SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2018-1109, Submission # Submission-2018-1154, UID # 13290
Status: System Replaced
Status: System Replaced
System Status
System status on date: | 02/09/2018 | 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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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: |
Yes |
Verification method(s): | Excessive ponding in soil system/D-boxes Homeowner testimony (See Comments/Explanation) System requires "emergency" pumping 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): | Other methods not listed (See Comments/Explanation) |
Comments/Explanation: | Tank to be replaced, failed system |
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: |
Yes |
Explain: | Hydraulically failed system |
System is non protective of groundwater for other conditions as determined by the inspector: |
Yes |
Explain: | Hydraulically failed system |
Date of Install
Date of install known: | No |
Soil Separation
Shoreland/Wellhead Protection/Food, beverage, lodging? | Yes |
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) |
Comments/Explanation: | Hydraulically failed system See report |
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
Comments or recommendations: | Hydraulically failed system, system replacement is imminent. Tanks are being pumped every 2 week to prevent back-up. |
Attach Files: |
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Certification
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: | brian@midwestsoiltesting.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 #3036 (02/09/2018)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 02/09/2018 11:33 AM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
Grand Total | |||
Total | $40.00 | ||
Payment 02/09/2018 | $40.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Brian Humpal - 02/09/2018 11:33 AM 844bffa9eb5d083ace1c40da6dee7235 a78917ab2314cfc9194e81b9c9b8c442 | |
#1 Compliance Inspection Accepted | Christopher W. LeClair REHS - 02/09/2018 2:37 PM 7f324aba0c379cef7793dcc118827d8a a39f80e1ee5295d11d4feeae221158e2 |
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: |