SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2024-3805, Submission # Submission-2024-4036, UID # 51413
Status: System Replaced
Status: System Replaced
System Status
System status on date: | 01/17/2024 | System Status: | Noncompliant |
System - Noncompliant
Reason(s) for noncompliance: | Soil Separation (Compliance Component #4) - Failing to protect groundwater |
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): | Searched for surface outlet Searched for seeping in yard/backup into home Homeowner testimony (See Comments/Explanation) |
Comments/Explanation: | See attached 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): | Examined empty (pumped) tank(s) |
Comments/Explanation: | See attached 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 |
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: | 06/13/1998 |
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): | Conducted soil observation(s) (Attach boring logs) |
A. Bottom of distribution media: | 97.7 Decimal Feet |
B. Periodically saturated soil/bedrock: | 98.5 Decimal Feet |
C. System separation: | -0.8 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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Certification
Inspector: |
Please search for and choose SELF/OTHER if what you need does not appear in the list
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Inspector Email Address: | benzierke@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 #9887 (02/01/2024)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 02/01/2024 10:22 PM $47 Flat Fee |
$46.00 | x 1 | $46.00 |
Grand Total | |||
Total | $46.00 | ||
Payment 02/01/2024 | $46.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Benjamin J. Zierke - 02/01/2024 10:22 PM 62586856e91c95ce2b373b7199ec46e3 dd5935663368a623a3d4638a9d3e3485 | |
#1 Compliance Inspection Accepted | Sarah Borrell - 02/09/2024 1:56 PM 005493f58a98b5417bf64b7e9b2d6b98 7cbba80931fb7ae9db0b7d734a920f23 |
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: |