Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0435, Submission # Submission-2016-0485, UID # 5830
Status: Compliance Inspection Accepted
 

System Status

System status on date: 10/15/2016 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
260312044001313230 PANORAMA AVE N, TOWN OF MAY13230PANORAMAAVENSTILLWATERTOWN OF MAY55082GREGORY J GLENN & DIANE L GLENN REV LIV TRS942CARNELIAN HILLS2012
Owner's representative:
Name:
Jerry Sauber
Phone:
(651463 - 7434
Email:
noemail@noemail.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

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):
Probed tank(s) bottom
Examined construction records

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: No

Soil Separation

Shoreland/Wellhead Protection/Food, beverage, lodging? Yes
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):
Other (See Comments/Explanation)
Comments/Explanation:
Monitoring by state of MN
A. Bottom of distribution media: 0 Decimal Feet
B. Periodically saturated soil/bedrock: 0 Decimal Feet
C. System separation: 36 Decimal Feet
D. Required compliance separation: 36 Decimal Feet

Operating Permit and Nitrogen BMP

Is system operating under an Operating Permit: Yes
Is the system required to employ Nitrogen BMP: No

Operating Permit

A. Operating Permit number: 0
B. Have the Operating Permit requirements been met? Yes
C. Is the required nitrogen BMP in place and properly functioning? No

Comments and File Attachments

Comments or recommendations:
Septic pump tanks to community treatment system
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Sauber Plumbing & Heating CoL317651-463-7434100 Third St Farmington, MN 55024NoYesNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: noemail@noemail.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 #1518 (10/21/2016)

Charge Cost Quantity Total
Non-Taxable
added 10/21/2016 1:55 PM

$40 Flat Fee

$40.00 x 1 $40.00
Grand Total
Total $40.00
Payment 10/21/2016$40.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJerry Sauber - 10/21/2016 1:55 PM - witnessed by Kati Hallermann
340170ea62fd3f180469056a2a5cdeab
297e4d808fa63b4d17f4e678bb3cd069
 
#1 Compliance Inspection AcceptedKati Hallermann - 10/21/2016 1:55 PM
5cdec5a621dfcacf10fac9ddaac20099
f1a62f3a395b53f96d35b22c1e52d16a
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    File(s):
      Compliance Letter Type: Who's signature should be on the letter? Permit number to reference in "No Replace" letter:
      Was the letter sent? Compliant/Non-Compliant:
      Certificate of Compliance:
        Letter of Non-Compliance:
          Powered by