HomeMy WebLinkAbout2016-00377 - new septic CITYOFORONO * 2016 - 00377 *
2750 KELLEY PARKWAY DATE ISSUED: 04/25/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 4645 ST.ANDREWS ST
PIN : 06-117-23-31-0011
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 14 BLOCK 3
PERMIT TYPE : SEPTIC
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT)
ACTIVITY : SEPTIC(MOLJND)
NOTE: (3)PRECAST CONCRETE TANKS EACH 1300 GALLONS
630 SQUARE FOOT MOUND TREATMENT SYSTEM
APPLICANT SEPTIC NEW OR REPLACEMENT 400.00
TOTAL 400.00
HAYES&SONS EXC.INC. Payment(s)
263 82ND STREET S.E. CREDIT CARD 5293 400.00
MONTROSE,MN 55303-
(763)479-1762
Minnesota State License#:sept-L640
OWNER
Source Land Development Inc.
18215 45TH AVE N
STE D
PLYMOUTH,MN 55446-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. 1'his permit is for only tt►e work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this typc of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time a8er work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. ,
- U ZS� !�� �� /�o
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Applicant Permitee Signature Date Issued B ignature Date
: _-„
.
CIty of Orono �Y Q�// ��
Y U� .
P.O.Box 66
��0 2750 Kelley Parkway Date Fdeoei 15 ,,� Per�#�J {�
Crystal Bay,MN 55323 /[�� O�
(952)249-4600 ��rdo�nt: $ 7�/X 1_
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t�kESH�4�
CITY OF ORONO— SEPTIC SYSTEM PERMIT APPLICATION
(All pertnits must be approved by the On-Site Septic Manager and/or Building Offician
. .�,.
Site Address: �(D 7� �f ' �����wf 5 �'�C�'�
Owner: �w� ��� �►'�^+�5 Mailing Address: ���/��
City: %n�ln�.— Zip:
Home Phone: �-�'�+� 5�'`'4"'"'"�'��a''"�-s° �'''� Alternate Phone:
�
Contractor/App.: '��-e�S �r►-• s Contact Person: �r�,��
Address: �� �3 �'�� ���• State License#: �— � `�C�
City: �r�'�� Zip: � b Expiration Date: /z
Phone: �12- � �� ��7�►�� Alternate Phone: ?b 3 '`�7 t � /7� Z
E 'F�� �, . ��.: �
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Residential ❑ Commercial ❑ Other
,.
� �:� � �
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New'or Replacement System $400.00 �X�
air Existing System 100.00
(Tanks or Drainfield)
� b
Total $ "/ b0
1 /2
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I will be installing the following:
Ta ks
Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other
(list manufadurer)
Number of Tanks: �
Size of Tanks: �CrU O U �'U
Treatment System
Trenches s.f.
� Mound s.f.
Gravel less s.f.
Chamber s.f.
NOTE: The contractor is required to provide an As-Built of the system before the
final inspection.
The undersigned hereby applies to the City of Orono for issuance of a septic system
installation permit, agrees to do all the work in strict accordance with ordinances of the City
and regulations of the State of Minnesota and certifies that all statements made on this
application are complete, true and correct.
Signature of Applicant Date: �����( �
MPCA License No.: �- � ��:,_./
Staff Review: L�Accept Denied
Reviewer: � Date:
Reason for Denial:
Comments (to be printed on inspection card):
2 / 2
. �
�
CITY OF ORONO—SEPTIC SYSTEM PERMIT APPLICATION
�.��.�, ��. �:
P �<� �_:�
1. Applications for septic system permits may be mailed or submitted in person at the City
offices; however, permits will not be mailed out. The permit must be picked up in person at
the City offices and work must not begin unless the permit card is on the job site.
*** DO NOT MAIL PAYMENT WITH THIS APPLICATION ***
2. Permits will be only issued to contractors holding a Minnesota Pollution Control Agency
(MPCA) Septic System Installers License.
3. All work must be done in accordance with the approved septic system design.
4. The following inspections will be required for all septic systems:
A. Tank installation prior to covering.
B. Drainfield trench installation prior to covering. For mounds, inspection is required after
rough up, but prior to sand placement (sand must be jar tested for silt content) and
again during pressure distribution piping installation in the rock bed.
C. Final inspection to verify final cover depths and to verify that all pump station (where
required) components are functional and comply with codes.
5. MPCA licensed Installers or their DRP (Designated Responsible Person) shall be present
during all inspections.
A 24-HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS.
3 /2
,.� � _—
C/.-�� /� �v /✓
/ � ✓
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l�� (�3 Joseph Olson D.B.A.
3� ��,� �q, � 7��usty Olson's--Soil and Percolation Testing
Joseph J. Olson--MPCA License#810
11481 Riverview Rd. NE, Hanover, MN 55341
(763) 498-8779 Fax (763) 498-$290
November4,201� (J�,J `� � 5•� , ,�v��Vt,W S S�� .
Swanson Homes �
Lot 14,Block 3 I:akeview of Orono
Orono,Hennepin Counry
This on-site Sewage 1'reatment System is designed for a Type 1, five bedroom home in accordance with the
Minnesota Poilution Control Agency Chapter 7080 and]ocal ordinances.
The periodically saturated soils were located at 12-28 inches(mottled soil). Due to the periodically
saturated soils,a pressurized mound system with 6 inches of rock will need to be installed to treat the septic
ef'fluent. The bottom of the treatment area must be located at least 3' above the saturated soils. This system
is designed with 6 inches of rock.
The soils at a depth of 12"have a percolation rate averaging 4.6 MPI.
All tanxs need to be insulated if there is less than two feet of cover over the top of the tanks.Clean outs
must be installed on the end of the laterals for maintenance.
lise 7i32 inch perforations on the laterals.
A 1300 gallon pumping chamber will need to be installed to lift the effluent to the treatment area. The
power supply and Switches must be located outside the manhole and pumping chamber in a weatherproof
enclosure. A warning device must be installed with light and sound devices;this is in case of a pump
failure. The manifold and supply line must have back drainage to the pumping chamber.
fCeep all heavv equipment off of the proposed treatment areas before during and af'ter construction.
The area around both sites must be fenced off bv the contractor before anv construction beeins.
`Nith proper installation and maintenance,this system should have no problem in treating septic effluent
effectively. Nothing other than gray water, (laundry, showers,etc.) Human water and toilet tissue should be
disposed of into the septic tanks. Garbage disposals are not recommended.Additives must not be used they
t��ay causz harmfu; damage to your septic system. lt is recommended that you pump the septic tanks every
two year�.
Sincerely, �
w/
�. .;osepn�. Olson CI'I'Y�F �R�ND
SEPTIC PERMIT PLAN REVIEW
INSPECTOR
i"—'\ PERMIT NO.
APPROVED AS SL'AMITTED
� APPROVGD WITH CORRFCTIONS AS T�'OTEn
THiS SYSTEM IS DESIGNED FQR NOT AAPROVBD-CORRECT&RESI;841IT
These comments aro for your information. Ali work shxll bc done
in full complianee with sU upplicable septic unel zoning code.
BEDROOMS. pNY INCRfASE IN NUMBER Requimments inciuding items not specificuliy notcd in thu revicw.
OF BEDROOMS INVALtDATES THIS DESlGN. KfiEP THIS PLAN S6T UN StTE AT ALL Ti�i�s
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a
MOUND SYSTEM DFSiGlV • ���� ��7
FYPe�_•_�'_Bedroom,Average percolatio�rate `�.G ����M 4�� 7
��l�e� '�H.#3�t.�_9 s q.�.
�SZ�.ga{i�ay ��_sq_ft.ot treatment a��ea 3v _(J20 ft. width=L 3 ft. iength of bed area $�rn��dv.' ����p�� �
---- �..r..a, �ttt ptt��r t�t��� �a�.�L...-9G y 7
Side sfope run� to 1 x y.� hei !tt=�3 (�_x ���tl i�� .��,��9 57,�f
- g �_ft. l awn area. ,�'�'�E?jtt��FE
CEean rack needec3 glus 20��cu_yds.Coarse��ras3�er�sar�d�cu.Yds.�luerag�sarid depth 2.� ������^""`�'�r��*��(�������
sa�,�. #��'� �`
Sartdy Ioa l� cu.yds.,Togsa�i b" 7 I cu.ycis. plus 50% ��io eu_Yds. ����W��
, �„'i#�it b{d��
Number o#tanks 2 .1�`tank 3uo gals.,2"`'tanic l�..'�•u_gals.,Pu�np Lharni�er capac��y i��'J gals_
�#��#�'1'1�'���:.�w,i N�;�u �..�,�us 1��,
�7 gals_f 10t31ineal feei o# 2. "��_Su��Y P��e.lineal teet r�eedetl� ��:� ": _1 l -- - �O� �k..�„"�a��....o r o�v �.
� � 04�IJJ � LNN�Ni.t> CiC?r....cfi;
--P-....�,.,...4.�.v,�.�._„
Distri�ution i f� ii�eai Feat, �/3�, �aa. ��rf � '" ____ � � �.,..�..
fJ�______"tiia_
orations � �o "a�ari . , _.._..__.__...�._ _
Ffoat set at �1_ 4_ga{s., `�_times per day Pump curve 3�rnin_�_feet head pressure.
. �tti8:l�,�,f,� nh. 7G3-498-8774 .
Ru��y i�aor���B��nd P�atat�,�'���
MinnesotaPollution OSTP Design Summary Worksheet UNIVERSITY
Control Agency OF MINNESOTA ��,
Property Owner/Client: Swanson Homes Project ID:C�v 06.12.13
Site Address: Lot 14, Block 3 Lakeview of Orono Date: 11/4/15
1. DESIGN FLOW AND TANKS
A. Design F(ow: � 750 Gallons Per Day(GPD) Note: The estimated design flow is considered o peok flow rate
including a sofety factor. For long term performonce, the average
B. Septic Tonks: daily flow is recommended to be< 60%of this value.
Minimum Code Required Septic Tank Capacity: 2250 Gallons,in C�Tanks or Compartments
Recommended Septic Tank Capacity: 2250 Gallons,in ��Tanks or Compartments
Effluent Screen: No Alarm: No
C. Ho(ding Tanks Onl y:
Minimum Coae Required Capacity:��Gatlons,in C�Tanks
Designer Recommended Capacity:�Gallons,in �Tanks
Type of High Level Alarm:
D. Pump Tonk 7 Capa:ity(Code Minimum):�Galtons Pump Tank 2 Capacity(Code Minimum): �Gallons
Pump Tonk 1 Capacity(Designer Rec): ��Gallons Pump Tank 2 Capacity(Designer Rec): �Galtons
Pump 1 36.0 ~GPM Total Head 19.6 ft Pump 2�GPM Total Head �ft
Suppty Pipe Dia. 2.00 in Dose Volume:�gal Supply Pipe Dia.�in Dose Volume:�gal
2. SYSTEM TYPE
Type of Soil Treatmenc and Dispersai area* Type of DisMbution*
Q Trench Q 6ed QQ Mound �Gravity DkRbution Q Ressure Dlstribudon•Level Q Ressure Distrdwdm-Unlevel
Q Drip Q Hoiding Tank �At-Grade "Selection Required Benchmark Elevation: sea level ft
Benchmark Location: Set by E.V.S.
System Type
Type of Distribution Media:
[j TYpe I ��Type Ii [�]Type III [j Type IV �Type V �Drainfield Rak ❑Registered TreaUnent Medla:
3. SITE EVALUATION:
A. Depth to Limiting Layer: 14 in 1.2 ft B. Measured Land Slope%: 6.0 %
C. Elevation of Limiting Layer.� D. Soil Texture: Loam —�
E. Loc. of Restricive Elevation:� F. Soil Hyd. Loading Rate: 0.45 GPD/ftZ
G. Minimum Required Separation: 36 in 3.0 ft H. Perc Rate: 4.6 MPI
I. Code Maximum Depth of System: Mound in Comments:
4. DESIGN SUMMARY
Trench Design Summary
Dispersai Area�ftz Sidewall Depth���n Trench Width���
Total Lineal Feet�ft Number of Trenches� Code Maximum Trench Depth���
Contour Loadir�Rate��ft Designers Max Trench Depth��in
Bed Design Summary
Absorption Area��ft2 Media Below PiPe�in Code Maximum Bed Depth�in
Bed Width�ft Bed Length��ft Designer's Max Bed Depth�_�in
MinnesotaPollution OSTP Design Summary Worksheet UNIVERSITY
Control Agency OF MINNESOTA ��
Mound Design Summary
absorp;ion Area 625.0 ftZ Bed Length 63.0 ft Bed Width 10.0 ft
Absorption Width ��,p ft Clean Sand Lift �,g ft Berm Width (0-1%)�ft
Upslope Berm Width 11.0 ft Downslope Berm Width 22,p ft Endslope Berm Width 13.0 ft
TotalSysterr Length 89.0 ft TotalSystem Width 43.0 ft Contour Loading Rate 12.0 gal/ft
At-Grade Design Summary
Absorption Bed Width�ft Absorption Bed Length�ft System HeightC�ft
Contour Loading Rate��gal/ft Upslope Berm Width�ft Downslope Berm Width��ft
Endstope Berm Widthr_�ft System Length�ft System Width��ft
Level&Equal Pressure Distribution Summary
No. of Perforated Laterals�� Perforation Spacin4�ft Perforation Diameter 7/32 in
Lateral Diameter 2.00 in Min. Delivered Volume�gal Maximum Delivered Volume 188 gal
Non-Level and Unequal Pressure Distribution Summary
Elevation � Pipe Votume Pipe Length Perforation Size
(it) Pipe Size(in) (gal/ft) (ft) (in) Spacing(ft) Spacing(in)
Lateral1
Minimum Delivered Volume
Lateral 2 � C�gal
Lateral3 I ,
Lateral 4
� Maximum Delivered Volume
Lateral 5 �
Lateral 6 �8a1
5. Additional info fo-Type IV/Pretreatment Design
A. Ca(cu(ate the organic loading usinq option 1 or 2
1. Organic Loading =Pounds of B00 X Units
��'lbs/day X � _ ��bs BOD/day
2. Organic Loeding tc�retreatm.ent Unit =Design Flow X Estimated BOD in mg/L in the effluent X 8.35=1,000,000
_Jgpd X �mg/L X 8.35=1,000,000= ��bs BOD/day
B. Type of Pretreatment Unit Being Installed:
�• Calcutate Soi(Treatment System Orgonic Loodinq: (bs. BOD/doy�Bottom Area =lbs/day/ft2
I lbs/day= ��ptz= �lbs/day/ftZ
Comments/Specsal Cesign Considerations:
I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws.
Joseph.,Olson � g�p 11/04/15
(Designer) (Signature) (License#) (Date)
OSTP Mound Design
UNIVERSITY
MinnesotaPollution �yorksheet > 1 % Slope OF MINNESOTA
Control Agency .��.
1. SYSTEM SIZING: Project ID: v 06.12.13
a. Design Ftow: 750 GPD TABLE IXa
B. Soil Loading Rate: 0.45 GPD/ftz LOADING RATES FOR DETERMINING BOTTOM ABSORPTION AREA
AND ABSORPTION RATIOS USING PERCOlAT10N TESTS
C. Dept�: to Limiting Condition: 1.2 ft �etmeMLeveIC TreetmeML�w1A,A•2,E,
Percolatlon Rate ��tlO° AAound �� /Npy�
D. Percent Land Slope: 6.0 3� �"�> �`�1oid1ne "f°�O°�"�
Rau ADxxptl°^ Rate MsorPdon
flPd/R') Ratio (��� RKip
E. Design Media Loading Rate: 1.2 GPD/ftZ �o, .
� �
�. Maund Absorption Ratio: 2.60 0,cos �.2 � i 6 �
0'I fo 5(t�ne und 0.6 2 1 �,g
Tdble I antl�oa hne sarw
MOUND CONTOUR LOADING RATES: s to is o.78 t.s 1 �,e
CO�1t0ur �6 to 30 0.6 2 0.78 2
Meawred ' Texture•dcrivcd
Perc Rata OR mourld ab5orption ratio Loading 31 co 45 0.5 2.4 0.78 2
• RdtO: qg to gp 0.45 2.6 0.8 2.8
=60mp± 1.0, 1.3. 2.0. 2.�i. 2.6 _12 6i�o i2o - 5 0.3 S.3
. >120 - • - .
61-i20mpi OR 5.0 c12
. *Systems with these values are not Type I systems.
: izo ma;• ,5,0� :6. Contour Loading Rate (linear loading rate) is a
recommended value.
2. DISPERSAL MEDIA SIZING
A. Calcuiate Dispersal Bed Area: Design Flow= Design Media Loading Rate =ftZ
i 75G GPD : 1.2 GPD/ftZ = 625 ft2
I`� largcr dispersal media area is desired, enter size: 630 ftz
B. Enter Dispersai Bed Widih: 10.0 ft Can not exceed 10 feet
C. Calculate Contour Loading Rate: Bed Width X Design Media Loading Rate
j�ftZ X 1.2 GPD/ftZ = 12.0 gaVft Can not exceed Table 1
D. Calculate Minimum Dispersal Bed Length: Dispersal Bed Area = Bed Width = Bed Length
i 630 �ft2 : 10.0 ft = 63.0 ft
3. ABSORPTION AREA SIZING
A. Calcutate Absorption Width: Bed Width X Mound Absorption Ratio =Absorption Width
�10.0 �ft X 2.6 = 26.0 ft
B. Fcr stcpes >1%, the Absorption Width is measured downhill from the upslope edge of the Bed.
Catculate Downslope Absorption Width: Absorption Width • Bed Width
26.0 ft - 10.0 ft = 16.0 ft
4. DISTRIBUTION MEDIA: ROCK
A. Media Votume: Media Depth X Length X Width
1.00 ft X 63.0 ft X 10.0 ft = 630 ft3 = 27 - 23 yda
5. DISTRIBUTION MEDIA: REGISTERED TREATMENT PRODUCTS: CHAMBERS AND EZFLOW
A. Enter Dispersal Media:
B. Enter the Component Length: ��ft Enter the Component Width: �ft
C. Number or Cornponents per Row= Bed Length divided by Component Length (Round up)
�� ft - � ft = �components/row
D. Actual Bed Length = Number of Components/row X Component Length:
�- components X �ft = ��ft
E. Number of Rows = Bed Width divided by Component Width (Round up)
� ft : �� pt= �� rows Adjust width so this is an whole number.
F. Total iVumber of Components = Number of Components per Row X Number of Rows
� X �� - �components
6. �YI�Ut�D SIZiNG
A. Catculate Minimum Clean Sand Lift: 3 feet minus Depth to Limiting Condition =Clean Sand Lift
3.0 f: - � ?.2 ft = 1.8 ft Design Sand Lift (optional): �ft
B. Calculate Ups,ope Height: Clean Sand Lift + media depth +cover (1 ft.) = Upslope Height
� ���� �� - 0.8 ft + 1.0 ft = 3.6 ft
C. Select Upslope Berm Muttiplier (based on land slope): 3.03
Land Siope o 0 1 2 3 4 5 6 7 8 9 10 11 12
� Upslcpe �?erm 3:1 3.00 2.91 2.83 2.75 2.68 2.61 2.54 2.48 2.42 2.36 2.31 2.26 2.21
Ratio 4:2 4.00 3.85 3.70 3.57 3.45 3.33 3.23 3.12 3.03 2.94 2.86 2,7g 2,7p
D. Calcuiate Upslope Berm Width: Multiplier X Upslope Mound Height = Upslope Berm Width
3.03 ft X 3.6 ft = 11.0 ft
E. Catcu:ate Drop in Elevation Under Bed: Bed Width X Land Slope : 100= Drop (ft)
10.0 ft X 6.0 � = 100= 0.60 ft
F. Calcuiate Downslo pe Mound Hei gh t: U p s l o p e H e i g h t + D r o p i n E l e v a t i o n = D o w n s l o p e H e i g h t
3.6 ft + 0.60 ft = 4.2 ft
G. Select Downslope Berm Multiplier (based on land slope): 5.26
Land Slope% 0 1 2 3 4 5 6 7 8 9 10 11 12
Downsiope 3:1 3.00 3.09 3.19 3.30 3.41 3.53 3.66 3.80 3.95 4.11 4.29 4.48 4.69
Berm Ratio 4:1 4.00 4.17 4.35 4.54 4.76 5.00 5.26 5.56 5.88 6.25 6.67 7.14 7.69
H. Calculate Downslope Berm Width: Multiplier X Downslope Height = Downslope Berm Width
5.26 x 4.2 ft = 22.0 ft
i. Catcu!ate Minimum Berm to Cover Absorption Area: Downslope Absorption Width +4 feet
16.0 ft +�� ft = 20.0 ft
J. Design Downstope Berm = greater of 4H and 41: 22.0 ft
K. Select �"r.dslope Berm Multiplier: 3.00 (usuQ!(y 3.0 or 4.0)
L. Calcul«te Endslope Berm X Downslope Mound Height = Endslope Berm Width
3.00 ft X 4.2 ft = 13.0 ft
M. Calculate Mound Width: Upslope Berm Width + Bed Width + Downslope Berm Width
11.0 ft + 10.0 ft + 22.0 ft = 43.0 ft
N. Calculate Mound Length: Endslope Berm Width + Bed Length + Endslope Berm Width
13.0 ft + 63.0 ft + 13.0 ft = 89.0 ft
7. MOUND DIMENSIONS
,,- ---------------------
------ —--------
� ; ,-� Upslope (4.D) 11.0 `'�
.
I I ` �
,
,
; �
, �
� n � � Dispersal Bed: 12.B x 2.C) '
Endslo e (4.L} � Endslo e 4.L
� 10 ►
" M ' � �
� � �3.0 �— 10.0 X 63.0 � 13.�,
3 ; � '
�
a � � '
� , �
�
�j �', 22 0 %
,
�s Downslope (4.J) "
� �------------------------------------- —--------
�
Total Mound Len th (4.N} 89•0
4" inspection pipe
18" cover on top 22 �
U slope berm (4.D) Downslo e berm 4.J
��.o
12" cover on sides
(6" topsoit)
Clean sand lift (4.A) �.g
_ ";t�; .�� _�.. �i _ ,� , � .�� �
,.;� , ,; ,� �; - ,__ _ _ _._ . � i.z
_ _
Absor tion Width (3.A) _ - - - -_-_____�_ .
Note: 26.0
For 0 to 1% slopes, Absorption Width is measured from the Bedequally in both directions.
For slopes >1�, ,46sorption Width is measured downhill from the upslope edge of the Bed.
Comments:
OSTP Mound Materials Worksheet UNIVERSITY ��
Minnesota Pollution OF MINNESOTA �
Control Agency `t,
ProjectlD: v 06.12.13
A. Calculate Bed {rock)Vo(ume:Bed Length (2.0 X Bed Wrdth 2.B)X Depth =Volume ft3
63.0 ft X 10.0 ft X 0.8 = 504.0 ft;
Divide ft3 by 27 ft;/yd3 to calculate cubic ards:
504.0 ft� = 27 = 18.7 yd3
add 20�ror constructabiiity: 18J yd3 X 1.2 = 22,4 d3
Y
B. Calculate C(eon Sand Volume:
Volume Under Rock bed:Average Sond Depth x MediQ Width x Media Length =cubic feet
z•1 ft X 10.0 ft X 63.0 ft = 1323.0 ft;
For a Mound on a slope from 0-1%
Volume from Ler.gth=((Upslope Mound Height-1 j X Absorption Width Beyond Bed X Media Bed Length)
� � fi - 1) X X ft -
Volume from Widcr=((Upslope Mound Height-1)X Absorption Width Beyond Bed X Media Bed Width)
ft -1) X X ft -
Tota!Ciecn Sand vo(ume: Volu�me from Length+ Volume from Width+Vo(ume Under Media
ft3 + ft; + ft' = ft3
For a Mound on a slope greater than 1°6
Upslope Volume: ((Ups(ope Mound Height - 1)x 3 x Bed Length)+2=cubic feet
((� 3.6 ft -1� X 3.0 ft X 63.0 )+2- Zq4,� ft3
Downslope Vo(�ne: ((Downs(ope Height- 1) x Downslope Absorption Width x Media Lenqth)+2=cubic feet
(! 4•2 ft-1) X 16.0 ft X 63.0 )�2= 1604.4 ft3
Ends(ope Volume: ,'Downsicpe Mound Height- 1) x 3 x Media Width =cubic feet
( 4•2 ft-1 ) X 3.0 ft X 10.0 ft = 95.5 ft;
Tota!C(ean Sand Volume: Ups(ope Volume +Downslope Volume +Endslope Vo(ume +Vo(ume Under Media
� 2��.� � r"i' + 1604.4 qt3 , pt3 + 1323.0
95.5 ft3- 3267.0 ft3
Divide`t'by 2.'f�'/yd3 tc c�!culzte cubic yards: 3267.0 ft; s 27 = 121.0 yd3
Add 20%for constructability: �2�,0 ; - 3
yd X 1.2 - 145.2 yd
C. Calculate Sondy denT Vo!ume:
Tota!Berm Vo(ume(opprox):((Avg.Mound Height-0.5 ft topsoil)x Mound Width x Mound Length)+2=cubic feet
i j•9 i _ 0.5 )ft X 43.0 ft X 89.0 )+2= 6474.7 ft;
Tota(Mound Vo(ume-C(ean Sand vo(ume-Rock Vo(ume=cubic feet
6474.7 ft3 _ 3267.0 ft' - 504.0 ft; = 2703.6 ft'
Divide ft'by 27 fr'lyd3 to calculate cubic yards: 2703.6 ft3 � 27 = 100.1 yd3
Add 20%for constru�tability: 100.1 yd3 x 1.2 = 120.2 d3
Y
D. Catculate Topsoi!Moterio! Vo(um,e: Toto!Mound Width X Tota(Mound Length X.5 ft
43.0 ft X 89.0 ft X 0.5 ft = 1913.7 ft3
Divide ft''by 27 ft'/yd'to calculate cubic yards: 1913.7 ft3 s Z7 - �p�q yd3
Add 20%for const�uctability: 70.9 yd' x 1.2 = 85.1 3
yd
OSTP Pressure Distribution
Minnesota Pollution Design Worksheet UNIVERSITY
Control Agency OF MINNESOTA `Z,�-
Project ID: v 06.12.13
1. Media Bed Width: �� ft
2. Mini;�nGm Number of Laterals in system/zone = Rouded up number of [(Media Bed Width - 4) = 3] + 1.
(� 10 - 4 ) + � _ ��laterats Does not apply to at-grades
3. Designer Selected Number of Lotero(s: C_Jlaterals
Cannot be less thnn (irre 2 (accept in at-Qrades) __
4. Select Perforation SpQcing 3.0 ft , . ���.�.��`.-;`.M` '_
M�niimun
�w�l���nlnx��y�.u.vl i'.��n��� 1')•W�a4 '- 1�'
5. Select Perforation Diometer Size: 7/32 in ,....�.w, "
����V�� 1h.�ldn�xH�4wxiny]'b�1•
I.rlu�.�1�.����� ��/.
b. �ength or Latera(s = Media Bed Length - 2 Feet.
63 - 2ft = 61 ft Perforation can not be closer then 1 foot from edge.
� Determine ine Number of Perforation Spaces. Divide the Length of Laterals by the Perfororion Spacing
and round down to the nearest whole number.
Numb�r�;'�erforotion Spoces 61 ft = �ft = 20 Spaces
Number of rerforotions per Lotero( is equal to 1.0 plus the Number of Perforation SpQces. Check table
8. betow to verify the number of perforations per lateral guarantees less than a 10%discharge variation. The
value is doubie with a center manifold.
Perforations Per Loteral = 20 Spaces + 1 = 21 Perfs. Per Lateral
Mlazimum t�mber of P�erforatiorn Rer taten)to Gu�r�r�tee<10lf Discltirye Y�ri�tian
':Irxn P orarions 1/32 Inch Perforatia�s •
Perforat�on Spann�IFeetl �Re DiarnetQr!lnchesl Perforation SpxinB �Pe�'Anthesl
t tl� ft: 2 3 (feet! t tK i�h 2 3
� 10 i 13 18 30 60 2 11 16 21 3� 6a
��'= 8 !2 16 28 54 2µ 10 14 20 31 b4
j e 11 16 25 52 3 9 14 19 � 60
3.'16lnch Pertoracioru 1�B inth Perforations
Perforation SFeactnq IFeetl �����IIM�� P�aation Spacing Pipe pi�rr�(�nthes)
' tia � tv: 2 3 (Feet1 t t�t 1�4 2 3
� 12 �8 2b 46 a7 1 21 33 M 74 149
��� ?2 �7 24 44 80 2�h 20 30 41 69 135
s 12 + 1h 22 31 75 3 20 2q 3� �{ 1�
9• Tota( Number or Perforations equats the Number of Perforations per Latera! multiplied by the Number of
Perforoted Laterols.
27 �Perf. Per �at. X � 3 �Number of Perf. Lat. = 63 7otal Number of Perf.
�-----�
10. Select ;ype of Man�fola Connection (End or Center): � End ❑ Center
11. Select Lateral Diameter (See Tab(e): 2.00 in
OSTP Pressure Distribution
Minnesota Pollution Design Worksheet UNIVERSITY
Control A enc OF MINNESOTA '�,,�-
12. Calculate the Squore Feet per Perforcrtion. Recommended volue is 4-11 ftZ per perforotion.
Does not appfy to At-Grades
a. Bed A�-e� = Bed Width (ft) X Bed �ength (ft}
10 f ft X ! 63 ft = 630 ftZ
b. 5quare Foo�per r�erforation = Bed Area divided by the Totol Number of Perforations.
630 ft2 .- 63 perforations = 10.0 ftZ/perforations
i �
13. Sel2ct Mrnimum Average Head: 1.0 ft
14. Select Perforation Dischorge (GPM) based on Table: 0.56 GPM per Perforation
�5• Deterrn�ne required Flow Rate by multiplying the Tota!Number of Perfs. by the Perforation Discharge.
63 Perfs X 0.56 GPM per Perforation = 36 GPM
16. Vo(ume of Liquid Per Foot of Distribution Pipinq (Toble ll): 0.170 Gallons/ft
17. Volume of Distribution Piping =
Table II
_ [Number of Per-forated Laterafs X Length of Lcrterals X (Volume of Volume of Liquid in
Liquid Per �oot of Distribution Piping] piPe
Pipe Liquid
3 j X 61 ft X 0.170 gal/ft = 31.1 Gallons �ameter Per Foot
(inches) (Galions)
18. Minir,,um Deiivered Votume = Volume of Distribution Piping X 4 1 0.045
1.25 0.078
� 3 i.1 �gals X 4 = 124.4 Gallons 1.5 0.110
2 0.170
mani ol pipe� 3 0.380 i
r
� 4 0.661 �
� _-Cleanouts '� ^ �—'
pipe from pump —'�
,,
�
lean outs ; Manifold pipe�,
♦ '
,
� �� , �
� � ---
alternate location --
of i e trom um ` �Alumate bcation
of pipe from pump
Pi e irom m
Comments/Specia! Jesi�n Considerations:
OSTP Pressure Distribution
Minnesota Pollution Design Worksheet UNIVERSITY
Controi Agency OF MINNESOTA `1,,`*-
OSTP Basic Pump Selection Design
UNIVERSITY
Minnesota Pollution Worksheet OF MINNESOTA
Control Agency �.�
1. PUMP CAPACITY Project ID: v 06.12.13
Pumping to Gravity or Pressure Distribution: Q cravicy �i ctesare Selection required
t. If pumping to gravity enter the gallon per minute of the pump: �GPM (10-45 4pm)
2. If pumping to a pressurized distribution system: 36.0 GPM
3. En[er pump tlescnption:
2. HEAD REQUIREMENTS a�md��m��
A. Elevation Difference 12 ft " �
between pump and point of discharge: s�y�u
nlet pipe
6, Distribution Head Loss: ��ft ' w�dence�•'.
C. AdditionalHeadLoss: �ft(duetospecialequipment,ecc.� ............................. ..............
Table I.Friction Loss in Plastic Pipe er 100ft
Distribution Head Loss
Grav;ty �istribution = oft Flow Rate __ Pi e Diameter�inches►
(GPM) 1 1.25 1.5 2
Pressure Distribution based on Minimum Average Head 10 9.1 3.1 1.3 0.3
Value on Fr�ssu:e Distribution Worksheet: �Z �2,$ 4.3 1.8 0.4
MinJmum Avera e Head Distributlon Head l.oss 14 17.0 5.7 2.4 0.6
7rt 5ft �6 2�,g 7.3 3.0 0.7
2ft 6ft 18 9.1 3.8 0.9
�f� 1 Oft
20 11.1 4.6 1.1
25 16.8 6.9 1.7
D. 1.Supp;y Pipe Diarn�ter: 2.0 in 30 23.5 9J 2.4
35 12.9 3.2
2.Supply Pipe!engc�� 63 ft 4p 16.5 4.1
E. Friction Loss in?iastic Pipe per 100ft from Table I: `�5 20.5 5.0
50 6.1
Friction Loss= 3.32 ft per i00ft of pipe 55 7,3
60 8.6
p, Determine Equivelenc Pipe Length frcm pump discharge to soil dispersal area discharge 65 10.0
point. Estimate�y adding 25%to supply oipe length for fitting loss. Supply Pipe Length 70 I ��'4
(D.2) X 1.25=cauivalent Pipe Length
75 ! 13.0
63 ft X 1.25 = 78.$ ft 85 16.4
95 I 20.1
G. Calculate Supp(y Friction Loss by multiplying Friction Loss Per f00ft (Line E)by the fquiva(ent Pipe Lengih (Line F)and divide by 100.
Supply Frictio.^.Loss=
'•32 ':?2:".00ft X 78.8 ft + 100 = 2.6 ft
H• Totof Heod requirement is the sum of the Elevotion Difference (Line A),the Distribution Head Loss(Line B),Additional Head Loss(Line C),and the
Supply Friction Loss(_ine G )
1�.0 if; + �-5.0 ft + �ft + 2.6 ft = 19.6 ft
3. PUMP SELECTIO�
A pumo must be selected to deliver zt least 36.0 GPM(Line 1 or Line 2)with at least 19.6 feet of total head.
Comments:
Lo9s of Soil Borinqs
License#810
Location or Project: Lot 14, Blk 3
Borings made by: Rusty Olson's Soil and Perc testing 6/1/2014
Ciassificatian System: AASHO ; USDS�USDS-SCS X ; Unified ; Other
Auge� us�� ��heck two): Hand_X_, or Power , Flight, Bucket or Probe X
Boring �lumb,=�_1_Sur�ace elevation_964.7 Mottled Soil at 1.7 feet
0"-8" Dark bro;.,vn loam 10yr3/2 H20 present at_X_
8"-2�" Brotq�n I�am 105�r4/4
20"-26" Rusty brown loam 10yr5/4
Boring R1L�mber_2+Surface elevation_964.7 Mottled Soil at_2.3 feet
0"-i 8" �Jark �re��m loam 1�yr3/2 H20 present at_X
18"-28" Brown loam 1�yr4/4
28"-36" Rusty brown loam 10yr5/4
Borir.g �lumbe�_�3�Surtace elevation_959.2 Mottled Soil at 1.2 feet
0"-14" Dark �ro�m loam 14��r3/2 H20 present at X,_
14"-20" Rusty brown loam 10yr4/3
Boring Number 4�Surrace elevation_959.2 Mottled Soil at 1.7 feet
0"-�2" Dark brown loam 1 Qyr3/2 H20 present at_X
12"-20" Brown loam 10yr4i4
20"-28" Rusty brown loam 10yr414
Boring Number�5_SurFace elevation_964.7 Mottled Soil at 2.2 feet
0"-12" DarK brown loam 1�yr3/2 H20 present at_X
12"-16" ECrOwiz iC&111 1Cyr4�`"4
16"-26" BrOwn !oarr5 1�y`r5/4
26"-30" Rusty brown loam 10yr5/4
Borir,g i�ui�bE�� 6 Su�face elevation_957.4 Mottled Soil at 1.0 feet
0"-�2" DGf"< �r����:� foar;�. i Jyr3/1 H20 present at X_
12"-2�" �usiy c:;rk brovm loam 10yr3/2 —
Percolation Test Data Sheet
Lic.#810
Percolating test readings made by: Rusty Olson's Perc. starting at 9:44 A.M. On 7/3/14
Location: Lot 14 Blk 3
Hole number: 1
Date hole was prepared: 7/2/14
Depth of hole bottom_12"_inches, Diameter of hole 6" inches.
Soil dafa i;or:� test hole�
Depth, inches Soil texture
0-8" Dark Brown Loam 10yr3/2
$-"2" Brown Loam 10yr4/4
ME;hod of scratching side wall: Knife
Dep�h of gravel in bottom of hole 2 inches:
Date of initial water filling 7/2/14 depth of initial water filling 12 inches above the hole bottom
Method used ±o maintain at least 12 inches of water depth in hole for at least 4 hours Automatic Siphon
Maximum water depth above hole bottom during tests 6 inches
Time Time Depth Drop in H20 Perc Rate
9:54 10:Q9 6" 2.g 5 2
?0:?� '0:31 6" 2.8 5.3
1 C:32 ;J:47 6" 2.8 5.3
AVERAGE PERC. RATE 5.3 MPI
Percolation Test Data Sheet
Lic.#810
Percolating test readings made by: Rusty Olson's Perc. starting at 9:44 A.M. On 7/3/14
Location: Lot 14 Bik 3
Hole number: 2
Date hole was prepared: 7/2/14
Depth of hole bottom _12"_ inches, Diameter of hole_6"_inches.
Soil data firom rest hole:
Depth, inches Soil te�ure
0-1?" Dark Brown Loam 10yr3/2
Met��od of scratching side wall: Knife
Depth of grave! in bottom of hole 2 inches:
Date of initial water filling 7/2/14 depth of initial water filling 12 inches above the hole bottom
Method used to maintain at least 12 inches of water depth in hole for at least 4 hours Automatic Siphon
Maximum water depth above hole bottom during tests 6 inches
Tim�e Tme Depth Drop in H20 Perc Rate
9:55 10:10 6" 4.0 3.7
14:?� 10:30 6" 3.8 3.9
i 0:33 '0:48 6" 3.7 4.1
AVERAGE PERC. RATE 3.9 MPI
Percolation Test Data Sheet
Lic.#810
Percolating test readings made by: Rusty Olson's Perc. starting at 9:44 A.M. On 7/3/14
Location: Lot 14 Bik 3
Hole number: 3
Date hole was prepared: 7/2/14
Depth of hofe bottom_12"_inches, Diameter of hole 6" inches.
Soii daia zra�r; fest hoie:
Debth, inches Soil texture
�-"?'� Dark Brown Loam 10yr3/2
Method of scratching side wall: Knife
Depth of gravei in bottom of hole 2 inches:
Date of initial water filling 7/2/14 depth of initial water filling 12 inches above the hole bottom
Method used to maintain at least 12 inches of water depth in hole for at least 4 hours Automatic Siphon
Maximum water depth above hole bottom during tests 6 inches
Time Time Depth Drop in H20 Perc Rate
9:5E 10:1 i 6" 3.8 3.9
�0:14 1 C:29 6" 3.7 4.1
10:3�} ?�;:49 6" 3.7 4.1
AVERAGE PERC. RATE 4.0 MPI
Percolation Test Data Sheet
Lic.#810
Percolating test readings made by: Rusty Oison's Perc. starting at 9:44 A.M. On 7/3/14
Location: Lot 14 Blk 3
Hoie number: 4
Date hole was prepared: 7/2/14
Depth of hole bottom_12"_inches, Diameter of hole 6" inches.
Soii data frorn fest ho1�:
Depth, inchps Soil texture
0-��" Dark Brown Loam 10yr3/2
Met�;od of scratching side wall: Knife
Depth of grave! in bottom of hole 2 inches:
Date of initial water filling 7/2/14 depth of initial water filling 12 inches above the hole bottom
Method used ta maintain at least 12 inches of water depth in hole for at least 4 hours Automatic Siphon
Maximum water depth above hole bottom during tests 6 inches
Time Tim� Depth Drop in H20 Perc Rate
9:�7 1 C:12 6" 3.0 5.0
10:1� 1 Q:28 6" 2.9 5.2
i0:35 ?!?:5� 6" 2.9 5.2
AVERAGE PERC. RATE 5.1 MPI
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�KE`"°�� City of Orono Septic Asbuilt Form
Address_ _ �-�-� �� s . v�'�t drG cvs' v��/'��� Building Use ��
Installer hjQyes � .sm o't y' License # L C�'-/� Date S-�� --1 (�
Septic Tanks � �— ! -�jp�'s� Pump Tank l -- 13��
System Type �I ❑II ❑III ❑Mound ❑Trenches ❑Pressure Bed ❑Other
Draw detailed diagram with measurements indicating distances to tank risers using 2 points from a permanent
structure. Show location of drop boxes and length of trenches.
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. / COMPLETED !� d //-'Qa
ADDRESS `� S7" d!�'G+'�/ �PiG
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION SQ9l�S �Q�i r!Gu�l4rl
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI � SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLAC ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OYYNERlCONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
�
a
o � - � O�/'G yl S G�d' h i
� � 1
0
W
�
Q
�
2
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W
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W ❑WORK SATISFACTORY:PROCEED O PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OHDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (g52) 249-4600
OwnerlContra on site:
Inspector:
White Copydnapecto�'s File Cenary CopylSite Notiee
' � j��r�y--
���Z/ =�� >> ✓
DATE � TIME
CIn OF ORONO CALLED IN � `
INSPECTION NOTI E 7 SCHEDULED ��(�J
PERMIT NO. 3� COMPLETED
ADDRESS ��D �S �.�1` . f�(d� �J-
OWNER TELEPHONE NO.��� -����1�
CONTRACTOR ?
.
� DESCRIPTION
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC INAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
�
W
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� � 7� � C d' J
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�
� (Y� � l�O���l /.�7/I
W
�
Q
�
2
W
�
W
�
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pf{OTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContra on site:
Inspector.
White Copyllnspector's File Canary CopyfSite Notice
DATE TIM
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMfT NO. ��Il> �'0�3�� l coMP�Ere� �/�r i!;,3��
ADDRESS �l�'Cv`�`7��"�� �,r�>✓� ,S f'r ,z�f
OWNER �ti'=��y��1 �"���.TELEPHONE NO.
CONTRACTOR � `t" _ %> � _:
� DESCRIPTION ��r J ��� �� / ��'���
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
�,_, ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
r ❑ DEMO-SITE �SEPTIC INSTALL
2 OWNERlCONTRACTOR TO MEEi YOU:_YES_NO
v�i COMMENTS:
W
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`�WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
�' ❑�RRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALI.TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContra�r on site:
Inspector � i� ��r-�
White Copyllnspector's File Gnary CopylSfte Notks
tY
f��C�
D TE TIME
CITY�F G��NO CALLED IN
INSPECTION NOT E O�� SCHEDULED �D
PERMIT NO. ' COMPLETED
ADDRESS � � ���"''�
OWNER TELEPHO ENo��a-�r�5-�s�
CONTRACTOR � ��� ��a�/�S
� DESCRIPTION � �
tN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ PTIC INSTALL
2 OWNERICONTRACTOR O MEET YOU:�YES_NO
4
� COMMENTS: drr�rf l(j 4.� !J!�
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
�RRECT WORK,CAII FOR REINSPECTION TEMPORARY
EFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-460�
OwnerlCon or on site:
�
Inspector
White Copyflnspector's File Canary CopylSite Notice