SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-2967, Submission # Submission-2021-3157, UID # 38276
Status: System Replaced
Status: System Replaced
System Status
| System status on date: | 12/15/2021 | System Status: | Noncompliant |
System - Noncompliant
| Reason(s) for noncompliance: | Tank Integrity (Compliance Component #2) - Failing to protect groundwater Soil Separation (Compliance Component #4) - Failing to protect groundwater |
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): | Searched for surface outlet Searched for seeping in yard/backup into home Homeowner testimony (See Comments/Explanation) |
Comments/Explanation: | See attached report. |
Tank Integrity
| System consists of seepage pit, cesspool, drywell, or leaching pit: |
No |
| Sewage tank(s) leak below their designed operating depth: |
Yes |
| : | Septic Tank 1200 gallon |
| Verification method(s): | Examined empty (pumped) tank(s) |
| Comments/Explanation: | See attached report. |
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: | 11/04/1977 |
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: |
No |
| Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock.: |
No |
| Verification method(s): | Other (See Comments/Explanation) |
| Comments/Explanation: | System failed on soils in 2012 and was confirmed by County at the time. See attached inspection report. |
| A. Bottom of distribution media: | 96.3 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 98 Decimal Feet |
| C. System separation: | -1.7 Decimal Feet |
| D. Required compliance separation: | 2 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: |
|
Boryczka_Inspection_12-15-21.pdfCertification
| Inspector: |
Please search for and choose SELF/OTHER if what you need does not appear in the list
|
| Inspector Email Address: | benzierke@gmail.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 #7643 (12/17/2021)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 12/17/2021 8:47 PM $47 Flat Fee |
$42.00 | x 1 | $42.00 |
| Grand Total | |||
| Total | $42.00 | ||
| Payment 12/17/2021 | $42.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Benjamin J. Zierke - 12/17/2021 8:47 PM e24452f8fdad1676c2d02d561ad13186 a6649021bed025de4ba5db3df5384cf1 | |
| #1 Compliance Inspection Accepted | Sarah Borrell - 01/03/2022 2:07 PM 5165e51c40c0dd4e1c5efb5452a8e7ea 5c00355be3a1f3b0dfa9f60eca2473a7 |
Inspection has been approved. All signatures have been obtained.
| Text: | |
| File(s): |
| Text: | See attached correspondence. Noncompliant letter returned. Resent letter on 3/14/22 to new address (Nelson & Levno) |
| File(s): |
| Compliance Letter Type: | Failed System, Notice and Order to Comply, Separation | 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: | Noncompliant |
| Certificate of Compliance: |
| Letter of Non-Compliance: |