Compliance Inspection Compliance Inspection Compliance Inspection # CI-2017-0635, Submission # Submission-2017-0683, UID # 8282
Status: Compliance Inspection Accepted
 

System Status

System status on date: 03/30/2017 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
08030213400057330 101ST ST N, CITY OF GRANT7330101STSTNWHITE BEAR LAKECITY OF GRANT55110MONSON DANIEL R5GLASGOW HILL1967
Owner's representative:
Name:
Chad Lashinski
Phone:
(612991 - 7004
Email:
chad@chadlashinski.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
Probed outside tank(s) for "black soil"

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: 06/11/1996

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)
Two previous verifications (Attach boring logs)
A. Bottom of distribution media: 30 Decimal Feet
B. Periodically saturated soil/bedrock: 66 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: No
Is the system required to employ Nitrogen BMP: No

Comments and File Attachments

Comments or recommendations:
Split 1500 gallon septic tank, 1000gallon lift station, Mound system. Mound system are have a life expectancy of 20-25years. This system is 21 years old at the time of the inspection.
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Residential Testing Solutions, Inc.L3636612-991-700416739 Ward Lake Drive Andover, MN 55304NoNoNoNoNo
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: chad@chadlashinski.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 #1947 (04/12/2017)

Charge Cost Quantity Total
Non-Taxable
added 04/12/2017 10:50 AM

$40 Flat Fee

$40.00 x 1 $40.00
Grand Total
Total $40.00
Payment 04/12/2017$40.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantChad Lashinski - 04/12/2017 11:47 AM - witnessed by Kati Hallermann
c0810aec56272fb2393b5586fcd20032
3b3814d81b23d197cc3d12c86bf9f2e7
 
#1 Compliance Inspection AcceptedKati Hallermann - 04/12/2017 11:48 AM
891c6863b8576afc5f003292ccfe7435
33d9aa9344e9d1b5d3cb3b049fe94eec
 
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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