Compliance Inspection Compliance Inspection Compliance Inspection # CI-2019-1984, Submission # Submission-2019-2081, UID # 24883
Status: Compliance Inspection Accepted
 

System Status

System status on date: 10/24/2019 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
18028203100302668 MEADOW VISTA WAY, CITY OF AFTON2668MEADOW VISTAWAYAFTONCITY OF AFTON55001KHANDPUR ASHISH & ANSHU171CEDAR BLUFF HOMESTEAD 2ND ADDITION2017
Owner's representative:
Name:
Alex Pepin
Phone:
(612248 - 4281
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:
Homeowner indicated system operating ok and is not backing up.

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 construction records
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
Dropped camera into tanks and observed tanks at their operating levels.

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: 06/01/2017

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)
A. Bottom of distribution media: 100.33 Decimal Feet
B. Periodically saturated soil/bedrock: 96.62 Decimal Feet
C. System separation: 3.71 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

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
Ten Thirty Environmental Solutions, SBCL4082612-248-42811684 132nd Ave NE Blaine, MN 55449NoNoYesYesYes
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 #5025 (10/31/2019)

Charge Cost Quantity Total
Non-Taxable
added 10/31/2019 11:35 AM

$41 Flat Fee

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

Approvals

ApprovalSignature
ApplicantAlex Pepin - 10/31/2019 11:35 AM
dee0610aa68a5441b97983e1903ebce3
d5502c78df5caaa4db98bd6608243174
#1 Compliance Inspection AcceptedKati Hallermann - 11/08/2019 8:17 AM
8a26fe24b800cffc7577e24f894354e6
a6dd20d769ae52d0eab9c18993b0f984
Inspection has been approved. All signatures have been obtained.

Public Notes

Text:
Accidentally checked no to pre 1996 and performance system in soil separation section... this is correct version with zero no's in that section.
File(s):

Internal Notes

Text:
File(s):
    Powered by