SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2769, Submission # Submission-2021-2967, UID # 35442
Status: System Replaced
Status: System Replaced
System Status
System status on date: | 08/05/2021 | System Status: | Noncompliant |
System - Noncompliant
Reason(s) for noncompliance: | Tank Integrity (Compliance Component #2) - Failing to protect groundwater 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: | See Report |
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: | See Report |
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: | See Report |
System is non protective of groundwater for other conditions as determined by the inspector: |
No |
Explain: | See Report |
Date of Install
Date of install known: | No |
Soil Separation
Shoreland/Wellhead Protection/Food, beverage, lodging? | Yes |
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) Other (See Comments/Explanation) |
Comments/Explanation: | See Report |
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
Comments or recommendations: | See 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: | 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 #7176 (08/10/2021)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 08/10/2021 11:57 AM $47 Flat Fee |
$42.00 | x 1 | $42.00 |
Grand Total | |||
Total | $42.00 | ||
Payment 08/20/2021 | $42.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Brian Humpal - 08/10/2021 11:57 AM 04ebb25b33deef6d587b34a7d1d2ace8 d48e5e28a16452ad36275d701586dff1 | |
#1 Compliance Inspection Accepted | Sarah Borrell - 09/03/2021 7:56 AM 84c861bd543fd29072e3ad635c55ce81 9a9de8e9dc5c495eafa4ce2f1adb4618 |
Inspection has been approved. All signatures have been obtained.
Text: | The tank was deemed non-compliant and not pumped during this inspection. |
File(s): |
Text: | Builder responded to noncompliant reminder letter 3/16 (Andy Michels 651-248-7534). Said that once they were ready for the septic that everything was froze up. System to be installed once conditions are better onsite. |
File(s): |
Compliance Letter Type: | Failed System, Notice and Order to Comply, Cesspool | Who's signature should be on the letter? | Sarah Borrell | Permit number to reference in "No Replace" letter: | |
Was the letter sent? | Yes | Compliant/Non-Compliant: | Noncompliant |
Certificate of Compliance: |
Letter of Non-Compliance: |