Compliance Inspection Compliance Inspection Compliance Inspection # CI-2017-0578, Submission # Submission-2017-0629, UID # 7932
Status: Compliance Inspection Accepted
 

System Status

System status on date: 02/11/2017 System Status: Compliant

Property Information

Property Information:
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
3502920420005530 QUINLAN AVE N, CITY OF LAKELAND530QUINLANAVENLAKELANDCITY OF LAKELAND55043BUNCH SEAN2LAKELAND1984
Owner's representative:
Name:
Tom Trooien
Phone:
(612594 - 4496
Email:
tom.trooien@aol.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):
Probed tank(s) bottom
Examined empty (pumped) tank(s)
Comments/Explanation:
Lowered camera into tank, baffles OK

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: 06/01/1984

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):
Conducted soil observation(s) (Attach boring logs)
Comments/Explanation:
B1 0-11 topsoil... 10yr 3/2
11-20 med sand... 10yr 4/3
20-70 med gravelly sand... 7.5yr 4/3
A. Bottom of distribution media: 44 Decimal Feet
B. Periodically saturated soil/bedrock: 0 Decimal Feet
C. System separation: 26 Decimal Feet
D. Required compliance separation: 24 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:
1,250 gallon septic tank & rock trench, gravity drainfield.
tank was pumped on 2/10/2017. House is connected to city water & the well has been sealed.
Attach Files:

Certification

Inspector:
NameLicense NumberPhone NumberAddressMaintainerInstallerService ProviderDesignerInspector
All State Septic ServicesL1568651-439-732312155 Norell Ave N Stillwater, MN 55082NoNoNoYesYes
Please search for and choose SELF/OTHER if what you need does not appear in the list
Inspector Email Address: tomtrooien@aol.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 #1842 (03/08/2017)

Charge Cost Quantity Total
Non-Taxable
added 03/08/2017 11:05 AM

$40 Flat Fee

$40.00 x 1 $40.00
Grand Total
Total $40.00
Payment 03/08/2017$40.00
Due$0.00

Approvals

ApprovalSignature
ApplicantTom Trooien - 03/08/2017 11:06 AM - witnessed by Kati Hallermann
1031d9f2a384fa6ee89f32389b752231
26086da4c3e8357861c513b930be66b3
#1 Compliance Inspection AcceptedKati Hallermann - 03/08/2017 11:06 AM
0b1daf0c610d4db619ff404a8e65af1e
98b6afd6e978f463eadb76b1a88ce680
Inspection has been approved. All signatures have been obtained.

Public Notes

Text:
File(s):

    Internal Notes

    Text:
    File(s):
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