SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2018-1446, Submission # Submission-2018-1509, UID # 17419
Status: System Replaced
Status: System Replaced
System Status
System status on date: | 09/26/2018 | System Status: | Noncompliant |
System - Noncompliant
Reason(s) for noncompliance: | Tank Integrity (Compliance Component #2) - Failing to protect groundwater |
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: |
No |
Verification method(s): | Searched for surface outlet Searched for seeping in yard/backup into home Homeowner testimony (See Comments/Explanation) |
Comments/Explanation: | See attached report. |
Tank Integrity
System consists of seepage pit, cesspool, drywell, or leaching pit: |
No |
Sewage tank(s) leak below their designed operating depth: |
Yes |
Verification method(s): | Examined empty (pumped) tank(s) |
Comments/Explanation: | See attached report. |
Other Compliance Conditions
Maintenance hole covers are damaged, cracked, unsecured, or appear to be structurally unsound: |
Yes |
Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety: |
No |
Explain: | See attached report. |
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: | 05/12/1997 |
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.: |
Yes |
Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock.: |
Yes |
Verification method(s): | Conducted soil observation(s) (Attach boring logs) |
A. Bottom of distribution media: | 102.3 Decimal Feet |
B. Periodically saturated soil/bedrock: | 99.5 Decimal Feet |
C. System separation: | 2.8 Decimal Feet |
D. Required compliance separation: | 2.55 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
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: | benzierke@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 #3798 (09/26/2018)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 09/26/2018 11:56 PM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
Grand Total | |||
Total | $40.00 | ||
Payment 09/26/2018 | $40.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Benjamin J. Zierke - 09/26/2018 11:57 PM 5775edf4394f636b7330bcbd94aab20f 467a86cf7f48ed471aa58309fbb35083 | |
#1 Compliance Inspection Accepted | Tyler Dale - 09/28/2018 2:15 PM 3250892a7264b4c1618104c7fa65652f 2420a124128f8397d278117b41174dbb |
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: |