SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2018-1145, Submission # Submission-2018-1131, UID # 12080
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 11/20/2017 | System Status: | Compliant |
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: |
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 Other methods not listed (See Comments/Explanation) |
Comments/Explanation: | See report |
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 methods not listed (See Comments/Explanation) |
| Comments/Explanation: | See Report |
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.: |
Yes |
| Verification method(s): | Conducted soil observation(s) (Attach boring logs) |
| Comments/Explanation: | Top of DF area is 100' |
| A. Bottom of distribution media: | 34 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 73 Decimal Feet |
| C. System separation: | 39 Decimal Feet |
| D. Required compliance separation: | 39 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: | Raised trench system, 1500 g septic, 1000g pump to a bed mad of 5+ feet of sand (perc rested) and 6-45' center fed pressure trenches. |
| Attach Files: |
MRG_C_6610_184th_St,_Forest_Lake.pdfCertification
| Inspector: |
Please search for and choose SELF/OTHER if what you need does not appear in the list
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| Inspector Email Address: | noemail@noemail.com |
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 #2991 (01/09/2018)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| Grand Total | |||
| Total | $0.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Robert Polgreen - 03/22/2018 12:49 PM - witnessed by Kati Hallermann 01842c8efc980bea474b615584cdf721 a2ff6ee4112a59baf61dbf4ae5861c3e | |
| #1 Compliance Inspection Accepted | Kati Hallermann - 03/22/2018 12:49 PM 4f6e94eca0dc888e6749fe92c9ef50df 81be332e42693906e8c67c2e4c992688 |
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: |