Compliance Inspection Compliance Inspection Submission # Submission-2021-2985, UID # 35648
Status: Pending Review
 

System Status

System status on date: 08/17/2021 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
33027212400138462 113TH ST S, CITY OF COTTAGE GROVE8462113THSTSCOTTAGE GROVECITY OF COTTAGE GROVE55016ERZAR MATTHEW & JILLIAN24HOUSE'S ISLAND VIEW1981No
Owner's representative:
Name:
Jillian Erzar
Phone:
(952239 - 6582
Email:
jillian.huwe@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):
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):
Examined empty (pumped) tank(s)

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: 08/19/1981

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):
Two previous verifications (Attach boring logs)
A. Bottom of distribution media: 2 Decimal Feet
B. Periodically saturated soil/bedrock: 7 Decimal Feet
C. System separation: 5 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

Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
David R. BrownL3649651-788-3296PO Box 251026 Woodbury, MN 55125NoNoNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: drufusb1@yahoo.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 #7235 (08/19/2021)

Charge Cost Quantity Total
Non-Taxable
added 08/19/2021 7:15 AM

$42 Flat Fee

$42.00 x 1 $42.00
Grand Total
Total $42.00
Payment 08/19/2021$42.00
Due$0.00
Action: Print  

Approvals

ApprovalSignatureOptions
ApplicantDavid R. Brown - 08/19/2021 7:15 AM
e7b8fdbb1facf0fc657fce4482b20558
e6d295033977e8df344706f796e30ea9
 
#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:
Tank integrity dispute ongoing.
File(s):
    Text:
    Dispute. See email dated 8/20/2, 9/8/2021 & 9/9/2021. Spoke with inspector 9/13 verbally and he will be submitting an addendum changing the status to noncompliant. emailed inspector 9/21, do I need to return the report to you?
    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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