SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2019-1597, Submission # Submission-2019-1657, UID # 20685
Status: System Replaced
Status: System Replaced
System Status
System status on date: | 03/21/2019 | 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: |
|
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: | Searched for surface Outlet Searched for seeping in yard/backup home Excessive ponding in soil system/D- boxes |
Tank Integrity
System consists of seepage pit, cesspool, drywell, or leaching pit: |
Yes |
Sewage tank(s) leak below their designed operating depth: |
Yes |
Verification method(s): | Probed tank(s) bottom Other methods not listed (See Comments/Explanation) |
Comments/Explanation: | Lowered underwater camera into tanks- tanks of block construction |
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 |
Date of installation: | 03/29/1964 |
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: |
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): | Not applicable (Holding tank(s), no drainfield) Other (See Comments/Explanation) |
Comments/Explanation: | System failing to protect groundwater |
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
Attach Files: |
|
Certification
Inspector: |
Please search for and choose SELF/OTHER if what you need does not appear in the list
|
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 #4135 (03/21/2019)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 03/26/2019 2:39 PM $41 Flat Fee |
$41.00 | x 1 | $41.00 |
Grand Total | |||
Total | $41.00 | ||
Payment 03/27/2019 | $41.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Brian Humpal - 03/26/2019 2:39 PM 67a8a482b0c2d92e1b873394f2a0dd70 80ccab6257bd1ad4e54359cdb79cc404 | |
#1 Compliance Inspection Accepted | Tyler Dale - 03/29/2019 2:08 PM 81b092bc2a8f808cc951557475f8df01 7b1fd370430defb60c64381bc8174e12 |
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, Cesspool | 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: |