SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2016-0468, Submission # Submission-2016-0466, UID # 5587
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 10/11/2016 | 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: | 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.: |
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) 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: |
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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: | 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 #1480 (10/14/2016)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 10/14/2016 10:41 AM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
Grand Total | |||
Total | $40.00 | ||
Payment 10/20/2016 | $40.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Brian Humpal - 10/14/2016 10:41 AM 8806c689f5d9e5355cac6fade3c320af 058c074069da16ab13e227ba8cb258a7 | |
#1 Compliance Inspection Accepted | Kati Hallermann - 11/17/2016 2:22 PM 9a941f69dcf60a6994876e9a2767575d 6909cebe4896e04393cb255ba8ed031a |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | 12-03-2020: Missed call from property owner Marc Johnson at 2:48p.m. PMO 12-04-2020: Called Marc at 8:34a.m. No answer. Left message requesting a call back and provided cell #. Marc called me at 9:03a.m. Marc stated he would like to convert a outbuilding into a living space for his mother. Marc was curious whether the existing SSTS could be connected. I told Marc that the existing system would first need to be identified as compliant or non-compliant. System past inspection in 2016. Total bedrooms in house is 3. I told Marc it might be possible to add additional tank capacity and extend the existing drainfield, but compliance status would need to be determined before this could be considered. We discussed contractors and he stated discussions and an onsite visit was done by Dave Brown, but Dave has not followed up. I told Marc that there are other contractors he might want to consider working with. Call ended at 9:13a.m. PMO |
File(s): |
Compliance Letter Type: | Who's signature should be on the letter? | Permit number to reference in "No Replace" letter: | |||
Was the letter sent? | Compliant/Non-Compliant: |
Certificate of Compliance: |
Letter of Non-Compliance: |