SSTS Permitting Sandbox site
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2019-1907, Submission # Submission-2019-1928, UID # 23012
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 05/17/2019 | System Status: | Compliant |
Property Information
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| Property Owner's Mailing Address (if different than property address): |
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| 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 |
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 Tank Integrity Form (Attach) |
| Comments/Explanation: | Please see tank integrity form from Maintainer |
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 |
| Explain: | New risers/manholes with covers installed. Pipe was replaced from house to tank recently per homeowner. |
| 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: | 11/08/1978 |
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): | Two previous verifications (Attach boring logs) |
| A. Bottom of distribution media: | 2 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 7 Decimal Feet |
| C. System separation: | 5 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
| Comments or recommendations: | System updated last year per home owner. Pipe from house to tank replaced and brought to code. Risers installed and brought to code. |
| Attach Files: |
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Scan0001.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: | 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 #4701 (08/06/2019)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 08/06/2019 7:18 PM $41 Flat Fee |
$41.00 | x 1 | $41.00 |
| Grand Total | |||
| Total | $41.00 | ||
| Payment 08/06/2019 | $41.00 | ||
| Due | $0.00 | ||
Approvals
| Approval | Signature |
|---|---|
| Applicant | Shelley L. Schlomka - 09/12/2019 4:46 PM 1bceec62dc8fbddc22a0b48fdb1a2eae e9ea1e1522753b14fd104905050d49d9 |
| #1 Compliance Inspection Accepted | Denise Lange - 09/13/2019 3:19 PM c9ff557e1d11c8d54653179caa277876 beedb4dcf31850b55277b0487d5fe02d |
Inspection has been approved. All signatures have been obtained.
Public Notes
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Internal Notes
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