SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-2990, Submission # Submission-2022-3198, UID # 39043
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 03/28/2019 | System Status: | Compliant |
Property Information
| Property Information: | |||||||||||||||||
| Property Owner's Mailing Address (if different than property address): |
|
||||||||||||||||
| 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 report |
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 cleaned 07-20-2018 Tanks and baffles in good shape. |
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? | Yes |
| 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: | 0 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 0 Decimal Feet |
| C. System separation: | 0 Decimal Feet |
| D. Required compliance separation: | 0 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: |
3403121440004-_Compliance_Insp._-2019.pdfCertification
| 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): | Mark Tradewell |
| Inspector Email Address: | noemail@noemail.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 #7721 (02/04/2022)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 02/04/2022 11:10 AM $47 Flat Fee |
$44.00 | x 1 | $44.00 |
| Grand Total | |||
| Total | $44.00 | ||
| Payment 02/04/2022 | $44.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Mark Tradewell - 02/04/2022 11:12 AM - witnessed by Denise Lange f8db08b75b1e137c610576fc77c1a2d0 9e89cfbd08f5a40f4ca98b453224ac0a | |
| #1 Compliance Inspection Accepted | Sarah Borrell - 02/07/2022 4:10 PM d86e6ea3689496744d89e6481f513dee 5a98c40b51255e52fac8e507e62084b9 |
Inspection has been approved. All signatures have been obtained.
| Text: | |
| File(s): |
| Text: | No prior record of this report being submitted. System status checked in 2019 and not submitted until 2022. Accepted report, did not generate a letter - did not want to confuse anyone that the compliance inspection was valid for another 3 years as the 3 years is almost up. SB |
| 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: |