Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0353, Submission # Submission-2016-0099, UID # 1260
Status: Compliance Inspection Accepted
 

System Status

System status on date: 03/23/2016 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
270272043000610789 CEDAR HEIGHTS TRL S, TOWN OF DENMARK10789CEDAR HEIGHTSTRLSHASTINGSTOWN OF DENMARK55033DAVIS WADE P8CEDAR HEIGHTS1930
Property Owner's Mailing Address
(if different than property address):
Jim Poepl
10789 Cedar Heights Trail S
Hastings MN 55033
Owner's representative:
Name:
No Representative
Phone:
(000000 - 0000
Email:
septic@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
Homeowner testimony (See Comments/Explanation)

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 empty (pumped) tank(s)

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? Yes
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 Borings Logs form 2010 and 2004
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:
Pre-cast septic tank. Pre-cast lift tank. Gravity Mound. Continue to pump septic tank on a regular basis for maintenance. Manage water use in the home
Attach Files:

Certification

Inspector:
Name:
Chris Bosshart
MPCA License #:
L1955
Business Name:
Environmental Design Group Inc
Phone:
(651341 - 6938
Email:
septic@co.washington.mn.us
Address:
386 Cannon View Dr
Red Wing MN 55066

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 #657 (03/30/2016)

Charge Cost Quantity Total
Non-Taxable
added 03/30/2016 8:56 AM

$40 Flat Fee

$40.00 x 1 $40.00
Grand Total
Total $40.00
Payment 08/31/2016$40.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantCHris Bosshart - 08/31/2016 4:30 PM - witnessed by Kati Hallermann
2dd62e115b11ae82d83d63a9e02e69ed
539b536bae82b7d3fbe02efad94c8c83
 
#1 Compliance Inspection AcceptedKati Hallermann - 08/31/2016 4:30 PM
fb5cf5034e6df77f6f10e3501f9260bc
ebd9ea1678740a39eb523997786a6e6c
 
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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