SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2904, Submission # Submission-2021-3106, UID # 37387
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 11/02/2021 | 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 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 Tank Integrity Form (Attach) |
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: | 06/30/1998 |
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.: |
Yes |
Verification method(s): | Conducted soil observation(s) (Attach boring logs) |
A. Bottom of distribution media: | 980 Decimal Feet |
B. Periodically saturated soil/bedrock: | 975 Decimal Feet |
C. System separation: | 5 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 reports. Inspector submitted revised report for Q3a as question was misread initially. |
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): | Paul Brandt |
Inspector Email Address: | pbrandt@soilinvestigations.us |
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 #7536 (11/03/2021)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 11/03/2021 8:11 AM $47 Flat Fee |
$42.00 | x 1 | $42.00 |
Grand Total | |||
Total | $42.00 | ||
Payment 11/03/2021 | $42.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Paul J. Brandt - 11/03/2021 8:11 AM 104a339dc6c661e5facaa909c0caec2a 3eef8565b0412ff0f0f3cd47769651b1 | |
#1 Compliance Inspection Accepted | Sarah Borrell - 11/17/2021 11:38 AM 76bc34b7080d33aa1b1913f39b5e96a8 c6d1f1e8074fa82c6372eaf31c9f826e |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | See communication. |
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: |