SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3299, Submission # Submission-2022-3511, UID # 42399
Status: System Replaced
Status: System Replaced
System Status
System status on date: | 08/10/2022 | System Status: | Noncompliant |
System - Noncompliant
Reason(s) for noncompliance: | Soil Separation (Compliance Component #4) - Failing to protect groundwater |
Property Information
Property Information: | |||||||||||||||||
Owner's representative: |
|
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) |
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): | Examined Tank Integrity Form (Attach) |
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: | 08/23/1985 |
Soil Separation
Shoreland/Wellhead Protection/Food, beverage, lodging? | Yes |
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): | Conducted soil observation(s) (Attach boring logs) |
A. Bottom of distribution media: | 2 Decimal Feet |
B. Periodically saturated soil/bedrock: | 2.2 Decimal Feet |
C. System separation: | .2 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: |
Certification
Inspector: |
Please search for and choose SELF/OTHER if what you need does not appear in the list
|
Inspector Email Address: | drufusb1@yahoo.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 #8437 (08/23/2022)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 08/23/2022 5:50 PM $47 Flat Fee |
$44.00 | x 1 | $44.00 |
Grand Total | |||
Total | $44.00 | ||
Payment 08/23/2022 | $44.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | David R. Brown - 08/23/2022 5:50 PM 70b28ca933ff7cff4d016a66bf5c7bb8 5599c09d392d1fcfba5343e860205649 | |
#1 Compliance Inspection Accepted | Tyler Dale - 09/16/2022 11:05 AM 399dbe3fc59734f6f378e6aa81b82f34 1b4e07957465d82ade3d0022bb5afab5 |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | 2023-8-3 Sent copy of noncompliance report to the current owner, Dave Smith (SB) |
File(s): |
Compliance Letter Type: | Failed System, Notice and Order to Comply, Separation | 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: | Noncompliant |
Certificate of Compliance: |
Letter of Non-Compliance: |