Compliance Inspection Compliance Inspection Compliance Inspection # CI-2017-0872, Submission # Submission-2017-0915, UID # 9924
Status: System Replaced
 

System Status

System status on date: 07/25/2017 System Status: Noncompliant

System - Noncompliant

Reason(s) for noncompliance:
Soil Separation (Compliance Component #4) - Failing to protect groundwater

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
060322022000610441 240TH ST N, CITY OF SCANDIA10441240THSTNSCANDIACITY OF SCANDIA55073HAVENER LINDA1974
Owner's representative:
Name:
Linda Havener
Phone:
(651257 - 6821
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):
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
See Report

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:
See Report

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
Explain:
See Report
System is non protective of groundwater for other
conditions as determined by the inspector:
No
Explain:
See Report

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.:
No
Verification method(s):
Conducted soil observation(s) (Attach boring logs)
Other (See Comments/Explanation)
Comments/Explanation:
See Report
A. Bottom of distribution media: 0 Decimal Feet
B. Periodically saturated soil/bedrock: 0 Decimal Feet
C. System separation: 0 Decimal Feet
D. Required compliance separation: 0 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:
See Report
lindah43@frontier.com
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Midwest Sewer ServicesL2896651-492-75506616 Indian Wells Trail Grant, MN 55110YesYesYesYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: brian@midwestsoiltesting.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 #2461 (08/09/2017)

Charge Cost Quantity Total
Non-Taxable
added 08/09/2017 5:07 PM

$40 Flat Fee

$40.00 x 1 $40.00
Grand Total
Total $40.00
Payment 08/23/2017$40.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantBrian Humpal - 08/09/2017 5:07 PM
aadebf39ce4e57765ef2798ccf44e43e
c2991a0416b523d1f77ce346e14e14bb
 
#1 Compliance Inspection AcceptedAlex Pepin - 08/22/2017 11:13 AM
39ac80df88365d26b7eb7e60e2602253
d111ff5c28628de214192ddf0a9fa7cd
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    0-16 sandy loam 10 YR 3/3 with 10 YR 4/4 fill, 16-37 clay loam with carbonates and iron concretions 10 YR 4/4, 37-42 clay loam with carbonates and iron concretions but some definite redox with 10 YR 6/2 depletions and 10 YR 4/6 concentrations not from iron concretions.... did boring outside of area, still not enough, needs to be replaced... told homeowner at time of inspection of findings. - Alex Pepin (8/22/2017)
    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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