SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3297, Submission # Submission-2022-3509, UID # 42353
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 08/06/2022 | 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: | See Report attached |
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: | See report attached |
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: | 01/01/2013 |
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.: |
No |
| Verification method(s): | Conducted soil observation(s) (Attach boring logs) |
| A. Bottom of distribution media: | 30 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 68 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
| Attach Files: |
1502820140001-Compliance_Inspection-2022-Invoiced.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): | Jerry Sauber |
| 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 #8429 (08/17/2022)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 08/17/2022 11:38 AM $47 Flat Fee |
$44.00 | x 1 | $44.00 |
| Grand Total | |||
| Total | $44.00 | ||
| Payment 09/06/2022 | $44.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Jerry Sauber - 09/06/2022 10:47 AM - witnessed by Denise Lange d9aac85d84fe04778b6f82755a078520 776d41c187d8cf4d27834cbbdf32c6de | |
| #1 Compliance Inspection Accepted | Tyler Dale - 09/16/2022 11:01 AM f4014f683a8df94e83d5303b50124826 cab4e98a05acb67e27a98ad0a3b8daf7 |
Inspection has been approved. All signatures have been obtained.
| Text: | |
| File(s): |
| Text: | Invoiced 08-17-22 DL |
| File(s): |
| Compliance Letter Type: | Certificate of Compliance | Who's signature should be on the letter? | Tyler Dale | Permit number to reference in "No Replace" letter: | |
| Was the letter sent? | Yes | Compliant/Non-Compliant: | Compliant |
| Certificate of Compliance: |
| Letter of Non-Compliance: |