SSTS Permitting
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2017-0753, Submission # Submission-2017-0821, UID # 9130
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 06/17/2017 | 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) |
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 construction records Examined empty (pumped) tank(s) |
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: | 11/01/1979 |
Soil Separation
Shoreland/Wellhead Protection/Food, beverage, lodging? | Yes |
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: | see report |
A. Bottom of distribution media: | 30 Decimal Feet |
B. Periodically saturated soil/bedrock: | 0 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: | 1200 gallon pre-cast septic tank and rock trench drainfield |
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: | 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 #2237 (06/22/2017)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 06/22/2017 2:20 PM $40 Flat Fee |
$40.00 | x 1 | $40.00 |
Grand Total | |||
Total | $40.00 | ||
Payment 06/22/2017 | $40.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Tom Trooien - 06/22/2017 2:21 PM - witnessed by Kati Hallermann 1cd3f0e87312c1f7c345471c27d4b47e 7e7cc8620f6e92a8c97ce883e0f98f8d | |
#1 Compliance Inspection Accepted | Kati Hallermann - 06/22/2017 2:21 PM aee8fcd27abb678870ab74e6d4e91dc9 ee6e0ba7af7cbbc03af64801853b45f8 |
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: |