SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2017-0722, Submission # Submission-2016-0569, UID # 6914
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 12/20/2016 | System Status: | Compliant |
Property Information
| Property Information: | |||||||||||||||||
| 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 seeping in yard/backup into home Homeowner testimony (See Comments/Explanation) Other methods not listed (See Comments/Explanation) |
Comments/Explanation: | Checked mound perimeter- no indication of mound failure |
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: | Checked lift tank levels (normal) ck float set. No issues- tank were pumped by Olson's 5/4/2016 |
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: | 06/03/2016 |
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.: |
Yes |
| Verification method(s): | Conducted soil observation(s) (Attach boring logs) |
| A. Bottom of distribution media: | 18 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 24 Decimal Feet |
| C. System separation: | 42 Decimal Feet |
| D. Required compliance separation: | 36 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: | (2) 1000gal. septic tanks, 1000gal lift tank-Mound |
| Attach Files: |
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Document_(2).pdfCertification
| 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: | noemail@noemail.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 #1742 (12/27/2016)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 12/27/2016 9:02 AM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
| Grand Total | |||
| Total | $40.00 | ||
| Payment 06/08/2017 | $40.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Victor Hagenah - 06/08/2017 3:44 PM - witnessed by Kati Hallermann eca1cd518067046782cb1476e47bd5b9 d9cb579658c954edbb686238570e178b | |
| #1 Compliance Inspection Accepted | Kati Hallermann - 06/08/2017 3:44 PM d4a8e7a07e3b78149e6a6775dccc6ea1 3f9324c6d49228e95fc09d3e9ba2df5c |
Inspection has been approved. All signatures have been obtained.
| Text: | |
| File(s): |
| Text: | Invoiced: 4/7/2017 2nd Invoiced: 5.25.2017 |
| 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: |