SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2018-1107, Submission # Submission-2018-1149, UID # 13116
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 01/11/2018 | 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 |
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 empty (pumped) tank(s) |
| Comments/Explanation: | Septic Tanks are water tight not water proof. At certain times of the year, especially in Spring or after heavy rains, it is possible for surface water to enter the tank |
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: | 05/28/1986 |
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.: |
Yes |
| Verification method(s): | Two previous verifications (Attach boring logs) |
| A. Bottom of distribution media: | 33 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 72 Decimal Feet |
| C. System separation: | 39 Decimal Feet |
| D. Required compliance separation: | 36 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 gal Septic tank and 600sqft drainfield |
| Attach Files: |
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5010-02062018133501.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: | galekesphol@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 #3028 (02/06/2018)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 02/06/2018 12:55 PM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
| Grand Total | |||
| Total | $40.00 | ||
| Payment 02/06/2018 | $40.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Gary Schlomka - 02/06/2018 12:56 PM - witnessed by Kati Hallermann 7d67018e39c1d70f4dd60b22b5b65a9e 6d374cfb9d1f9b1aa567c8826c7a0584 | |
| #1 Compliance Inspection Accepted | Kati Hallermann - 02/06/2018 12:56 PM daf824e42c37a80fee54e5ecde2ea7be 5266049b801ad24d26e3847ef8cb61ca |
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: |