SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3568, Submission # Submission-2023-3750, UID # 46650
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 06/04/2023 | 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): | Searched for surface outlet Searched for seeping in yard/backup into home Other methods not listed (See Comments/Explanation) |
Comments/Explanation: | Soil Borings and probe |
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: | Visual Inspection |
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.: |
Yes |
| Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock.: |
Yes |
| Verification method(s): | Conducted soil observation(s) (Attach boring logs) |
| A. Bottom of distribution media: | 2.5 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 5.5 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: |
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DOC071423-07142023082438.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): | 6512532969 |
| Inspector Email Address: | jafertig@gmail.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 #9161 (06/09/2023)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 06/09/2023 9:51 AM $47 Flat Fee |
$45.00 | x 1 | $45.00 |
| Grand Total | |||
| Total | $45.00 | ||
| Payment 06/09/2023 | $45.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Jeff A. Fertig - 06/09/2023 9:51 AM a431aa76020090b4a334e9cc80eb6f84 749db4de0ef018e129b110732bdcee8c | |
| #1 Compliance Inspection Accepted | Sarah Borrell - 07/14/2023 3:56 PM f03eb007eb2dafca557b3494159b2851 c32a0c77e9dd38a26ba51f08a2c1373d |
Inspection has been approved. All signatures have been obtained.
| Text: | |
| File(s): |
| Text: | 7/14,(SB) tank integrity, page 2 uploaded. 3c is still incomplete.. I spoke with Jeff over phone, he was driving and said the system was not non-protective of groundwater, said that was just an honest mistake and also doesn't know how the tank integrity and/or page 2 went missing as that was always there to begin with. I told him I would accept his report based on our verbal conversation and asked him to submit a new form or revised component #5 so that all boxes are verified. 6/30 called Jeff about tank integrity as homeowner wants the county acknowledgement of COC for building permit purposes. Need tank integrity, page 2 of report and 3c is incomplete |
| 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: |