SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2019-1753, Submission # Submission-2019-1795, UID # 21607
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 05/23/2019 | 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 Homeowner testimony (See Comments/Explanation) |
Comments/Explanation: | Homeowner stated not having any issues with the septic. |
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 Examined Tank Integrity Form (Attach) |
Comments/Explanation: | Observed liquid level at normal operating level before tanks were pumped. |
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: | n/a |
System is non protective of groundwater for other conditions as determined by the inspector: |
No |
Explain: | n/a |
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: | soil boring log attached to file |
A. Bottom of distribution media: | 2.83 Decimal Feet |
B. Periodically saturated soil/bedrock: | 6 Decimal Feet |
C. System separation: | 3.16 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: | Use water saving fixtures in home. Septic System is likely 20+yrs old. Keep inspection pipes exposed to allow for future monitoring of the system |
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): | 651-301-9150 |
Inspector Email Address: | septicandwell@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 #4429 (06/05/2019)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 06/05/2019 11:55 AM $41 Flat Fee |
$41.00 | x 1 | $41.00 |
Grand Total | |||
Total | $41.00 | ||
Payment 06/17/2019 | $41.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Environmental D. Group - 06/05/2019 11:56 AM 3a1317cdfa50948d57eb4a23b606c1b2 00e878f016a369f9c697a15443896806 | |
#1 Compliance Inspection Accepted | Kati Hallermann - 07/01/2019 5:55 PM 1c975031a6a8a2b0279fe772aaf65d09 2283ceae9452986ffc9010dff94db42c |
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: |