SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2019-1863, Submission # Submission-2019-1952, UID # 23361
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 06/22/2019 | System Status: | Compliant |
Property Information
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| Property Owner's Mailing Address (if different than property address): |
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| Owner's representative: |
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[ Search Result Limit: 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 Tank Integrity Form (Attach) |
| Comments/Explanation: | See tank integrity form attached from maintainer. |
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: | Yes |
| Date of installation: | 11/02/2011 |
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): | Two previous verifications (Attach boring logs) |
| Comments/Explanation: | I found 3 sets of soil verifications on file. Verified by Dale Denn on 10/25/01, Verified by Tom Wirtzfeld on 4/29/11 and review by Chris LeClair on 4/29/11 in soil pits dug by Advanced Septic Solutions. The soil verification forms are already attached in the system. This is an at grade system. |
| A. Bottom of distribution media: | 0 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 4 Decimal Feet |
| C. System separation: | 3 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: | All soil borings and site plans are already on the system. Please let met know if you want me to rescan them in again. Attached is the tank integrity 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: | sssepticsolutions@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 #4750 (08/20/2019)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 08/20/2019 8:10 PM $41 Flat Fee |
$41.00 | x 1 | $41.00 |
| Grand Total | |||
| Total | $41.00 | ||
| Payment 08/20/2019 | $41.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Shelley L. Schlomka - 08/20/2019 8:10 PM da8e3099e32157d278b814e25d7be8a7 7970a304eb1ffece53019fb316172c9a | |
| #1 Compliance Inspection Accepted | Denise Lange - 08/21/2019 11:31 AM 973a0bdf60efc5264f2162217fe7f098 4a618c2e73f583d95463268d59de26ef |
Inspection has been approved. All signatures have been obtained.
| Text: | |
| File(s): |
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| 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: |