SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2019-1674, Submission # Submission-2019-1757, UID # 21184
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 05/10/2019 | System Status: | Compliant |
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 |
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 construction records Examined empty (pumped) tank(s) |
Comments/Explanation: | All tanks were pumped out and cleaned as part of the inspection |
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.: |
No |
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: | Benchmark for elevations is the top of the first septic tank at 100.0' assumed elevation |
A. Bottom of distribution media: | 103.7 Decimal Feet |
B. Periodically saturated soil/bedrock: | 99.9 Decimal Feet |
C. System separation: | 3.8 Decimal Feet |
D. Required compliance separation: | 3 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: | 2-1000 gallon septic tanks and a 1000 gallon lift tank with a 10x60 mound |
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: | northsideseptic@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 #4351 (05/20/2019)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 05/20/2019 11:11 AM $41 Flat Fee |
$41.00 | x 1 | $41.00 |
Grand Total | |||
Total | $41.00 | ||
Payment 05/21/2019 | $41.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Jacob Carpenter - 05/22/2019 9:15 AM - witnessed by Kati Hallermann 1b3b5cd69f866893eaff9d2c7ae1cf58 81d2f1971781a9f53129984506f3f702 | |
#1 Compliance Inspection Accepted | Kati Hallermann - 05/22/2019 9:15 AM 249f58de9ef57ca670e70bd500a5d2f0 b1f35805fc9a654d7ab3f8b531583e23 |
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: |