SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0024, Submission # Submission-2016-0043, UID # 1026
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 01/09/2016 | System Status: | Compliant |
Property Information
Property Information: | |||||||||||||||||
Owner's representative: |
|
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 construction records |
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: | No |
Date of installation: | 01/01/2000 |
Soil Separation
Shoreland/Wellhead Protection/Food, beverage, lodging? | No |
Drainfield has at least a three-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 0-8" Topsoil 10yr 3/2 8-20 Find sand 10yr 4/3 20-80 med sand 10yr 4/4 |
A. Bottom of distribution media: | 3.5 Decimal Feet |
B. Periodically saturated soil/bedrock: | 0 Decimal Feet |
C. System separation: | 3 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
Comments or recommendations: | 1500 + 1000 gallon septic tanks + 950SF of Rock Trench Gravity Drain field |
Attach Files: |
Certification
Inspector: |
|
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 #515 (02/12/2016)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 02/12/2016 12:22 PM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
Grand Total | |||
Total | $40.00 | ||
Payment 02/12/2016 | $40.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Tom Trooien - 02/12/2016 12:23 PM - witnessed by Kati Hallermann 561d5474dda04be9d05dfe73e8b1257d 9c3cf6ff4395fbc166f5577c15ae189e | |
#1 Compliance Inspection Accepted | Kati Hallermann - 02/12/2016 12:24 PM 35d7f6ca355e7cdffc05c74349c638bb 6a16fd5400697f96f997f4c6d326f8e7 |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | |
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: |