Compliance Inspection Compliance Inspection Compliance Inspection # CI-2017-0581, Submission # Submission-2017-0632, UID # 7935
Status: Compliance Inspection Accepted
 

System Status

System status on date: 03/04/2017 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
21029212100238308 STILLWATER BLVD N, CITY OF LAKE ELMO8308STILLWATERBLVDNLAKE ELMOCITY OF LAKE ELMO55042WOLFRAM ANDREW8BEAU-HAVEN1968
Owner's representative:
Name:
Tom Trooien
Phone:
(612594 - 4496
Email:
tom.trooien@aol.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
Excessive ponding in soil system/D-boxes

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 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: 08/09/2011

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):
Two previous verifications (Attach boring logs)
Comments/Explanation:
See attached soil boring logs from design & permit. redox @ 20"
A. Bottom of distribution media: 18 Decimal Feet
B. Periodically saturated soil/bedrock: 20 Decimal Feet
C. System separation: 38 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:
1500/1000gallon combo septic tank, 1000gallon pump tank & mound drainfield
recommend locking manhole covers on both tanks
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
All State Septic ServicesL1568651-439-732312155 Norell Ave N Stillwater, MN 55082NoNoNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: tomtrooien@aol.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 #1845 (03/08/2017)

Charge Cost Quantity Total
Non-Taxable
added 03/08/2017 12:16 PM

$40 Flat Fee

$40.00 x 1 $40.00
Grand Total
Total $40.00
Payment 03/08/2017$40.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantTom Trooien - 03/08/2017 12:17 PM - witnessed by Kati Hallermann
df7a77d2d1f54ca6d8f2f6b752a70353
b672ce55184b126f0ac02155fb6f8ad5
 
#1 Compliance Inspection AcceptedKati Hallermann - 03/08/2017 12:17 PM
c42430ab170b6227acd51c99cfb4e20d
c86ccf0ee564002b33de50a75237ccc3
 
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:
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