Freeborn County Permitting

SSTS Septic Compliance Permit # CC20130051, UID # 507
App. Status: FiledEnvironmental Services
2020 Pioneer Trail
Albert Lea, MN 56007
507-377-5186

Applicant:

Parcel Information:

Info						Physical Address
PID	Acres	Legal Description	Owner Name	Owner Address	Municipality	Physical Address
070040100	7	Sect-04 Twp-102 Range-020 7.00 AC COM S LINE INTERS HWY & W LINE NW 1/4 SE 1/4 TH S 500 FT TH E 610 FT TH N 500 FT TH W 610 FT TO POB 4 102 20 7.00	KRISTOPHER COX & HOLLY COX	21347 816TH AVE	HAYWARD TOWNSHIP	21347 816TH AVE HAYWARD

Type of Certificate:

Date of Certificate:

08/08/2013

Inspector Name:

Non Compliance Reason:

System Construction:

Existing

System Type:

Critical date:

08/08/2016

Public Health Threat:

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