SSTS Permitting Sandbox site
Compliance Inspection Compliance Inspection Compliance Inspection # CI-2021-2584, Submission # Submission-2021-2760, UID # 33576
Status: Compliance Inspection Accepted
Status: Compliance Inspection Accepted
System Status
System status on date: | 04/28/2021 | 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) |
Comments/Explanation: | See attached report. |
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 empty (pumped) tank(s) |
Comments/Explanation: | See attached report. |
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: | 08/11/2005 |
Soil Separation
Shoreland/Wellhead Protection/Food, beverage, lodging? | Yes |
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) |
Comments/Explanation: | See attached report. |
A. Bottom of distribution media: | 97 Decimal Feet |
B. Periodically saturated soil/bedrock: | 94 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
Comments or recommendations: | Adding permit file - reviewed soil borings and certification by county to satisfy soil observation requirement per Washington County guidance. |
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: | benzierke@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 #6709 (05/03/2021)
Charge | Cost | Quantity | Total |
---|---|---|---|
added 05/03/2021 1:36 AM $42 Flat Fee |
$42.00 | x 1 | $42.00 |
Grand Total | |||
Total | $42.00 | ||
Payment 05/03/2021 | $42.00 | ||
Due | $0.00 |
Action: Print
Approvals
Approval | Signature | Options |
---|---|---|
Applicant | Benjamin J. Zierke - 05/16/2021 12:32 PM 586bd95364f6c03d7f7b34ffbc87229b a664a158aa1f6c260e4afdd3f0081cba | |
#1 Compliance Inspection Accepted | Barbara Pena - 05/17/2021 3:15 PM df51505aa37043a9ac725a9f1b8d0ea7 887477a7929a82b62915f5d26f0d72f0 |
Inspection has been approved. All signatures have been obtained.
Text: | |
File(s): |
Text: | Compliance Inspection missing soil boring documentation and must complete section 5 of compliance inspection report. BP |
File(s): |
Compliance Letter Type: | Certificate of Compliance | Who's signature should be on the letter? | Barbara Pena | Permit number to reference in "No Replace" letter: | |
Was the letter sent? | Yes | Compliant/Non-Compliant: | Compliant |
Certificate of Compliance: |
Letter of Non-Compliance: |