Compliance Inspection Compliance Inspection Compliance Inspection # CI-2019-1862, Submission # Submission-2019-1950, UID # 23358
Status: Compliance Inspection Accepted
 

System Status

System status on date: 08/17/2019 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
050262012000313304 122ND ST S, TOWN OF DENMARK13304122NDSTSHASTINGSTOWN OF DENMARK55033LEITNER MARK & SUSAN2004
Property Owner's Mailing Address
(if different than property address):
13304 122nd Street S
Hastings MN 55033
Owner's representative:
Name:
Shelley L Schlomka
Phone:
(651438 - 6866
Email:
sssepticsolutions@gmail.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):
Examined Tank Integrity Form (Attach)
Comments/Explanation:
See attached tank integrity form from the maintainer

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: 06/01/2005

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.:
Yes
Drainfield meets the designed vertical separation
distance from periodically saturated soil or bedrock.:
Yes
Verification method(s):
Conducted soil observation(s) (Attach boring logs)
Comments/Explanation:
System was installed in 2005.  The design that was uploaded with the county is not the design they went with.  The design that they did use, was not fully uploaded so I could not see the soil samples.
A. Bottom of distribution media: 2 Decimal Feet
B. Periodically saturated soil/bedrock: 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

Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
D. Schlomka Inc.L1106320-384-791141788 Fleming Logging Rd Hinckley, MN 55037NoYesNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: sssepticsolutions@gmail.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 #4748 (08/20/2019)

Charge Cost Quantity Total
Non-Taxable
added 08/20/2019 6:46 PM

$41 Flat Fee

$41.00 x 1 $41.00
Grand Total
Total $41.00
Payment 08/20/2019$41.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantShelley L. Schlomka - 08/20/2019 6:46 PM
4e2130d2826db324a9ae00067e8d8606
43322c472d14f08052a0fcc3aa824484
 
#1 Compliance Inspection AcceptedDenise Lange - 08/21/2019 11:26 AM
4a3ca8809008f20971235fe8ee2f2e81
4fb8082efba422670c2bc61902b56f6b
 
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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