Compliance Inspection Compliance Inspection Compliance Inspection # CI-2020-2119, Submission # Submission-2020-2226, UID # 27326
Status: Compliance Inspection Accepted
 

System Status

System status on date: 04/03/2020 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
180322011000411000 218TH STREET CT N, CITY OF SCANDIA11000218TH STREETCTNSCANDIACITY OF SCANDIA55073BUDKE STEVEN & CASEY12COUNTRY MEADOWS1978
Property Owner's Mailing Address
(if different than property address):
David Stein
11000 218th St Cr. N.
Scandia MN 55073
Owner's representative:
Name:
David Stein
Phone:
(651248 - 5049
Email:
noemail@noemail.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):
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):
Examined construction records
Examined empty (pumped) tank(s)
Comments/Explanation:
Olson Sewer pumped on 4-3-20 all good.

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: 05/12/2012

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.:
No
Drainfield meets the designed vertical separation
distance from periodically saturated soil or bedrock.:
No
Verification method(s):
Conducted soil observation(s) (Attach boring logs)
Two previous verifications (Attach boring logs)
A. Bottom of distribution media: 99 Decimal Feet
B. Periodically saturated soil/bedrock: 96 Decimal Feet
C. System separation: 30.6 Decimal Feet
D. Required compliance separation: 30.6 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
Maple Ridge Sewer IncL1837763-689-6803PO Box 72 Cambridge, MN 55008YesYesYesYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: mapleridgesewer@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 #5389 (04/08/2020)

Charge Cost Quantity Total
Non-Taxable
added 04/08/2020 1:32 PM

$41 Flat Fee

$41.00 x 1 $41.00
Grand Total
Total $41.00
Payment 04/08/2020$41.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantRichard Weller - 04/08/2020 1:33 PM - witnessed by Denise Lange
a6fe4b40a7b2a32adc4f5d186ff976e7
3e0de1dad19033cb9b25918839a1d9bf
 
#1 Compliance Inspection AcceptedDenise Lange - 04/08/2020 1:33 PM
eb6575597852e4f397740460255b0b59
f8da7793ad26e7286661b201ffd2b81b
 
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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