SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2024-3854, Submission # Submission-2024-4087, UID # 52202
Status: System Replaced
Status: System Replaced
System Status
| System status on date: | 03/14/2024 | 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: |
|
||||||||||||||||
[
]
[ 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 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: | 01/01/1984 |
Soil Separation
| Shoreland/Wellhead Protection/Food, beverage, lodging? | No |
| Drainfield has at least a two-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: | 99.7 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 100 Decimal Feet |
| C. System separation: | -0.3 Decimal Feet |
| D. Required compliance separation: | 2 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: |
|
Miller_Inspection_3-14-24.pdfCertification
| Inspector: |
Please search for and choose SELF/OTHER if what you need does not appear in the list
|
| 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 #10059 (03/28/2024)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 03/28/2024 11:36 PM $47 Flat Fee |
$46.00 | x 1 | $46.00 |
| Grand Total | |||
| Total | $46.00 | ||
| Payment 03/28/2024 | $46.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Benjamin J. Zierke - 03/28/2024 11:36 PM 1fd9213c3e8a6a1abc543278ca5a1aa5 c8dac5bd22b8ba27fc18de9d4d5c1eee | |
| #1 Compliance Inspection Accepted | Sarah Borrell - 04/18/2024 10:48 AM 3ee570ef50fabc3e1b1201581c03775b 5a4b843e0a97bce5a1903b8831bddef8 |
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: |