Freeborn County Permitting

SSTS Septic Compliance Permit # CC20160055, UID # 3941
App. Status: FiledEnvironmental Services
2020 Pioneer Trail
Albert Lea, MN 56007
507-377-5186

Applicant:

Name:

Jerry Ravenhorst

Mailing Address:

Parcel Information:

Info						Physical Address
PID	Acres	Legal Description	Owner Name	Owner Address	Municipality	Physical Address
170270032	1	Sect-27 Twp-104 Range-020 27.37 AC N 1050 FT OF W1/2 NE1/4 EXC .40 ROAD & EXC BEG 720 FT S OF NW COR TH E 55 FT TH S 330 FT TH W 535 FT TH N 330 FT TO POB 27-104-20 27.37 ACRES	HLM LLC	32859 110TH ST	GENEVA TOWNSHIP	29888 825TH AVE HOLLANDALE

Type of Certificate:

Date of Certificate:

10/04/2016

Inspector Name:

Non Compliance Reason:

System Construction:

tank

System Type:

Critical date:

10/04/2019

Property Transfer:

Public Health Threat:

Freeborn County Compliance Program:

Disclaimer

Any non-compliant sewage treatment system shall be brought into compliance with M.S. 7080 and Freeborn County's Sanitary and Sewage Control Ordinance. All costs associated with the repair or replacement of a failing on-site sewage treatment system shall be the responsibility of the property seller/owner or as otherwise provided for in a written agreement signed by property seller/owner and Freeborn County Environmental Services.
Any Certificate of Compliance is based on the compliance inspection report and is valid for three (3) years from the date of the compliance. The design of this system is considered standard technology and does not require any monitoring or reporting. The issuance of this COC does not certify the work of the ISTS Installer is free from defects in the construction of the system and it does not guarantee future hydraulic performance of the system to treat sewage. Unknown site conditions during construction, materials used, home water usage, abuse of the system, and the amount of maintenance all may contribute to and affect the life of the system. If the system should fail and undergoes repair or replacement, another inspection is required and this COC must be re-issued to be valid.

Approval	Signature	Date
#1 Approved By