SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3443, Submission # Submission-2023-3653, UID # 44981
Status: System Replaced
Status: System Replaced
System Status
System status on date: | 02/09/2023 | 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: | |||||||||||||||||
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: |
Yes |
Sewage tank(s) leak below their designed operating depth: |
No |
Verification method(s): | Other methods not listed (See Comments/Explanation) |
Comments/Explanation: | No drainfield or manhole |
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: | 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.: |
No |
Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock.: |
No |
Verification method(s): | Not applicable (Holding tank(s), no drainfield) |
A. Bottom of distribution media: | 0 Decimal Feet |
B. Periodically saturated soil/bedrock: | 0 Decimal Feet |
C. System separation: | 0 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 #8850 (02/23/2023)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 02/23/2023 7:48 AM $47 Flat Fee |
$45.00 | x 1 | $45.00 |
Grand Total | |||
Total | $45.00 | ||
Payment 02/23/2023 | $45.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | David R. Brown - 02/23/2023 7:48 AM 07dc357f4e2db51a9252a64a1a21a042 dfcbedf2208a7e8021f5eba9834a2fe4 | |
#1 Compliance Inspection Accepted | Sarah Borrell - 03/01/2023 11:45 AM cfac129a1b42405eeed32ae062ca7263 d3b4316cb9d654d9229e219e696011d0 |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | |
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: |