SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0229, Submission # Submission-2016-0255, UID # 3820
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 06/22/2016 | 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): | Searched for surface outlet Searched for seeping in yard/backup into home |
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): | Probed tank(s) bottom |
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: | No |
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) |
| Comments/Explanation: | 1-8" Black Top Soil 8-40" 7.5 yr 5/6 Med Sand 40-50" 10 yr 6/4 Med Sand 50-76" 10 yr 5/8 Course to very Course Sand |
| A. Bottom of distribution media: | .4 Decimal Feet |
| B. Periodically saturated soil/bedrock: | .76 Decimal Feet |
| C. System separation: | .36 Decimal Feet |
| D. Required compliance separation: | .36 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: |
Tom_Wilebski_Compliance_Inspection.pdfCertification
| Inspector: |
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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 #1025 (06/27/2016)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 06/27/2016 12:06 PM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
| Grand Total | |||
| Total | $40.00 | ||
| Payment 06/27/2016 | $40.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Robert A. Freiermuth - 06/27/2016 12:06 PM 095a3048f7b833d39b867e0c27fb19d5 dc7c28f19b41c0cc6726221640db98e7 | |
| #1 Compliance Inspection Accepted | Kati Hallermann - 06/30/2016 9:49 AM a8553948d878c8910c2ad4ee8d5b5bc0 fde7417b56f32b84b58568e2b62ed16e |
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: |