SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2559, Submission # Submission-2021-2737, UID # 33483
Status: System Replaced
Status: System Replaced
System Status
System status on date: | 04/15/2021 | System Status: | Noncompliant |
System - Noncompliant
Reason(s) for noncompliance: | Other Compliance Conditions (Compliance Component #3) - 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: | Visual Inspection |
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: | Tanks pumped and visually inspected inside the tank. |
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.: |
No |
Verification method(s): | Other (See Comments/Explanation) |
Comments/Explanation: | See attached soil boring & site map. Gravelles trenches where placed in limiting layer of soil. |
A. Bottom of distribution media: | 101.2 Decimal Feet |
B. Periodically saturated soil/bedrock: | 101.8 Decimal Feet |
C. System separation: | -0.6 Decimal Feet |
D. Required compliance separation: | 2 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 attached soil borings |
Attach Files: |
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): | Jesse Kloeppner |
Inspector Email Address: | jesse@ksd-mn.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 #6671 (04/23/2021)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 04/23/2021 10:15 AM $47 Flat Fee |
$42.00 | x 1 | $42.00 |
Grand Total | |||
Total | $42.00 | ||
Payment 04/23/2021 | $42.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Jesse J. Kloeppner - 04/23/2021 10:15 AM 4ae23c30d20d7dd37e38b760ac9ad3cf 0ef35ceb267c6ed379514f65b4b1bdef | |
#1 Compliance Inspection Accepted | Tyler Dale - 04/28/2021 3:54 PM c0a484c660d747a03a5d0476dc7418a1 0a16945b9bfdf71c7482810c9b8ad46b |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | |
File(s): |
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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: | Noncompliant |
Certificate of Compliance: |
Letter of Non-Compliance: |