SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2869, Submission # Submission-2021-3069, UID # 36725
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 09/27/2021 | 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): | Other methods not listed (See Comments/Explanation) |
Comments/Explanation: | Tanks visually inspected inside and around the tanks. No sign of sewage. Homeowner did not report any sewage backups. |
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 inspected. No signs of leaking below liquid depth. Tanks in good condition. *Note: 1st tank has baffles laying at bottom of tank. Recommend repairing baffles. See picture attached. |
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: | Tested pump and alarm. Both are in good working order. |
Date of Install
Date of install known: | Yes |
Date of installation: | 07/01/2014 |
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.: |
No |
Verification method(s): | Conducted soil observation(s) (Attach boring logs) |
Comments/Explanation: | See site plan and soil boring lots attached. |
A. Bottom of distribution media: | 98 Decimal Feet |
B. Periodically saturated soil/bedrock: | 94.5 Decimal Feet |
C. System separation: | 3.5 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
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
|
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 #7447 (10/04/2021)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 10/04/2021 5:08 PM $47 Flat Fee |
$42.00 | x 1 | $42.00 |
Grand Total | |||
Total | $42.00 | ||
Payment 10/04/2021 | $42.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Jesse J. Kloeppner - 10/04/2021 5:08 PM d86ec00667b8f2a8dcfb0f598036253a 5f9772512b523ad5a81c01e76e8d8982 | |
#1 Compliance Inspection Accepted | Sarah Borrell - 10/07/2021 7:37 AM 83fdcbc3fd2c65ef9034fe35a665d039 d01297502c70616f221bde4fb7d7373f |
Inspection has been approved. All signatures have been obtained.
Text: | Shoreland Management. |
File(s): |
Text: | Confirmation Number: 3815333894 |
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: |