SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3111, Submission # Submission-2022-3328, UID # 40720
Status: System Replaced
Status: System Replaced
System Status
System status on date: | 05/07/2022 | 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: | |||||||||||||||||
Property Owner's Mailing Address (if different than property address): |
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Owner's representative: |
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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) |
Comments/Explanation: | See attached report. |
Tank Integrity
System consists of seepage pit, cesspool, drywell, or leaching pit: |
Yes |
Sewage tank(s) leak below their designed operating depth: |
Yes |
: | Determined Previously |
Verification method(s): | Other methods not listed (See Comments/Explanation) |
Comments/Explanation: | Tank is Noncompliant (pumping not necessary- explain below) See attached form |
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: |
Yes |
Explain: | Bottomless Tanks |
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.: |
No |
Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock.: |
No |
Verification method(s): | Other (See Comments/Explanation) |
Comments/Explanation: | Soil observation logs completed for the report. See attached documents. |
A. Bottom of distribution media: | 22 Decimal Feet |
B. Periodically saturated soil/bedrock: | 22 Decimal Feet |
C. System separation: | 2 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: |
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): | Tony Sieber- Sauber Plumbing and Heating |
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 #8032 (05/12/2022)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 05/12/2022 10:44 AM $47 Flat Fee |
$44.00 | x 1 | $44.00 |
Grand Total | |||
Total | $44.00 | ||
Payment 05/12/2022 | $44.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Tony Sieber - 05/12/2022 10:46 AM - witnessed by Denise Lange 9d035ac91e21ea4884e879302e0364f5 feab18b243b46fc6b19ea1a745212403 | |
#1 Compliance Inspection Accepted | Sarah Borrell - 05/13/2022 10:49 AM 10bdaa0deed4a1ad3b9bdd19bf759823 2485a790f321761efee245b1501e0dca |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | The property owner has been in the office a few times to discuss system, options and financial assistance. See internal files under property for more info on past conversations with staff. |
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: |