total
Non-Taxable
added 10/22/2024 4:55 PM

$47 Flat Fee

$46.00 x 1 $46.00
Grand Total
Total $46.00
Payment 10/22/2024$46.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantBenjamin J. Zierke - 10/22/2024 4:55 PM
1c66eeaf7107ad8aad76bfef907851cc
271821661c1530e4cda46465d0f1e352
 
#1 Compliance Inspection AcceptedSarah Borrell - 11/21/2024 3:31 PM
e7db3e3cc669fd44bef3d938c29960b4
33ee61e732876e738560d05f038ad8f1
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    File(s):
    Compliance Letter Type: Imminent Threat, Abatement Notice and Order 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
    Certificate of Compliance:
      Letter of Non-Compliance:
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