SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2017-0647, Submission # Submission-2017-0712, UID # 3819
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 04/20/2017 | System Status: | Compliant |
Property Information
| Property Information: | |||||||||||||||||
| Owner's representative: |
|
||||||||||||||||
[
]
[ 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) |
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) |
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: | 06/02/1995 |
Soil Separation
| Shoreland/Wellhead Protection/Food, beverage, lodging? | No |
| 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.: |
No |
| Verification method(s): | Conducted soil observation(s) (Attach boring logs) |
| Comments/Explanation: | 0-16 sandy silt loam...10yr 3/3 16-35 silt loam...5yr 4/3 35-68 snady loam...7.5yr 5/4 2.5yr 5/8 concentrations @63" |
| A. Bottom of distribution media: | 24 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 63 Decimal Feet |
| C. System separation: | 39 Decimal Feet |
| D. Required compliance separation: | 24 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: | 1500 & 1000 gallon septic tanks & 1,320 SF gravity , rock trench drainfield |
| Attach Files: |
|
2383-04252017070000.pdfCertification
| Inspector: |
Please search for and choose SELF/OTHER if what you need does not appear in the list
|
| Inspector Email Address: | tomtrooien@aol.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 #1024 (06/26/2016)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 04/25/2017 10:35 AM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
| Grand Total | |||
| Total | $40.00 | ||
| Payment 04/25/2017 | $40.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Tom Trooien - 04/27/2017 6:41 AM - witnessed by Kati Hallermann aee905f376aed6abde291519ab46e089 28e1e2039c622e0c83bee295a56c86f1 | |
| #1 Compliance Inspection Accepted | Kati Hallermann - 04/27/2017 6:41 AM 52e817bb66a4e7bebfa0aa3dee4bbe3a ced2a425501ef8736fe461d1630c7d77 |
Inspection has been approved. All signatures have been obtained.
| Text: | |
| File(s): |
| Text: | |
| File(s): |
| Compliance Letter Type: | Who's signature should be on the letter? | Permit number to reference in "No Replace" letter: | |||
| Was the letter sent? | Compliant/Non-Compliant: |
| Certificate of Compliance: |
| Letter of Non-Compliance: |