Compliance Inspection Compliance Inspection Compliance Inspection # CI-2017-0713, Submission # Submission-2016-0515, UID # 6210
Status: Compliance Inspection Accepted
 

System Status

System status on date: 11/16/2016 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
100302042000110480 PERKINS AVE N, TOWN OF STILLWATER10480PERKINSAVENSTILLWATERTOWN OF STILLWATER55082FREITAG MARY G & MARK L AHLSTROM11ARCOLA HEIGHTS1997
Owner's representative:
Name:
Josh Champ
Phone:
(763639 - 7292
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
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
Opened Dropboxes, owner cleared sand from #3 and reset inspection tube

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 construction records
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
Visual inspection of full tanks. Effluent levels were correct, baffles were in place

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? 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.:
Yes
Verification method(s):
Conducted soil observation(s) (Attach boring logs)
A. Bottom of distribution media: 30 Decimal Feet
B. Periodically saturated soil/bedrock: 72 Decimal Feet
C. System separation: 42 Decimal Feet
D. Required compliance separation: 36 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:
2- 1000gal. septic tanks, drain to 3 trenches, 45' 70',80'
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Steinbrecher Companies IncL2851763-274-092513792 247th Ave NW Zimmerman, MN 55398NoYesYesYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: jana@steinbrechercompanies.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 #1608 (11/21/2016)

Charge Cost Quantity Total
Non-Taxable
added 11/21/2016 2:40 PM

$40 Flat Fee

$40.00 x 1 $40.00
Grand Total
Total $40.00
Payment 06/02/2017$40.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantSteinbrecher Companies - 06/02/2017 11:38 AM - witnessed by Kati Hallermann
36b123dba289d0c6c4ed31e8417f191d
1644ae0a4b9b310fcc800841cfcb65a4
 
#1 Compliance Inspection AcceptedKati Hallermann - 06/02/2017 11:38 AM
f1a6b2e380e55f26051807985b01a55e
4c059b1292176e0b4a722ed149dbf031
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    Invoiced: 5.25.2017
    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:
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