SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2017-0726, Submission # Submission-2017-0771, UID # 8824
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 06/02/2017 | System Status: | Compliant |
Property Information
Property Information: | |||||||||||||||||
Owner's representative: |
|
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 Other methods not listed (See Comments/Explanation) |
Comments/Explanation: | No excessive ponding in D-boxes.Ran water for 30 minutes. All effluent flowed to second trench. |
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 Examined empty (pumped) tank(s) Other methods not listed (See Comments/Explanation) |
Comments/Explanation: | Effluent levels in tanks normal before pumping. No visible faults in empty tanks. Baffles in place. Manholes to grade. Top of tanks 36" below grade |
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: | 08/30/1996 |
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): | Two previous verifications (Attach boring logs) |
A. Bottom of distribution media: | 4 Decimal Feet |
B. Periodically saturated soil/bedrock: | 7 Decimal Feet |
C. System separation: | 3 Decimal Feet |
D. Required compliance separation: | 3 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: |
Certification
Inspector: |
Please search for and choose SELF/OTHER if what you need does not appear in the list
|
Inspector Email Address: | rogerwbenson@embarqmail.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 #2121 (06/02/2017)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 06/04/2017 7:42 AM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
Grand Total | |||
Total | $40.00 | ||
Payment 06/04/2017 | $40.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | roger w. benson - 06/04/2017 7:42 AM 441cd80fe50f7375299fa654f781204f b112220186a984165a849f27ec8cc548 | |
#1 Compliance Inspection Accepted | Kati Hallermann - 06/09/2017 11:49 AM fb6418edb76166804a6d18c86b3fe10c 1a5cbb064e20330780274af51a9a33c6 |
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: |