Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2731, Submission # Submission-2021-2936, UID # 35073
Status: Compliance Inspection Accepted
 

System Status

System status on date: 07/23/2021 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
20029201300042658 NORTHRIDGE LN N, TOWN OF WEST LAKELAND2658NORTHRIDGELNNSTILLWATERTOWN OF WEST LAKELAND55082VANDUREN ALBERT P & SUSAN C61HIDDEN MEADOW ESTATES1987
Owner's representative:
Name:
Al Van Duren
Phone:
(952200 - 2491
Email:
albertvanduren@gmail.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):
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
The area around the drain field dispersal area and sewage were investigated.  No signs of sewage discharge on the ground surface.  Additionally, the property owner did not report any backup in to the house.

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):
Other methods not listed (See Comments/Explanation)
Comments/Explanation:
The tank was pumped and a camera used to inspect inside of the tank.  No signs of leaking below the operating depth.
The tank was full to the top when the lid was removed for the inspections.  The homeowner noted there was no backup in the house and that there was no discernable cause for the high liquid level. Additional investigation of the drainfield or the sewer line connecting the drainfield or the sewer line connecting the drainfield would require excavation and a sewer camera.

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: 01/01/1987

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.:
No
Verification method(s):
Other (See Comments/Explanation)
Comments/Explanation:
See attached soil boring log and site plan.
A. Bottom of distribution media: 2.5 Decimal Feet
B. Periodically saturated soil/bedrock: 5.8 Decimal Feet
C. System separation: 3 Decimal Feet
D. Required compliance separation: 2.6 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

Comments or recommendations:
See attached report
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
SELF/OTHERn/an/an/a
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): Jesse Kloeppner
Inspector Email Address: jesse@ksd-mn.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 #7098 (07/26/2021)

Charge Cost Quantity Total
Non-Taxable
added 07/26/2021 2:40 PM

$42 Flat Fee

$42.00 x 1 $42.00
Grand Total
Total $42.00
Payment 07/26/2021$42.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantJesse J. Kloeppner - 07/26/2021 2:40 PM
60721339bf0737564e1b74fdb121552f
11fa7d47eba0da1d12a4ef8dee93f269
 
#1 Compliance Inspection AcceptedSarah Borrell - 08/02/2021 8:56 AM
4232dc7cfdaa4dd97533765be04ff698
658e0e62fbdae8b70ebbbecdbf69879d
 
Inspection has been approved. All signatures have been obtained.
Text:
File(s):
    Text:
    Tank level above operating level not a MPCA compliance criteria.
    File(s):
      Compliance Letter Type: Certificate of Compliance Who's signature should be on the letter? Sarah Borrell Permit number to reference in "No Replace" letter:
      Was the letter sent? Yes Compliant/Non-Compliant: Compliant
      Certificate of Compliance:
        Letter of Non-Compliance:
          Powered by