Compliance Inspection Compliance Inspection Compliance Inspection # CI-2019-1983, Submission # Submission-2019-2080, UID # 24880
Status: Compliance Inspection Accepted
 

System Status

System status on date: 10/18/2019 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
17030211200097735 100TH ST N, CITY OF GRANT7735100THSTNWHITE BEAR LAKECITY OF GRANT55110GUEHLER PAUL F TRS & PATRICIA A GUEHLER TRS12HIDDEN GLADE ESTATES1995
Property Owner's Mailing Address
(if different than property address):
7735 100th St. N
City of Grant MN 55110
Owner's representative:
Name:
Paul Brandt
Phone:
(651260 - 3783
Email:
pbrandt@soilinvestigations.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
Probed outside tank(s) for "black soil"
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
The tank was tested using a recording data logger, water was turned off in the house and lines were allowed to drain. The test was then completed. the recording data logger showed no change in the water level in the tank. The results indicate that the tank is water tight.

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: 08/01/1995

Soil Separation

Shoreland/Wellhead Protection/Food, beverage, lodging? No
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)
A. Bottom of distribution media: 987.5 Decimal Feet
B. Periodically saturated soil/bedrock: 980.5 Decimal Feet
C. System separation: 3 Decimal Feet
D. Required compliance separation: 2 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
Soil Investigation & Design, Inc.L3263651-260-37832809 78th Ave N Brooklyn Center, MN 55444NoNoNoNoNo
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Contact (If 'self/other' is selected from the Inspector Lookup): pbrandt@soilinvestigations.us
Inspector Email Address: pbrandt@soilinvestigations.us

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 #5024 (10/31/2019)

Charge Cost Quantity Total
Non-Taxable
added 10/31/2019 11:14 AM

$41 Flat Fee

$41.00 x 1 $41.00
Grand Total
Total $41.00
Payment 10/31/2019$41.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantPaul J. Brandt - 10/31/2019 11:14 AM
f246eb281a23927a46843c8f4cf47955
0676fe54c2acf1f35d9098de5c0016a9
 
#1 Compliance Inspection AcceptedKati Hallermann - 11/08/2019 8:12 AM
f7926f89fdc33c19e11dbd97adb70754
d6685dc1cb0dd3c196edd8784fcc62a0
 
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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