SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3450, Submission # Submission-2023-3660, UID # 45415
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 03/17/2023 | 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): | Other methods not listed (See Comments/Explanation) |
Comments/Explanation: | Visual Inspection of the area. No signs of sewage to the ground. The homeowners did not report back-ups in the house. |
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 empty (pumped) tank(s) |
Comments/Explanation: | Tanks pumped and visually inspected with camera. No signs of cracks in any of the tanks. |
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 |
Explain: | Inspected area around tanks. No signs of damage. |
Date of Install
Date of install known: | Yes |
Date of installation: | 09/25/2012 |
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): | Two previous verifications (Attach boring logs) |
Comments/Explanation: | See attached soil boring log and site plan for location of mound and boring. |
A. Bottom of distribution media: | 98.5 Decimal Feet |
B. Periodically saturated soil/bedrock: | 95.5 Decimal Feet |
C. System separation: | 3 Decimal Feet |
D. Required compliance separation: | 2.6 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 attached soil log and site plan for location of mound and boring. |
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 Contact (If 'self/other' is selected from the Inspector Lookup): | Jesse Kloeppner |
Inspector Email Address: | jesse@ksd-mn.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 #8917 (03/24/2023)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 03/24/2023 5:23 PM $47 Flat Fee |
$45.00 | x 1 | $45.00 |
Grand Total | |||
Total | $45.00 | ||
Payment 03/24/2023 | $45.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Jesse J. Kloeppner - 03/24/2023 5:23 PM 48e597d4fdd18b68fd8cc45ba03cf6ca 2d193f7bd019c470ae192eed92864787 | |
#1 Compliance Inspection Accepted | Sarah Borrell - 04/06/2023 7:09 AM 49a796d7ead619c0688cf028d49e5f7f 23317164e5a64b8abe0488e4d815a44c |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | |
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: |