SSTS Permitting Sandbox site
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2515, Submission # Submission-2021-2711, UID # 33281
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 03/25/2021 | 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 Excessive ponding in soil system/D-boxes |
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 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: | 05/18/1985 |
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): | Conducted soil observation(s) (Attach boring logs) |
A. Bottom of distribution media: | 3 Decimal Feet |
B. Periodically saturated soil/bedrock: | 5.5 Decimal Feet |
C. System separation: | 2.5 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
Attach Files: |
Certification
Inspector: |
Please search for and choose SELF/OTHER if what you need does not appear in the list
|
Inspector Email Address: | drufusb1@yahoo.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 #6601 (04/08/2021)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 04/08/2021 7:36 AM $42 Flat Fee |
$42.00 | x 1 | $42.00 |
Grand Total | |||
Total | $42.00 | ||
Payment 04/08/2021 | $42.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | David R. Brown - 04/08/2021 7:36 AM 9f25217ffd4de1e1a720aa5ed91b9314 76aac76ad12cc79d7c99060da4583057 | |
#1 Compliance Inspection Accepted | Joe Sanders - 04/23/2021 3:19 PM dab24ec8b7576cf18319d0d9d73013a4 469c427cc0016acae0e188c8d099773d |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | |
File(s): |
Compliance Letter Type: | Certificate of Compliance | Who's signature should be on the letter? | Joe Sanders | Permit number to reference in "No Replace" letter: | |
Was the letter sent? | Compliant/Non-Compliant: | Compliant |
Certificate of Compliance: |
Letter of Non-Compliance: |