SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2906, Submission # Submission-2021-3064, UID # 36690
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 09/28/2021 | System Status: | Compliant |
Property Information
Property Information: | |||||||||||||||||
Owner's representative: |
|
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) |
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 empty (pumped) tank(s) |
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: | 10/20/1995 |
Soil Separation
Shoreland/Wellhead Protection/Food, beverage, lodging? | Yes |
Drainfield has at least a two-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) |
A. Bottom of distribution media: | 2.6 Decimal Feet |
B. Periodically saturated soil/bedrock: | 5.7 Decimal Feet |
C. System separation: | 3.1 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: | See attached REVISED report for the final report. |
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 Email Address: | drufusb1@yahoo.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 #7432 (10/01/2021)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 10/01/2021 8:44 AM $47 Flat Fee |
$42.00 | x 1 | $42.00 |
Grand Total | |||
Total | $42.00 | ||
Payment 10/01/2021 | $42.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | David R. Brown - 10/01/2021 8:44 AM a97000bcacaa850a31c2e9ae72f6483d ce3e0ec079738fb1478308afabfc0dc2 | |
#1 Compliance Inspection Accepted | Sarah Borrell - 11/23/2021 3:52 PM 607617e5b2dbf4175a61fac3832e50d3 9ad127afd5eb1e876926eb8ef67e1f2b |
Inspection has been approved. All signatures have been obtained.
Text: | See attached revised report. |
File(s): |
Text: | Confirmation Number: 3815128839 County managed SSTS program as of 1999. 11/16- Dave discussed with City if Shoreland or not, he will revise the report per that conversation and submit on 11/19. Spoke with HO 10/6. When Dave came out to do the design, he did a soil boring and said there was not a separation issue. Provided Ho with disagreement process. |
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: |