SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3414, Submission # Submission-2018-1384, UID # 15868
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 06/22/2018 | System Status: | Compliant |
Property Information
Property Information: | |||||||||||||||||
Owner's representative: |
|
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) |
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) |
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: | 09/05/1989 |
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.: |
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
Comments or recommendations: | Report incomplete- waiting for completed report (2018). COMPLETE report submitted 1/2/2023. |
Attach Files: |
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: | sssepticsolutions@gmail.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 #3480 (07/11/2018)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 07/11/2018 1:19 PM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
Grand Total | |||
Total | $40.00 | ||
Payment 07/11/2018 | $40.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Shelley Schlomka - 01/03/2023 10:39 AM - witnessed by Sarah Borrell ef95512dce7553e18b35aece7c464a3b 4f8dfe7f0a2ef53b13ce45ab5e0fb989 | |
#1 Compliance Inspection Accepted | Sarah Borrell - 01/03/2023 10:39 AM 6fa768ad0d9f9b63554ab629e431e69e 8affdd8273eebe511aee892f42c14316 |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | In 2018 this report was returned to author as it was incomplete (report submitted was blank). Requested copy of completed report in 2022; see attached. 1987 permit file has additional background. |
File(s): |
Compliance Letter Type: | Certificate of Compliance | Who's signature should be on the letter? | Sarah Borrell | Permit number to reference in "No Replace" letter: | |
Was the letter sent? | Yes | Compliant/Non-Compliant: | Compliant |
Certificate of Compliance: |
Letter of Non-Compliance: |