SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2024-4134, Submission # Submission-2024-4401, UID # 56964
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 11/21/2024 | 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): | Searched for surface outlet Searched for seeping in yard/backup into home Homeowner testimony (See Comments/Explanation) |
Comments/Explanation: | Homeowner has not had any problems with the system. |
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: | Tanks water tight at time of inspection. |
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: | 08/01/1987 |
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) |
A. Bottom of distribution media: | 5 Decimal Feet |
B. Periodically saturated soil/bedrock: | 3 Decimal Feet |
C. System separation: | 2 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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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: | sssepticsolutions@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 #10848 (11/22/2024)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 11/22/2024 11:04 AM $47 Flat Fee |
$46.00 | x 1 | $46.00 |
Grand Total | |||
Total | $46.00 | ||
Payment 11/22/2024 | $46.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Shelley L. Schlomka - 11/22/2024 11:04 AM 323ba2826123264becaae8bcfb71e27b e68064ea814d12e2f8b3eb5e434acca1 | |
#1 Compliance Inspection Accepted | Sarah Borrell - 12/30/2024 10:34 AM 01493e39169778c9005b8711f50db640 942027d28a4a1836329d0f13ab4d898a |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | A&B for Compliance Criteria #5 switched |
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: |