SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3623, Submission # Submission-2023-3839, UID # 47679
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 07/27/2023 | System Status: | Compliant |
Property Information
Property Information: | |||||||||||||||||
Owner's representative: |
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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 surface. The homeowners did not report back-ups to 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 or leaking 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 |
Explain: | Inspected area around tanks. No signs of damage. |
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: | 10/09/2016 |
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): | Conducted soil observation(s) (Attach boring logs) |
Comments/Explanation: | See attached soil boring log and site plan for location of trenches and boring. |
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: | 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 boring log and site plan for location of trenches 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 #9375 (08/02/2023)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 08/02/2023 11:48 AM $47 Flat Fee |
$45.00 | x 1 | $45.00 |
Grand Total | |||
Total | $45.00 | ||
Payment 08/02/2023 | $45.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Jesse J. Kloeppner - 08/02/2023 11:48 AM fbb5c3912362bfa13f16236392aa6741 9024458d252178aa40e39c024b0e8f09 | |
#1 Compliance Inspection Accepted | Sarah Borrell - 09/20/2023 12:42 PM 515c6004fed6b29cdff91b0bc5b16d03 389c62f7e4ee5a5ca0e88acf878fdb01 |
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: |