SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0118, Submission # Submission-2016-0146, UID # 1491
Status: System Replaced
Status: System Replaced
System Status
| System status on date: | 04/12/2016 | System Status: | Noncompliant |
System - Noncompliant
| Reason(s) for noncompliance: | Soil Separation (Compliance Component #4) - Failing to protect groundwater |
Property Information
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| 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): | 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: | 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 |
| Explain: | See Report |
| System is non protective of groundwater for other conditions as determined by the inspector: |
No |
| Explain: | See Report |
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): | Conducted soil observation(s) (Attach boring logs) Other (See Comments/Explanation) |
| Comments/Explanation: | 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: | See Report |
| Attach Files: |
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9656_68th_Court_N.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 #718 (04/15/2016)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 04/28/2016 3:02 PM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
| Grand Total | |||
| Total | $40.00 | ||
| Payment 04/28/2016 | $40.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Brian Humpal - 04/28/2016 3:02 PM 9214721c8b07fafbaac4da751e6f960b 1dd106e2b7796c36ac39cfcc781ae542 | |
| #1 Compliance Inspection Accepted | Christopher W. LeClair REHS - 04/29/2016 2:05 PM 851db7575da3cf6a5c2ea49f7328818b 5879c89b61e3ac4eca26f3c1a9839d7b |
Inspection has been approved. All signatures have been obtained.
| Text: | |
| File(s): |
| Text: | |
| File(s): |
| Compliance Letter Type: | Failed System, Notice and Order to Comply, Separation | Who's signature should be on the letter? | Chris LeClair | Permit number to reference in "No Replace" letter: | |
| Was the letter sent? | Yes | Compliant/Non-Compliant: |
| Certificate of Compliance: |
| Letter of Non-Compliance: |
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