SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2832, Submission # Submission-2021-3045, UID # 36430
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 09/21/2021 | System Status: | Compliant |
Property Information
| Property Information: | |||||||||||||||||
| 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): | Other methods not listed (See Comments/Explanation) |
Comments/Explanation: | Visual Inspection of the area. No signs of sewage to the ground surface. The owner did not report back-ups in to the house. |
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 with camera. No signs of cracks or leaking in any of the tanks. |
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 |
| Explain: | All systems components in good condition. Pump and alarm in working condition. |
Date of Install
| Date of install known: | Yes |
| Date of installation: | 07/13/2009 |
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.: |
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) |
| A. Bottom of distribution media: | 1.5 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 1.5 Decimal Feet |
| C. System separation: | 3 Decimal Feet |
| D. Required compliance separation: | 2.6 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
| Attach Files: |
KSD_SSTS_INSPECTION_WELL_WATER_12930_Homestead_Dr_Hugo_Ver_1.0_9-23-21.pdfCertification
| 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 #7398 (09/23/2021)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 09/23/2021 10:21 AM $47 Flat Fee |
$42.00 | x 1 | $42.00 |
| Grand Total | |||
| Total | $42.00 | ||
| Payment 09/23/2021 | $42.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Jesse J. Kloeppner - 09/23/2021 10:21 AM 2597a397af4952b7ea60ff5561aabf33 95279f09c1b7c6227219856f0d721973 | |
| #1 Compliance Inspection Accepted | Sarah Borrell - 09/24/2021 9:18 AM 9d5e0b701a91679c117e3d96fdc620bb b29e2592608686abdad15b4d17c42da6 |
Inspection has been approved. All signatures have been obtained.
| Text: | |
| File(s): |
| Text: | |
| File(s): |
| Compliance Letter Type: | Certificate of Compliance | 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: | Compliant |
| Certificate of Compliance: |
| Letter of Non-Compliance: |