SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0052, Submission # Submission-2016-0087, UID # 1194
Status: System Replaced
Status: System Replaced
System Status
| System status on date: | 03/22/2016 | System Status: | Noncompliant |
System - Noncompliant
| Reason(s) for noncompliance: | Impact on Public Health (Compliance Component #1) - Imminent threat to public health and safety |
Property Information
| Property Information: | |||||||||
| Owner's representative: |
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[ Search Result Limit: Impact on Public Health
| System discharges sewage to the ground surface: |
Yes | System discharges sewage to drain tile or surface waters: |
Yes | System causes sewage backup into dwelling or establishment: |
No |
| Verification method(s): | Searched for surface outlet Homeowner testimony (See Comments/Explanation) |
Comments/Explanation: | Visited site on 3-22-2016 per owner's request. CWL |
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): | Other methods not listed (See Comments/Explanation) |
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 |
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.: |
No |
| Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock.: |
No |
| Verification method(s): | Other (See Comments/Explanation) |
| A. Bottom of distribution media: | 0 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 0 Decimal Feet |
| C. System separation: | 0 Decimal Feet |
| D. Required compliance separation: | 0 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
| Attach Files: |
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washco_logo.pdfCertification
| 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 #623 (03/23/2016)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| Grand Total | |||
| Total | $0.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | CWL - 03/23/2016 12:45 PM - witnessed by Christopher W. LeClair REHS 09652f1f9e468bee0037cff9f2f7f70c 1667334ed3c99c72e9dd71ff57af84c9 | |
| #1 Compliance Inspection Accepted | Christopher W. LeClair REHS - 03/23/2016 12:45 PM 6df780f8427d2e55b874f1316b83ba0b d811623d8638dc85bfd8285b32252acc |
Inspection has been approved. All signatures have been obtained.
| Text: | |
| File(s): |
| Text: | Inspected site on 3-22-2016. Surface discharge on north side of property down the hill. |
| File(s): |
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| Compliance Letter Type: | Who's signature should be on the letter? | Chris LeClair | Permit number to reference in "No Replace" letter: | ||
| Was the letter sent? | Compliant/Non-Compliant: |
| Certificate of Compliance: |
| Letter of Non-Compliance: |