SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0054, Submission # Submission-2016-0080, UID # 1169
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 03/09/2016 | System Status: | Compliant |
Property Information
| Property Information: | |||||||||||||||||
| Owner's representative: |
|
||||||||||||||||
[
]
[ Search Result Limit: 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 |
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: | 01/01/1982 |
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) |
| A. Bottom of distribution media: | 30 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 56 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: | septic tank w/ drainfield @ trenches - gravity type repair 24 lid install new |
| Attach Files: |
|
DOC031616-03162016113927.pdfCertification
| 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 #611 (03/16/2016)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 03/16/2016 11:46 AM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
| Grand Total | |||
| Total | $40.00 | ||
| Payment 03/24/2016 | $40.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Jerome Sauber - 03/24/2016 4:27 PM - witnessed by Kati Hallermann 082c1adbd0a5094c23d40b8613c8e548 eb975c7632dcb0b7b10e662924c55b10 | |
| #1 Compliance Inspection Accepted | Kati Hallermann - 03/24/2016 4:27 PM b6e77cb4fd48791cafd6463fe1d2a922 0d3b39a485b463e198093ab996582561 |
Inspection has been approved. All signatures have been obtained.
| Text: | |
| File(s): |
| Text: | |
| File(s): |
| Compliance Letter Type: | Certificate of Compliance | 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: |