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Compliance Inspection Compliance Inspection Submission # Submission-2021-2882, UID # 34477
Status: Pending Review
 

System Status

System status on date: 06/18/2021 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
150322041000414270 SCANDIA TRL N, CITY OF SCANDIA14270SCANDIATRLNSCANDIACITY OF SCANDIA55073SWENSON NEIL G & DIANA J1920
Property Owner's Mailing Address
(if different than property address):
14270 Scandia Trail N.
Scandia MN 55073
Owner's representative:
Name:
Neil Swenson/Jeff Fertig
Phone:
(651) 253 - 2969
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)
Other methods not listed (See Comments/Explanation)
 Comments/Explanation: 
Owners testimony and tank inspection.

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 empty (pumped) tank(s)
Other methods not listed (See Comments/Explanation)
Comments/Explanation: 
Pumping and Visual Inspection

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: 04/01/2002

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: 
May be reduced up to 15 percent if allowed by Local Ordinance.
A. Bottom of distribution media: 24 Decimal Feet
B. Periodically saturated soil/bedrock: 12 Decimal Feet
C. System separation: 36 Decimal Feet
D. Required compliance separation: 36 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
Sunrise Septic Services, IncL2299651-253-296912180 St. Croix Trl North Branch, MN 55056NoNoNoNoYes
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): Jeffrey Fertig
Inspector Email Address: noemail@noemail.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 #6968 (06/25/2021)

Charge Cost Quantity Total
Non-Taxable
added 06/25/2021 3:06 PM

$42 Flat Fee

 $42.00 x 1 $42.00
Grand Total
Total $42.00
Payment 09/09/2021$42.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJeffrey Fertig - 09/09/2021 4:02 PM - witnessed by Denise Lange
e6d3031f8a23e34714aca595bf05d2b8
d37aefb92c2c15e604549ff5c65d470b		 
#1 Compliance Inspection Accepted 
You do not have the necessary rights for this signature
Inspection will be approved after the above signatures are obtained.
Text: 




File(s):

    		

    

    

    

    

    


    

    Text:

    Paid $2.00 Cash 9-9-21 DL
Received Check # 6201 for $40.00. Short $2.00 DL-Invoiced 06-25-21 DL Attached.
*See email. need soil boring location identified. 
**Mound as-built for 12" sand lift (not 24"), based on boring log completed by inspector there is still adequate separation.
    		

    

    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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