SSTS Permitting Sandbox site
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2019-1909, Submission # Submission-2019-1945, UID # 23335
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
| System status on date: | 05/14/2019 | 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) |
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 Tank Integrity Form (Attach) |
| Comments/Explanation: | Please see report: These segments were not completed. - * System consists of seepage pit, cesspool, drywell, or leaching pit: YesNo * Sewage tank(s) leak below their designed operating depth: YesNo If "Yes", which sewage tank(s) leaks |
Other Compliance Conditions
| Maintenance hole covers are damaged, cracked, unsecured, or appear to be structurally unsound: |
Yes |
| Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety: |
No |
| Explain: | Lift tank cover needs to be replaced. ( Please see report- Maintenance hole covers are damaged, cracked, unsecured, or appear to be structurally unsound:- ) |
| System is non protective of groundwater for other conditions as determined by the inspector: |
No |
Date of Install
| Date of install known: | No |
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): | Other (See Comments/Explanation) |
| Comments/Explanation: | See Report This portion was not completed: Drain field meets the designed vertical separation distance from periodically saturated soil or bedrock.: |
| A. Bottom of distribution media: | 24 Decimal Feet |
| B. Periodically saturated soil/bedrock: | 18 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: | 5. Operating Permit and Nitrogen BMP - Compliance Component #5 of 5 - Not applicable. |
| Attach Files: |
comp_23565-Elmcrest_Ave._NE_8-14-19.pdfCertification
| Inspector: |
Please search for and choose SELF/OTHER if what you need does not appear in the list
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| Inspector Contact (If 'self/other' is selected from the Inspector Lookup): | 763-434-6140 |
| 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 #4741 (08/19/2019)
| Charge | Cost | Quantity | Total |
|---|---|---|---|
| added 08/19/2019 2:37 PM $41 Flat Fee |
$41.00 | x 1 | $41.00 |
| Grand Total | |||
| Total | $41.00 | ||
| Payment 09/16/2019 | $41.00 | ||
| Due | $0.00 | ||
Action: Print
Approvals
| Approval | Signature | Options |
|---|---|---|
| Applicant | Mark Soderstrom - 09/17/2019 12:04 PM - witnessed by Kati Hallermann f5d2eb2806416859da91869f214f48d2 94b0d7e9e31c36a535961e2d41f1c7cb | |
| #1 Compliance Inspection Accepted | Kati Hallermann - 09/17/2019 12:04 PM 2e85ac490af9cea242b90b111eba4c39 b56fc51094f7994111141485c1311174 |
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: |