SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0046, Submission # Submission-2016-0076, UID # 1165
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 03/05/2016 | System Status: | Compliant |
Property Information
Property Information: | |||||||||||||||||
Owner's representative: |
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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 Excessive ponding in soil system/D-boxes |
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 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: | Yes |
Date of installation: | 01/01/1995 |
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: | 0-7" Topsoil 10yr 3/2 7-24" Silt Loam 10yr 4/4 24-43" Sandy Loam 7.5yr 4/6 43-72L Loamy Sand 10yr 4/6 |
A. Bottom of distribution media: | 38 Decimal Feet |
B. Periodically saturated soil/bedrock: | 0 Decimal Feet |
C. System separation: | 24 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: | 1,500 & 1,000 gallon pre cast septic tanks & 1,500SF gravity drainfield |
Attach Files: |
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Certification
Inspector: |
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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 #607 (03/16/2016)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 03/16/2016 11:09 AM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
Grand Total | |||
Total | $40.00 | ||
Payment 03/16/2016 | $40.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Tom Trooien - 03/16/2016 11:09 AM - witnessed by Kati Hallermann 9d36feba7d0e3bc28a8a062add14b0f7 c7b90637e98ff77c60ce1cdd3a6eab03 | |
#1 Compliance Inspection Accepted | Kati Hallermann - 03/16/2016 11:10 AM 8d530b5105de981511f732d208f47ae1 a9cb278d6703db51a879f92a4dea7cc8 |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | |
File(s): |
Compliance Letter Type: | Failed system, No Replacement | Who's signature should be on the letter? | Chris LeClair | Permit number to reference in "No Replace" letter: | 123 |
Was the letter sent? | Compliant/Non-Compliant: |
Certificate of Compliance: |
Letter of Non-Compliance: |