Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0015, Submission # Submission-2016-0019, UID # 903
Status: Compliance Inspection Accepted
 

System Status

System status on date: 01/04/2015 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
320312024000811755 126TH ST N, TOWN OF MAY11755126THSTNSTILLWATERTOWN OF MAY55082CHA JAEHO A & KAY K YANG-CHA22KELLER FARM COUNTRY ESTATES1999
Owner's representative:
Name:
Bank of America
Phone:
(651260 - 9225
Email:
stephanie.holt@co.washington.mn.us

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):
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
Pumper testimony. Hassle Free Septic pumped the tank on 11/5/15.  Reported normal operating levels and all baffles in place. No cracks or leaks detected.  

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: 01/01/1999

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):
Conducted soil observation(s) (Attach boring logs)
A. Bottom of distribution media: 2.5 Decimal Feet
B. Periodically saturated soil/bedrock: 5.5 Decimal Feet
C. System separation: 3 Decimal Feet
D. Required compliance separation: 3 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:
Name:
Jeff Fertig
MPCA License #:
2299
Business Name:
Sunrise Septic Services

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 #441 (01/04/2016)

Charge Cost Quantity Total
Non-Taxable
added 01/04/2016 12:58 PM

$40 Flat Fee

$40.00 x 1 $40.00
Grand Total
Total $40.00
Due$40.00
Action: Print  

Approvals

ApprovalSignatureOptions
Applicant3bikmC720 - 01/08/2016 8:44 AM - witnessed by Christopher W. LeClair REHS
5f9ccd05b1a2748a533adacf4a89e288
e0d7082254f1bafc3b7a6f7fae151194
 
#1 Compliance Inspection AcceptedChristopher W. LeClair REHS - 01/08/2016 8:45 AM
99d7e9921029d4397bbfaaa950cf6f6d
aedf97b26ec812849c4b82183da7b6de
 
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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