SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2022-3362, Submission # Submission-2022-3599, UID # 43875
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 09/21/2022 | System Status: | Compliant |
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 |
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: | 05/22/2008 |
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.: |
Yes |
Verification method(s): | Two previous verifications (Attach boring logs) |
A. Bottom of distribution media: | 3.5 Decimal Feet |
B. Periodically saturated soil/bedrock: | 7 Decimal Feet |
C. System separation: | 3.5 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: | Adding a bathroom to the outbuilding, so hooking into current system via a pump. Design completed as well and will be submitted to install tank with outbuilding; first step was to ensure current system is compliant. |
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 Email Address: | alex.pepin@tenthirtyenvironmental.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 #8661 (11/02/2022)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 11/02/2022 2:32 PM $47 Flat Fee |
$44.00 | x 1 | $44.00 |
Grand Total | |||
Total | $44.00 | ||
Payment 11/02/2022 | $44.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Alex Pepin - 11/02/2022 2:32 PM 94b61baadc7b185be613a71f0a85c708 61be3e9fc7bfe5f1e6baf8b1a7417f1f | |
#1 Compliance Inspection Accepted | Tyler Dale - 11/15/2022 12:01 PM ead1f14adfb57fee425bfd7343e0e0ac 5e69beb6902fa817b01a67ce55b7a7e1 |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | 11-15-2022 - Emailed applicant for design information. TLD |
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: |