SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2024-3957, Submission # Submission-2024-4250, UID # 54175
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 07/25/2024 | 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 Homeowner testimony (See Comments/Explanation) |
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 Tank Integrity Form (Attach) |
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: | 07/19/1985 |
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: |
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) Two previous verifications (Attach boring logs) |
| A. Bottom of distribution media: | 2.2 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 6 Decimal Feet |
| C. System separation: | 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: |
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20460_Jewell_AVE_N.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): | Jeff Fertig |
| 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 #10462 (07/25/2024)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 07/25/2024 11:26 AM $47 Flat Fee |
$46.00 | x 1 | $46.00 |
| Grand Total | |||
| Total | $46.00 | ||
| Payment 08/15/2024 | $46.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Jeff A. Fertig - 07/25/2024 11:27 AM af7dffcf63cc1f9d792234712d2e3154 5154600832e0f581d503ccd8e66875a4 | |
| #1 Compliance Inspection Accepted | Sarah Borrell - 08/16/2024 8:29 AM 979c862d536b2d1d7f8eb9a1a3254589 ad568a22387e7b3c3f0af86cd6012d1d |
Inspection has been approved. All signatures have been obtained.
| Text: | 0% rock content fragment per Inspector (attached is communication) |
| File(s): |
| Text: | 8/7/24 a direct link to payment was sent via email |
| 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: |