HomeMy WebLinkAboutseptic info � °�
o . o .
���-��,���� - _ CITY o� ORONO
+►�! r,',.,r.�,�'_ ..� ,�
'�'� �; �•.:._ �' �, Municipal Ot'�ices
�1' �i 1�,:
�, , �: ,G . ti
`�`"��' `�����-��;� �:� G /
� �,,;- .� ., �., ,/ St�eet Addresr. `aSa-a4q-y6o � Mailing Address:
\`���'91��'$Kp'�'�%� 2150 Kelley Parkway P.O. Box 66
�-_ --�''� Orono, MN 55356 Crystal Bay, MN 55323•0066
To Current Owner: Address: ��7� � � ����`� ��
City Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every two years.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the categories checked below.
SYSTEM CONFORMITY (1-3): �
1 "CODE SYSTEM"An ISTS which meets all the location,design and construction standards of the ciurent Orono Municipal Code.
2 "COMPLIANT SYSTEM" An LSTS which does not meet all the location,design and construction standards of the curreat Orono
Municipal Code but does meet the three foot saparation requirement or rivo foot requirement for systems installed 1996 or earlier,and
which is not failing or an imminent threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an TSTS located within a designated 100-yeaz flood plain,any ISTS which may
or may not meet all the location,design,or construction standards of the current Orono Municipal Code and which is failing for any
reason;and any ISTS with less than three feet of unsaturated soil or sand between the distribution device and the limiting soil characteris6cs.
TANK CONDTTION(5-7): �,
Tank inspection indicates:
5 Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code recommends tanks to be pumped out once every 3 yeazs.
Tank was last pumped �-� �r� '�� ).
Make sure seatic tanks are aumoed throueh manhole and not throueh white insaection pipes. This allows for the proner
cleanin� Keea water softner and iron fiiter discharSe out of seotic svstem to arolons life of drainfield. Ask uumaer to test
alarm�loat to verifv alarm is still workins in vour house. The alarm warns owner that seata¢e is about to backua into basement.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If
tauks have not been pumped out within the last three years,they should be pumped out now.
DRAINF]ELD CONDITION(8-10): �
8 Drainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drainfield is saturated and visibly disclzarging untreated effluent to the surFace. Contact the City Inspector
immediately.Repairs must be completed within 90 days.
COMMENTS: G � � ���ee S �rC�,� �p ��� A're A �
--� � CJ.� �y'� �J'�C�c'�-�S
._ � -� ,�
�
Date of In�pection Septic System Inspector
_ �°� �
�o .: o
����_ � � CITY of ORONU
' �'��'�.-:�. �.
. �, :; ,� Nt�� o�
:'�' � �� G .
�� ' '� �`�, Street Addresa. Mail�g A�reu:
� f -?:
,�+g�0�"� 2150 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, M 55323-0066
To Cutrent Owner: Address: ��7� /`q�" l�a-
City Ordinance 199 requires that each existing on-site sewage treatinent system in Orono be inspected every two years.
The on-aite sewage treatment system at the above address has been inspected and appears to fall into t�e categories checked below.
SYSTEM CONFORMITY (1-3): I
�CODE SYSTEM"An ISTS which meets sll ihe location,design and construction standards of the current Orono Municipal Code.
2 "COMPLIANT SYSTEM" An ISTS which does not meet all the location,design and construction standards of the curnnt Orono Municipal
Code but does meet the tlu+ee foot separation myuirement or two foot requirement for systems installed 1996 or eaiiier,and which is not failing or
an imminern threat to public health or safety.
3 "NON-COMPLIANT SYSTEM" A prohibited ISTS;an ISTS located within a designated 100-year flood plain,any ISTS which may
or may not cneet all the location,design,or construction standards of the current Orono Municipal Code and which is failing for any reason;and
eny ISTS with less than thrce 5eet of unsah►rated soil or sand between the distribudon device and die limiting soil char�teristics.
TAN�C CONDITIO�i(5-7):
Tank inspection indicates:
Pumpout not needed at this time.
6 Septic tanks must be pumped out this year (city code requires tanks to be pumped out once every 3 years.
Tank was last pumped �-1-Z 5°1 ).
Malue sure septic tanks are pumped through manhole and not t6rough white iaspection uiaes This allows for the
prop�r cleaning. Keen water softner and iron fitter discharge out of sentic svstem.
7 Inspection risers missing-tanks could not be inspected. Inspection risers(4"dia.pipe)must be installed in each tank. If
'tanks have not been pump�out within the last three years,they should be pumped out now.
IELD CONDITION(8-10): �
�rainfield is dry,no surfacing evident.
9 Some evidence of surfacing,not critical yet.
10 Drrainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediately.Repairs must be complet�ed within 90 days.
co�rrrs: r�ov�.� ookS �_ �v�.: .�c �,� i��s �,F- fi�c
o*� 6`Il�-- c�� u �w� •. )RS�- � CqrS_ .
�2.�tc,��Z �o� 0� (�l v�-�A �•.0 ,
�—1��--�� � � e��"�-
Date of Inspection Matt Boltennan- Septic System Inspector
Note: In tht event that Wis iospaxion rEport is used�sffiisfy d►►e rcquinments tbr a mortgage or other transfer of ProP�Y,be advised t�at this rspoit�es not guarantx
or ceatify thtt�existing systam will co�rtin�W fimdiat properlY,but is�rely�opinion ofthe adcquacy ofthe sys6em under quient aonditi�s based on the available
informatia�.
1�elephone(952)249-4600 • Fnz(952)Z49-4616
wv►w.�i.orono.ma.os .
� o�
o�l� o
;r�:���? ,, CITY of ORONO
,� ���� y �:�
�, ► �:; , �► M�,nt�� ot��
� ��,�. �
���,���� G~ Street Addrou: Ma
� �!, �'Y llin�Addrou:
Eg�10g' 2750 Keiley ParlcwaY P.O. Box fi6
Orono, MN 55356 Crystai Bay, MN 55323-0066
Owner:_ ���°�C� w�!50C.�C:
Address:_ a?70 Rq���/
Cin Ordinance 199 requires that each existing on-site sewage treatment system in Orono be inspected every rivo years.
The on-site se�vage treatment system at the above address has been inspected and appeazs to fall into the categories checked belo�v.
SYSTEM CONFQRI�IITY (1-3): �
lO "CODE SYS'�'EM" An ISTS which meets ait the location�daigt and conttruction standards of the cuarnt Orono Municipa!Code.
2 "CONiPLIANT SYSTEM" An ISTS which doa aot meet all the locatioq design and wns4uction standards eftho cvne�pro�o M�rip�
Code but doa meet the tl�ree foot xpazatioc rcquirement,and which u not failing or aa imminent threat to public health or safety. _
3 "NON-COMPLIANT SYSTEM" Aprohibited ISTS;an IS'TS located withia a daignated 100-year Sood p(ain,any ISTS whick may
or may not meet ail the locatioq daig�or coasttuction standards cf the cutrrnt Orono�,funicipal Code and which is failing for any rebwn;and
any ISTS with las than three fed of ucuanuated soil ot sand between the distnbution device and the limiting soi!characteristics.
T.�CONDITION(5-10): S �
Tank inspection indicates: •
� Pumpout not needed at this time.
C Tank must be putnped out this year (city code requira tanks W be pumped out every 3 yeus. Tank was last pumpad 4 a-9 q ),
7 Solidt accumulacion in tanks is at s critical a critica(IcveL Tanks should be pumped out as soon as possib(e.
8 System is discha�rging to the sucFace. Tanks must be pumped out within 48 houn w eliminata surface discharge.
9 Inspection risaes missing-tazilcs eould not be itupected Lupection eisecs(4"dia.pipe)mast be ir�stalted in each tank at neut pumpout If tanks
hs�•e nut been pumped out withiit the last thra yeazs,they should be pumped out now.
10 Inspection pipe is located direcKly over tauilc ba@le(doas not give accurate m�asurrntrnt of solid4 accumutation). If tanks have not been pumped
out within the laa�stt three years,they should be pumped out now. .
� LD CONDTTION 11-14 : �
11 Drainfield is dry,ao sucfaciag evidrnt
12 Some evidrnce of surfacing,not aitical Yet .
13 Lkainfield is satwated and visibly discharging untreated e�luent to the surfaca Contact the City Inspector immediately.Repairs must be
complaed within 90 days.
1� Draintield retent and conditioa unknoKn ,
COMMENTS: S�(5'1�� IOokS Ok
�'� —p� ��
Date of Ins ction +
� � Septic System Inspector
Note: In d�e evrnt that this i�spection repoR is used to sati$y the requiremenfy for a moRgage or otha traasfer of property,be advised that this repoR doa aot guaruitee
or cectify that an adsting sys4em will continue W function properly,but it maely an opinioa of the adequary of the system under currrnt rnnditions based on the available
infotmation.
CITY OF ORONO � O�
Municipal Offices O O
Post Office Box 66
Crystal Bay, MN 55323-0066 a � ON—SITE SEWAGE TREATMENT
r�,, � INSPECTION REPORT
'�� G~
�
`�k�sKo�
Owner: ' � � Address: ��� C�lrhP �VJ7{
Permit �'s: '���,� Dates: �C.,''"��7'� Contractors: G?� ^ ��4,/ (�Jz •
City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site seuage treatment system at the above address has been inspected and appears to fall into the category
checked below.
(This is�an existing system [ ] new construction)
TEM CONFORMITY 1-3 :
1 ��CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current seuage input
without discharging any pollutants into ground or surface waters.
2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but aas installed according to the code in effect at the time of installation, and which
is operating satisfactorily by treating and disposing of the entire current seuage input without discharging
any pollutants into ground or surface uaters.
3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any system uith less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The limiting soil characteristic�has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been idenrSfi�d,, this classification may be subject to revision.)
TANK CONDITION (5-10):
rjk�inspection indicates:
L.Y Pumpout not needed at this time.
6 Solids accumulation in tanks indicates they should be pumPed out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible.
8 System is discharging to the surface. Tanks must be pumped out uithin 48 hours to eliminate surface dischar�e.
9 Inspection risers missing-tanks could not be inspected. Inspection risers (4" dia. pipe) must be installed in each
tank at next purt�out. If tanks have not been pumped out within the last three years, they should be pumped
out now.
10 lnspection pipe is located directly over tank baffle (does not give accurate measurement of sotids accumulation).
If tanks have not been pumped out within the last three years, they should be pumped out now.
DRAINFIELD CONDITION (11-14):
in ield inspection indicates:
11 rainfie[d is dry, no surfacing evident.
Some evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City [nspector
imnediately. Repairs must be completed within 90 days.
14 Drainfield extent and condition unknown.
LIMITING SITE FACTORS Cslope,setbacks,etc.):
POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table,etc.>: U y�
COMMENTS: S� ,
�
Date of Insp ction eptic ystem Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
property, be advised that this report does not guarantee or certify that an existing system will continue to function
properly� but is merely an opinion of the adequacy of the system under current conditions based on the available
information.
This report must be kept on the pre�nises with the system locetien and pumping records.
WHITE COPY/Inspectors File YELLOW COPY/Homeowner
�
�O�
C�TY OF ORONO ' O O
unicipal Offices �
� ost Office ox 66
Crys jal Bay, MN 5 323-0066 � � � ON—SITE SEWA(�E TREATl�I�1'1'
` � � IN3PECTION REPORT
ti
'�' G
�' �9kESH��'�
� ;
.�- / �
Owner� � Address• t
Permit� #`'s: Dates:�l/v �`f�?S� Contractors:
City or �nance nunbe¢ 100 requires that e ch on-site sewage treatment system in Orono be inspected on a regular basis.
The on- �te sewage treatment system at �he above address has been inspected and appears to fall into the category
checked below. ti
� (7his is '��an existing systern [ ] new construction)
YSTEM FORMITY 1-3 :
1 ;"CODE SYSTEM�'-A system which meet; all the location, design, and construction standards of the current City
; Codes, artid which is operating atisfactorily by treating and disposing of the entire current sewage input
� without discharging any pollut nts into ground or surface waters.
2 j"CONFORMING �YSTEM"-A system whi h does not meet all the location, design, and construction standards of the
; current dity Codes, but was i stalled according to the code in effect at the time of installation, and which
! is operaCing satisfactorily treating and disposing of the entire current sewage input without discharging
; any pollUtants into ground or �surface uaters.
3 i "NON-CONFORM�NG SYSTEM°-A prohibited system; a system located within a designated 100-year floodplain; any
system w tch may or mey not ileet all the location, design, and construction standards of the current City
Codes a which is failing fo�h any reason; and any system with less than 3 feet of unsaturated soil or sand
between the distribution devicVe and the limiting soil characteristics.
(The limiitin� soil characteri tic � has or [ ] has not been identified at this time. If the limiting soil
characterist�c has not been ic�enti ied, this classification may be subject to revision.)
r
TANK C ,DITION 5-10 : �
T tn�pection indi�ates: '
5 P ut not ne�ded at this time. a
� S lids accunul8tion in tanks indicat�es they should be punped out this year to help prevent future problems.
7 S 'lids accunulation in tanks is at ar critical level. Tanks should be puiped out as soon as possible.
8 S stem is disctlarging to the surfac� Tanks must be pu�ped out within 48 hours to eliminate surface dischar�e.
9 1 pection risers missing-tanks cou d not be inspected. Inspection risers (4�� die. pipe) must be installed �n each
� tank at next punpout. If tan s have not been punped out within the last three years, they should be punped
out now.
10 i�lspection pip� is located directlyiover tank baffle (does not give accurate measurement of solids eccunulation).
If tanks have not been pimped,�out within the last three years, they should be pumped out now.
�
� '
DRAINFI LD CONDITION 11-14 :
Drp�fi ld inspectioh indicates:
/1V D ainfield is dlry, no surfacing evident.
`1Z S evidence bf surfacing, not cri�ical yet.
13 ainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector
immediat¢ly. Repairs must be completed within 90 days.
14 D€ainfield extent and condition unkrlown.
LIMITI S1TE FACTORI slo setbecks etc :
POTENTI fOR SYSTEM FAILURE de nds on koils water table etc. : L��
COMME�TTS:
r
Da e of Inspection ep ic System Inspector
Note: I'In the event �that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
proper�y, be advisedl that this report dces not guarantee or certify that an existing system rnll continue to function
properlryi but is m�rely an opim on of ;the adequacy of the system under current conditions based on .the available
t nforme�t t on.
Th�s report must be kep� on the premises with the system locetion and pumping records.
I WHITE COPY/Inspec�ors File YELLOW COPY/Homeowner
s I
ITY OF ORONO � O�
� O O
° Municipal Offices
Post OfficeiBox 66
Crystal Bay, MN 55323-0066 � � ON—SITE SEWA(iE TREA'1'l�NT
„� � INSPECTION REPORT
ti
'�t' G
��kES�I��'�
Owne�:� UlNSLaC'lJ/ Address•
Permi:t �'s: Dates:y ��`.7� Contractors: .
City o�dinance numbCr 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.
The on-site sewage treatment system at the above address has been inspected and appears to fall into the category
checkedl below.
(This i� � an existing system [ ] new construction)
SYSTEM CONFORMITY -3 :
Q �'CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City
Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input
without discharging any pollutants into ground or surface uaters.
2 "CONFORMING SYSTEM"-A system which does not meet all the location, design, and construction standards of the
current City Codes, but was installed according to the code in effect at the time of installation, and ahich
is operating satisfactorily by treating and disposing of the entire current sewage input without discharging
any pollutants into ground or surface waters.
3 "NON-CONfORM1NG SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any
system which may or may not meet all the location, design, and construction standards of the current City
Codes and which is failing for any reason; and any.system with less than 3 feet of unsaturated soil or sand
between the distribution device and the limiting soil characteristics.
(The liniting soil characteristic � has or [ ] has not been identified at this time. If the limiting soil
characteristic has not been identi ied, this classification may be subject to revision.)
TANK C DITION 5-10 : �
Tank inspection indicates:
� Punpout not needed at this time.
Solids accumulation in tanks indicates they should be Fxniped out this year to help prevent future problems.
7 Solids accumulation in tanks is at a critical level. Tanks should be punped out as soon as possible.
8 $y stem is discharging to the surface. Tanks must be pumped out uithin 48 hours to eliminate surface dischar�e.
9 lnspection risers missing-tanks could not be inspected. Inspection risers <4" dia. pipe) must be installed tn each
tank at next punpout. If tanks have not been pumped out within the last three years, they should be punped
out now.
10 lnspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation).
If tanks have not been pumped out within the last three years, they should be pumped out now.
DRAINF�ELD CONDITION (11-14):
Dye�f eld inspection indicates:
(yY �rainfie[d is dry, no surfacing evident.
12 $ane evidence of surfacing, not critical yet.
13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City lnspector
immediately. Repairs must be completed uithin 90 days.
14 Drainfield extent and condition unknown.
LIMITI G SITE FACTO S slo setbacks et .
POTENT AL FOR SYSTE FAILURE de nds on soils uater table etc. : /,,,_�
(.l1rL
COMM$NTS: i
Date of Inspection S tic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of
properky, be advised that this report does not guarantee or certify that an existing system will continue to function
proper�yi but is merely an opinion of the adequacy of the system under current conditions based on the available
informption.
This report must be kept on the premises with the system locetion arid punping records.
WHITE COPY/I�speators File YELLOW COPY/Homeowner
� ;
i�
,
�
� � On the North Shore of
Lake Minnetonka
ON-�51TE SEWAIGE TREATMENT
; INSPECTIQN REPORT � POST OFFICE BOX 66
; 1335 S. Brown Rd.
� � � � Crystal Bay, MN 55323
' 473-7357
OW ER �`►� � I ADDRESS �� ��v �'
PE IT NO.'S. �ATES 1G�.�"f'o / CONTRACTORS C-c'i t�,l��
'. City Ordinan No. 210 requires that e8ch on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage
trea�nt system at�he above address has bee�inspected and appears to fall into the category checked below.
(This is �an existing systeri� ❑ new construction)
( �� Me�1ts or exceeds current City atandards in all respects relating to design,construction,and location.Apbears to be operating
� properiy.
� � 2 Do�s not meet all current City standards for new construction (1978 Codel but in most respects appears to be designed,
� locsted, and constructed genlrally in accorda�ce with previous codes.System appears to be functioning properly;no major
t upg�ading of the system is rec{�uired at this time.
� � 3 Do�s not meet current City atandards in many respects relating to design,construction,or location.Appears to be operating
! adequately at this time,but has a relatively high potential for future problems. No major upgrading of system is required at
s this time.
� � 4 Sys,tem may or may not meet current City standards for design,construction or location,but is failing to properly treat and —
dist�ose of the current input,',and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is
creating a safety hazard,or i�othenivise creating a public nuisance.P�ease contact the City Inspector to discuss system repair/
rep'acement procedures. If dtainfield replacement is necesaary,soil testing will usually be required,a�d a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is atarted.
SY EM CONDITI N ( m Checked items m�y require your action)
Tan c'nspection indicates: ' ❑ Inspection pipe is located directly over tank baffle.(Dces not
Pumpout notneeded at this time. give accurate measurement of solids accumulation.) If tanks
Solida secumlulation in tanks indicates�they should be pump- have not been pumped out within the last three years,they
ed out this y�ar to help prevent future�roblems, should be pumped out�ow.
p Solids accunhulation in tanka is at � critical level. Tanks Drainfield inspection indicates:
should be pu}nped out as soon as possit�le. �Drainfield is dry,no surfacing evident.
System is discharging to surface. Ta�ks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surfaoe diScharge. O Drainfield is saturated and visibly discharging untreated
I�spection r�sers missing—tanks cou4d not be inspected, effluent to the surface. This condition mey require replace-
� Inspection ri�era (4"dia.pipe)must be instaNed in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have�ot been pumped out within immediately.Repairs must be completed within 90 days.
� the last three years,they should be pumped out now. � Drainfield extent and condition unknown.
SII�E CHARACTEI�ISTICS:
Li�liting Site Facto�s ' Potential for System Failure Site Capabilities for
�O Slope ` (depends on soil types,water Future Expansion
� Soil a, table and system condition) �-Adequate
High water t�ble ,�Low ❑ Fair
❑ Lot size ❑ Medium O Poor
❑ Lake,wetland,or stream � ❑ High ❑ Inadequate
j❑ Drainage � ❑System is causing visible
� surface discharge.
CC�MMENTS:
9
ii
� Date of Insp�ction Septic System Inspector
i
N te: In the even that this i�spectio� repo�t is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
th report does n t guarantee or certify th�t an existing system will continue to function properly,but is merely an opinion of the adequacy
of the system un r current conditions based on the available information.
�, This report must be kept on the premises with system locatio�and pumping records.
I WHITE COPY/Inspector's File GOLD COPY/Homeowner
i
�
;
E i
� i
�
��..:� -" �... ��.T. _ �t' � _ ���
; ..� �„�,.. ���.-_..�_.._t - �c:...- 4 — _ - ' - _. , __ . .. _ . '
, �. � �
_ . , __
� ,
; � -. �._ . „-_.. -.-_ ._.....:. . -, . .. � �._-_�_ ' , ... . � :-..Ys. �;ss `s:rrg:�,�r �^f.�fra�'�r-�'►t'"'� _..R�a Wt�r.�rT� ..xyr.,. .-
,
>�.,::a r :..,_'� .�. .�' ' _ -. .._ :.,,.. . _. ._. . �• .�
' _.. � . _ .�.- . - .... " ,.l,.S�~•.
SSPTIC SYSTrM .P�2MIT APPI.IC�TON - PAG� Z �--- -,f.�;y_#, ._Y �___ ..A ,,,R`µ�,_#_ �
_ _ : �`. , _
.� �. ` +
Per.nit Type � FeAs (c�ec.� one) _..__ . , � �- -
New Construc�ion, Full System $75.00. . . . . . . . . ; � . . . . . . . - -
Re�Iace Existing System (1 or more new tanks & drainfield) $�0. 00. . .
Partial Replacement (replace just tanks or just drainfield) $30. 00. . .
$0.50 State surcharge_ added to above permit, fe�s . . _ �v �" ��
S�E FEE SCHEDULE FOR NON-�ESIDENTIAL PERMIT FEES
�� DO NOT MAIZ PA�TT WITH THIS gPPI,IC�TION
t***#�*�t**:********#******:****#*********#**#t***#t*#****3t***t**t*ftt�**#
NOTS: Ap�Iicant must initial all spaces. Fil 1 in alI azpropriate blanks,
check a11 appro�riate boxes.
Initial
� 1. I have received a copy of the system design including the
. City of Orono Septic System A�nroval Cover Sheet.
2. I will installing the folZowing:
A. Tanks: �Precast Concrete Other Manufacturer
Tank Capacities: I) � ���� aal. 2) f � C'��� gal. 3 ) Gl � OC� gal.
B. Pumn Station (if required)
Pumn make & model �r,.L��,�y ��,,,✓,���; ��`�I , (attach pump curve &
literat•sre) ; system des ' gn reauires ' 7 ggm at �-i� feet
of head. High water alar.n make & model�_Lti_-/�/�,�y n j�L�
O�tside electrical work to be completed by _installer
�� electrician other Inside electrical work
must be completea by electrician. .
C. Treatment System:
Trenches: s.f. Mound
Depth of rock below pipe " Rock bed dimensions L'x.�5�'
Drop Boxes Sand bed dimensions �'x '� '
Distribution Box Pressure Dist. Pipe Diam. �%z. "
Manifold Pi�e Diam. 2 "
D. Final Cover/Topsoil to be: borrowed from site '
_ (show Iocation on site plan)
._ _ ._ � trucked in
#:***#*�#*:*****f**:*****#*f**::t****#tt**:***:t**::#*****t*t:*****f*****t
7e undersigned hereby applies to the City of Orono for issuance of a
�ptic system installation permit, agrees to do all work in strict
�cordance with the ordinances of the City and the regulations of the State
' Minnesota, and certifies that a11 statements made on this app lication
=e complete,. true and c rrect. .
_ , . ._. _ . . ._ . � ,
-gnature, of AFplicant: ��'(,F-� '. . Date: /D -/�- �/
'CA Certification No. :
� � f
�S� �`� � `.,, � �_23���
�
�. . - - -
4: __. _: ... . ,- •----,�. �- - ..,-.: -�-_;. _: __ _ _
�. ... .. . � _ h �.. .- .. � �..��. .-.. - _ - � . ..
�
. �_, ,._ __ _ ..:: - _ - ��t� /Q � 3--��' _
- � ••�, �
- - APPI,SC�TION FOR' S3PTIC SYSTEM PERMST � ~ � �
- - -... . �.,�--- a
CITY OF ORONO ` ��� �Q�"�y�" / - �1 �J
Box 60' (1335 So Brown Rd) -=� " : � .
C�ystal Bay, MN . 55323
*:****�**:*::t*f*�:�**��**ff�*##*t#*f#t***t*�*�#�*tft****ft#**�*********#*�
Gezeral Instructions: � ` . . '
1. You may a��lv for septic system permits by mail or in person at the
City offices. However, pe�.ts will not be mailed out aad must be
pic?�ed up in person at the City offic�s.
2 . Permits are not valid untiZ you receive a permit card.
3 . Work must not begin unless the permit card is anailable on the job
site. '
4 . Permits will be issued only to contractors holding a City of Orono
Septic System Installer's Zicanse.
5 . A?1 work must be done in accordance with the approned septic syste*n
des�gn. Design re�orts are net considered a�proved unless accompanied
by tne "City os Orono Septic System A�proval" cover sheet signed by
the City Inspector.
6. The following ins�ections will be reauired for all segtic systems :
a) Pre-installation site ir.spect�on to include inspector, ins�al ler,
and ge�eral cont�actor.
b} Tank insta?lat�on Frior to covering.
c} Drain�ield t�ench instzllation prior to covering. (For mounds,
inspec�ion is required a=ter rough-up but prior to sand
placement, and again during nressure distribution piping
instal Iation in the rock bed.)
d) Final inspection to verify proger final. cover denths and to
verify that al 1 pump station (where required) components are
functional and com�ly wi�.� codes.
7. Individual hold=ng MPCP, Insta?ler Cer�ificate shall be present during
aIl inspe��ions. 24-hou� nct�ce is reauired for aIl inspections.
***f***t**:**:t***:*�**f*�***:**�*:***�:t**��:****�*f�*�:*�**�ft*******f***
JOB SITE �DDRESS: � � ( � � � � ��
Occupancy Type: Residential '� Commercial Other
Owner' s Name: V� �e c:� �l � �^-� P�+one: ��J�-/���
�iailing Address: _ City= Zip'
Sentic Contractor's Name: �c- �' vU �� �x C Bus. Phone: �7,�SC,�/
Mailing Address: - {� �" 7j ��'X -� City: �0�-��''-� ZiP = ��3�_3
*f***�t Xyr�k******�t�tsyr�tayr**�e:at���tvt*#�z*:es�t�t*yr*�f*�*�t**t�t*�tlr�tlrat�tatt3lt#�*��Y�tyr��t�t
- over -
,� .
� _ _
PUMP STATION REQUIREMENTS
J. MANIFOLD DISCHARGE ELEVATION FT J-1
ELEVATION AT PUMP ± FT J-2
DIFFERENCE (J-1 minus J-2) ��_��FT (ELEV. HEAD) � j
R. DISCHARGE LINE LENGTH (PUMP-T�-MANIFOLD) .�� FT �
DISCHARGE LINE DIAMETER (BETWEEN PUMP �i INCH
( 1 .5" or 2" typ. ) AND MANIFOLD)
FRICTION LOSS PER 100 FT OF PIPE:
(FRICTION LOSS IN FT/100 FT, PVC�
BR'S GPM 1 .5" PVC 2" PVC
****** ***** ********
3 26.6 4.21 1 .25 �
3+10� 28.8 4.87 1 .44
4 37.7 8.01 2.37 2 ►�i L,/
4+10� 40.0 8.91 2.64 / FT/100 FT O
5 44.4 10.81 3.20
5+10� 53.3 --- 4.50
1 .25 x OW x�X / 100 = HEAD LOSS DUE TO PIPE FRICTION
1 .25 x �^� x ��i / 100 = ► rD T �Y
L. ADD 5.0 FT BY DEFINITION FOR LOSSES IN LATERALS/MANIFOLD
TOTAL HEAD REQUIREMENT = 5.0 + VO+�Y
= 5.0 + Lp + � � = t 2 • � FT HEAD REQ'D
********
MINIMUM REQUIRED PUMP RATING:
y� GPM AT �,� , � FT TOTAL HEAD �
******** *******
SIDE 2
. _ --..._ ..'. . � . _ _ _. .Y. .
e
� SITE ADDRESS Z � F�7 N 1�"f� INSTALLER �w1�-�-W l�'�
PRESSURE DISTRIBUTION SYSTEM WORRSHEET - RESIDENTIAL
A. Number of laterals � OA (i L►C��Q►
B. Perforation spacing 3� ftOB r---
r -
C. Rock layer length�� �ft less 2 ft = �t� ft CO
(total length if erid load)
(� total length if ctr load)
D. Number of spaces between perf's = CO/OB = � spaces O
E. Number of perf' s per lateral = DO+ 1 = -1 perf s /lat. O
F Total perforations =�A x E�= �� Perforations OF
G. Flow rate per perf: If 1/4" perfs, us 0.74 G
If 7/32" perfs, use 0.56 gpm �
***** ********
H. Required flow rate =O x G�_*__��gpm * �
*** **********
STANDARD REQUIRED FLOW RATES ( 1/4" perfs, 3' spacing)
Rock Bed Length 37.5' 40.0' 50.0' S5.0' 63.0' 70.0'
Bedrooms 3 3+10$ 4 4+10$ 5 5+10$
Total # perfs 36 39 51 54 60 72
REQ'D GPM 26.6 28.8 37.7 40.0 44.4 53.3
**** **** **** **** ****
TO REDUCE REQ'D FLOW RATE:
1 . Use 7/32" perfs instead of 1/4" (Reduce GPM by 25�)
OR
2. Reduce number of perfs by increasing spacing between perfs
(Maximum spacing allowed = 5.0' ) (Re-calculate A thru H)
MAXIMUM ALLOWED PERFS PER LATERAL ;
End load Center load
Perf spacing, ft Lateral diam. : 1 .5" 2.0" * 1 .5" 2.0"
*
*
2.5 - - - - - - - - - - - - - - 18 28 ,*k 9 14
*
3.0 - - - - - - - - - - - - - - 17 26 * 9 13
*
3.3 - - - - - - - - - - - - - - 16 25 * 8 13
*
4.0 - - - - - - - - - - - - - - 15 23 * 8 12
*
5.0 - - - - - - - - - - - - - - 14 22 ,*k 7 11
*
SIDE 1 OF 2
��
��
• • � , �
" ��
� ��i�i��i i�■�=��■_�_�_ ■��������t��■
�■ ii�iii■ ■ iiiiiiiiiii=i
■■������t=■�■��■����_ ■���■����t�■t
�■�■ ■��a����■���■�■ ■ ■�■�����nN
■�■ ■ �■ ■ ■ �_ .
■ �
E: � � . �' ,
..�.■ �� �. • ' ' . �� . ,� -'.
' �iii� �iiiii=i ' �i��iii�ii�i
■■iiili='i �iiii= � imiiiiiiN����������■�■ �����■
■■����■��■������ �� ��� ■ N �������■ ■M�■
■■ ■� ■■ ■■ //��■
■■■■ ■■ ■�\����■ � � � ������■ ■��
■■��MM�������■ ■ ■■ ■■ ■■
■qt�/�� �N�■1��� t� ■■ ����u��■ ■■ ��■
� ■��1■N��/��■�■B�n <B■��nO r��� nN
■����■��� ■■ ■�■ ■f�s■ ■ ■��\� � r����■ ■ �H
■�����r■ ������� �� / ■������ � ����■■ ��H
�������� ■r����������� ■t■�■�■��� u v��� ■�
������_ ■a/�■■N �H�■��
■■��■�i■���'���� • ■ ■■ ■ �� ■■� ���■
■■<����N����\■ ��Ilf�� ��N��� ������� t ■���
■���■■ ��������_���
■���■ ����■ ■ ■■ ■��� ■■ ■���1��� ■■ ��■
� ���■���������t����Gr�� �■����� ■��/�■1�■ H N�
�����\ � ������ � ������t�� ��� ����u�� NH�O
�� ■�� �� �w� ■ �� �� ~�� ��� �� ■��
�'� .�,:�..
..�.... .�...�:. $, , ._��..���.. ..
... . .. ..... . � .. . .....� .......� .
■��_� ���■i��*��■=��u�����_!��l���� • ii =ii� =w
=_=_--� -� --- �- -- _- �=
� i=ii�i����=�i=���=����=��i=���i��. ■ �i� �w
::: "���_���_: � i�� � '�� .�
...� . a..
��■/��■■������■ N■ ���■■ �i� Mh�\�■: �M�
��a��� �������w ■ �� �� ■��� m
��N� N■ �� ��_�� _ ■ ■ ■
iiiii� �i==�i=�i� ��__��= ii�i► i=ii
�
����■�■ ���������� ■ n��������� �������� a�ai��iu
� , . � . � : � � � '
�
.�
�•� � I
� '
�
_ %
-,
�� . • • • i. � �
- . •�