SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2023-3745, Submission # Submission-2023-3975, UID # 49893
Status: System Replaced
Status: System Replaced
System Status
| System status on date: | 11/02/2023 | 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: |
|
||||||||||||||||
[
]
[ 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): | Other methods not listed (See Comments/Explanation) |
Comments/Explanation: | See Report |
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: | See Report |
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: | See Report |
| System is non protective of groundwater for other conditions as determined by the inspector: |
No |
| Explain: | See Report |
Date of Install
| Date of install known: | No |
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.: |
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) Other (See Comments/Explanation) |
| Comments/Explanation: | See Report |
| 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: | 0 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 Report |
| Attach Files: |
|
Wilder_Privy_1.pdfCertification
| Inspector: |
Please search for and choose SELF/OTHER if what you need does not appear in the list
|
| Inspector Email Address: | brian@midwestsoiltesting.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 #9737 (11/09/2023)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 11/09/2023 11:11 AM $47 Flat Fee |
$45.00 | x 1 | $45.00 |
| Grand Total | |||
| Total | $45.00 | ||
| Payment 11/10/2023 | $45.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Brian Humpal - 11/09/2023 11:11 AM 1cf484f9381728c7729c22d135de5fe3 98e5d563e7946c107cd1fe28db709004 | |
| #1 Compliance Inspection Accepted | Sarah Borrell - 12/22/2023 9:11 AM 99651ad28bbffbd5a1a567ba5ac9132e 0a9e30049cb21379cbac1733dd6fe24d |
Inspection has been approved. All signatures have been obtained.
| Text: | Privy #1 Letter to be mailed 1/2/24 |
| 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: |
|