SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2019-1570, Submission # Submission-2019-1612, UID # 19915
Status: System Replaced
Status: System Replaced
System Status
System status on date: | 01/16/2019 | System Status: | Noncompliant |
System - Noncompliant
Reason(s) for noncompliance: | Soil Separation (Compliance Component #4) - 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): | 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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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 #4045 (01/17/2019)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 01/17/2019 3:19 PM $41 Flat Fee |
$41.00 | x 1 | $41.00 |
Grand Total | |||
Total | $41.00 | ||
Payment 01/17/2019 | $41.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Brian Humpal - 01/17/2019 3:19 PM a822b93238199e0e3d18c0a2d2d8ddd4 06984418a36075de1838f3fab93df5d5 | |
#1 Compliance Inspection Accepted | Tyler Dale - 02/12/2019 12:32 PM 8814e090f33590e4345e4eccfefa02a6 40d1d6d231c1cf18797381ab6fd7bd80 |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | 12-26-2019: Received call from realtor, Gina Jacobsen, regarding failed SSTS compliance inspection at property. Gina requested inspection report and letter WAC sent in February 2019. I told Gina the new homeowner will be responsible for repairing, replacing, or abandoning the old system. Apparently, a designer has been contacted and is putting together an SSTS permit application packet. Email attached. PMO 01-03-2020: Talked with previous homeowner about the possibility of an extension. Told Clancy that they need to submit a written request, it will then be reviewwed and an extension could be granted to submit a permit application by 2/12/2020. TLD |
File(s): |
Compliance Letter Type: | Failed System, Notice and Order to Comply, Separation | Who's signature should be on the letter? | Tyler Dale | Permit number to reference in "No Replace" letter: | |
Was the letter sent? | Yes | Compliant/Non-Compliant: |
Certificate of Compliance: |
Letter of Non-Compliance: |