SSTS Permitting
Compliance Inspection Compliance Inspection Submission # Submission-2018-1536, UID # 17804
Status: Canceled
Status: Canceled
System Status
System status on date: | 10/10/2018 | System Status: | Compliant |
Property Information
Property Information: | |||||||||||||||||
Property Owner's Mailing Address (if different than property address): |
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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 |
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): | Probed tank(s) bottom |
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: | 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.: |
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) |
Comments/Explanation: | 1-18" top soil mixed,10yr 3/2, 18-24 10yr 4/4 silt loam, 24-48" 10yr5/4 sandy loam, 48-72" 10yr 5/6 med sand |
A. Bottom of distribution media: | .31 Decimal Feet |
B. Periodically saturated soil/bedrock: | .72 Decimal Feet |
C. System separation: | .41 Decimal Feet |
D. Required compliance separation: | .24 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 Contact (If 'self/other' is selected from the Inspector Lookup): | Bob Freiermuth |
Inspector Email Address: | bfsbob1@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 #3859 (10/15/2018)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 10/15/2018 1:07 PM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
Grand Total | |||
Total | $40.00 | ||
Payment 10/15/2018 | $40.00 | ||
Due | $0.00 |
This Application was canceled, so you may not pay for this Invoice.
Action: Print
Approvals
Approval | Signature | Options |
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Applicant | Bob Freiermuth - 10/15/2018 1:07 PM d7d6fa9618c8ebf3bcad6eaf6b3ddc8f c284b3ec156dc4caefd85a44a5bd091c | |
#1 Compliance Inspection Accepted |
Text: | |
File(s): |
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Text: | Refund Confirmation#3742013464 |
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: |