SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2017-0602, Submission # Submission-2017-0646, UID # 8134
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 03/07/2017 | 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 surface outlet Searched for seeping in yard/backup into home Excessive ponding in soil system/D-boxes 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): | Probed tank(s) bottom Examined construction records |
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: | 06/06/1989 |
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.: |
No |
| Verification method(s): | Conducted soil observation(s) (Attach boring logs) |
| Comments/Explanation: | 0-18 top soil... 10yr 3/3 18-37 sandy loam...7.5yr 4/4 37-49 laomy sand...10yr 5/4 49-76med sand... 7.5yr 5/6 |
| A. Bottom of distribution media: | 48 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 0 Decimal Feet |
| C. System separation: | 28 Decimal Feet |
| D. Required compliance separation: | 24 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: | 1,250 gallon septic tank & 756SF of rock trench drainfield |
| Attach Files: |
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1666-03162017111708.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: | tomtrooien@aol.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 #1863 (03/16/2017)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 03/16/2017 12:31 PM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
| Grand Total | |||
| Total | $40.00 | ||
| Payment 03/16/2017 | $40.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Tom Trooien - 03/16/2017 12:31 PM - witnessed by Kati Hallermann 8c1e88aeaf7b8a3ce7c05ef3dc8b1371 b1fb0efc2a10e1d67e5b3d71d03cc3c4 | |
| #1 Compliance Inspection Accepted | Kati Hallermann - 03/16/2017 12:31 PM 9bf11245e763e612f1f404274d37ed42 5a3e6c03d9d3a1a548580b0f1c509a9a |
Inspection has been approved. All signatures have been obtained.
| Text: | |
| File(s): |
| Text: | |
| 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: |