SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3204, Submission # Submission-2022-3416, UID # 41432
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 06/24/2022 | System Status: | Compliant |
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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[ 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) |
Comments/Explanation: | Visual |
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: | Visual inspection |
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 |
| Explain: | Visual Inspection |
| System is non protective of groundwater for other conditions as determined by the inspector: |
No |
| Explain: | Visual Inspection |
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): | Other (See Comments/Explanation) |
| Comments/Explanation: | See Report |
| A. Bottom of distribution media: | 102 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 99 Decimal Feet |
| C. System separation: | 3 Decimal Feet |
| D. Required compliance separation: | 3 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: | See Report |
| Attach Files: |
2203221330003-Comp._Insp.-2022.pdfCertification
| 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): | Shannon Boettcher |
| Inspector Email Address: | boettcherseptic@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 #8234 (06/27/2022)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 06/27/2022 8:43 AM $47 Flat Fee |
$44.00 | x 1 | $44.00 |
| Grand Total | |||
| Total | $44.00 | ||
| Payment 06/29/2022 | $44.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Benjamin Boettcher - 06/27/2022 9:07 AM - witnessed by Denise Lange 01cc4ca751afe5eb7d8c975cc1993c9c 34d6e93754c51f47a4f80dcc4aca9c9a | |
| #1 Compliance Inspection Accepted | Sarah Borrell - 07/27/2022 12:30 PM 840e001cb48bc1edc5e1ffeff3efd4d3 6c6edd86ffc2143d0d9501e88cd4d457 |
Inspection has been approved. All signatures have been obtained.
| Text: | |
| File(s): |
| Text: | Payment received electronically 6-29-22 Confirmation Number 3831781669 Invoiced 6-27-22 DL |
| File(s): |
| Compliance Letter Type: | Certificate of Compliance | 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: | Compliant |
| Certificate of Compliance: |
| Letter of Non-Compliance: |