SSTS Permitting Sandbox site

Compliance Inspection Compliance Inspection Compliance Inspection # CI-2019-1943, Submission # Submission-2019-2026, UID # 24146
Status: Compliance Inspection Accepted

System Status

System status on date:

09/20/2019

System Status:

Compliant

Property Information

Property Information:

Compliance Status		Property Record		Property Address								Property Owner	Property Attributes
Compliance Expiration	Compliance Status	Parent GeoCode	PIN	Site Address	Building Number	Street Name	Type	Dir	City	Municipality	zip	Owner	Lot	Block	Plat	Year Built	Property Hold
			2602920420017	1443 OLD TOLL BRIDGE RD N, CITY OF LAKELAND	1443	OLD TOLL BRIDGE	RD	N	LAKELAND	CITY OF LAKELAND	55043	MARTIN HARRY L & CECILIA J				1973

Property Owner's Mailing Address
(if different than property address):

1443 Old Toll Bridge Road

Lakeland	MN	55043

Owner's representative:

Name:

Harry Martin

Phone:

(651

) 303

- 2264

Email:

alex.pepin@tenthirtyenvironmental.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 Homeowner testimony (See Comments/Explanation)	Comments/Explanation:	Septic tank does not have baffles in place. While the tank is water tight and meets compliance criteria baffles should be added (especially outlet baffle) or the tank replaced to ensure solids are not going to the pump tank and being pumped out to the soil treatment area and reducing the life of the system.

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 Other methods not listed (See Comments/Explanation)
Comments/Explanation:	Dropped underwater camera into tanks and observed no cracks in either pump tank or septic tank and the liquid level at the outlet invert of the septic tank (see attached picture). No baffles are on the septic tank and this should be remedied, although it is not a compliance criteria

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
Explain:	meets required separation.

Date of Install

Date of install known:	Yes
Date of installation:	06/01/1989

Soil Separation

Shoreland/Wellhead Protection/Food, beverage, lodging?	Yes
Drainfield has at least a two-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 has 3.27 feet of separation from bottom of media to restriction.
A. Bottom of distribution media:	97.36 Decimal Feet
B. Periodically saturated soil/bedrock:	94.09 Decimal Feet
C. System separation:	3.27 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:

File 1: 1443_Old_Toll_Bridge_Rd_-_Lakeland_-_Compliance_Inspection_1.pdf

Certification

Inspector:

Name	License Number	Phone Number	Address	Maintainer	Installer	Service Provider	Designer	Inspector
Ten Thirty Environmental Solutions, SBC	L4082	612-248-4281	1684 132nd Ave NE Blaine, MN 55449	No	No	Yes	Yes	Yes

Please search for and choose SELF/OTHER if what you need does not appear in the list

Inspector Email Address:

alex.pepin@tenthirtyenvironmental.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 #4903 (09/30/2019)

Charge	Cost	Quantity	Total
Non-Taxable
Compliance Inspection Fee added 09/30/2019 9:20 AM $41 Flat Fee	$41.00	x 1	$41.00
Subtotal			$41.00 0
Grand Total
Total			$41.00
Payment 09/30/2019			$41.00
Due			$0.00

Action: Print

Approvals

Approval	Signature	Options
Applicant	Alex Pepin - 09/30/2019 9:20 AM af8977e8fb91f4bebcdc0765b2acaf96 6632ff747043619cc4843ef1afa059c1
#1 Compliance Inspection Accepted	Kati Hallermann - 10/14/2019 7:31 AM f36697a2e907baffe2bf35338b17027a 68d0ebca9b550c0e541b9a18c5d24e8b

Inspection has been approved. All signatures have been obtained.

Public Notes

Text:
File(s):

Internal Notes

Text:
File(s):

Create Letter

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:

Letter of Compliance

Certificate of Compliance:

Letter of Non-Compliance

Letter of Non-Compliance: