HomeMy WebLinkAbout2007-P11230 - new septic � , PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p11230
Crystal Bay, Minr�esota 55323 Permit Type: Septic
(952) 249-4600 Date Issued:
7/19/2007
SITE ADDRESS: 350 Stubbs Bay Road N Unit#
Long Lake,MN 55356
PID: 32-118-23-42-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Se ric Permit Sub-type(s): � New Septic System
Permit Type: P
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 100.00 va►uation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 100.50
APPLICANT: I�ayes&Sons OWNER: Jerry&Edith Iverson
P.O. Box 191 350 Stubbs Bay Rd N
Maple Plain,MN 55359 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITN ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
� �� 1
APPLICANT PER'�IIiEE IGNAT E ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION
Box 66(2750 Kelley Pazkway)
Crystal Bay,Mn 55323
JOB SITE ADDRESS .a -�� � �`��b s � �=y` ,
Occupancy Type: Residential �- Commercial Other
Permit Type: New or Replacement System $100.00 4---"'�
Repair Ezisting System $ 50.00
(Tanks or Drainfield)
$0.50 State surcharge added to above fees
* See fee schedule for non-residential permit fees
�
Owner's Name:J-C`"''� �-v.er sv-�-• Phone Number:
MailingAddress:j5� S�..bl s ��� 2� City:d`o�,�,v Zip:
Contractor's Name: (��.,�S �-S�„�s Phone Number: (�Z 68S SS�`o
MailingAddress: z63t'�sz �y�. S� City:�?�� Zip: 5��
*** DO NOT MAIL PAYMENT WITH THIS APPLICATION***
GENERAL INSTRUCTIONS
1. Applications for septic system permits may be mailed or submitted in person at the City
O�ces; however, permits will not be mailed out. The permit must be picked up in person
at the City Off'ices and work must not begin unless the permit card is on the job site.
2. Permits will be issued only 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. Design reports
aze not considered approved unless accompanied by the "City of Orono Septic System
Approval" cover sheet signed by the City Inspector.
4. The following inspections will be required for all septic systems:
A Pre-installation site inspection to include inspector, insta.11er, and general contractor.
B. Tank installation prior to covering.
C. Drainfield trench installation prior to covering. For mounds, inspection is required after
rough up but prior to sand placement(sand will be jaz tested for silt content), and again
during pressure distribution piping installation in the rock bed.
D. Final inspection to verify proper final cover depths and to verify that all pump staxions
(where required) components are functional and comply with codes.
5. Individual holding NIPCA Insta.11ers License shall be present during a11 inspections. A 24-hour
notice is required for all inspections.
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate
boxes.
1. I have received a copy of the system design including the City of Orono Septic
System Approval Cover Sheet.
� .--._�
�J 2. I will be installin the following: .
A Tanks: �recast Concrete Other Manufacturer ���`�'`^
Tank Capacities: 1) O00 al. 2) /�v gal 3)�gal
B. Pump Station(if required) r� PC��
Pump make&model �v (attach pump curve&
literature); system design requires 3� gpm at�_feet of head.
High water alarm make&model 5.� . 2�•���> . Outside
electrical work to be completed by installer ,/ electrician other.
C. Treatment System:
Trenches: s.f. ✓�Mound
Depth of rock below pipe " Rock bed dimensions �� ' x SO '
Drop Boxes Sand bed dimensions 70 ' x 3 9 '
Distribution Box Pressure Dist. Pipe Diam. '�-- °
Manifold Pipe Diam. Z "
D. Final Cover/Topsoil to be: bonowed from site
�show location on site plan)
+-•� trucked in
The undersigned hereby applies to the City of Orono for issuance of a septic system installation permit,
agrees to do all work in strict accordance with ordinances of the City and the regulations of the State
of Minnesota,and certifies that all stax ents made on this application aze complete,true and correct.
SignatureofApplicant � - Date: �"� �''�
MPCA License Na (2��
------------------------------------------------------------------------------------------------------------------------
Staff Review: Approval Denial
Reviewer: �jtJ � Date• � � f ����
Reason for Denial: '
� ,��`� , . �
V �
Rusty,0ison's--Soil and Percolation Testing
Joseph J.Olsoo MPCA License#810
11481 Rivervievv Rd.NE,H�nover,NiN 55341
(763)498-8779 Faa(763)498-8290
July 02,2007
Jerry Iverson
350 Stubbs Bay Road N.
Orono,Hennepin Coimty
This on-site Sewage Tre�t System is designed for a Type 1 fonr-bedroom home in accordance with the
Minnesota Pollution C�trol Agency Ct�rter 7080 and local ordinances.
The seasonally sat�soils we,re located at 26"28"(mottled soil).Due w the seasonaliy saturated soils,a
pressurized mound sysbem will noed tu be iastalled to treat the s�tic eglue�t,.The bottom of the h�t
area must be located at kast 3'above the sahu�ed soils.
All neighboring wells are�than 100 feet fi+�n proposed t�atment areas.
1'he so�7s at a depth of 12"have a percoladon raUe averaging 3 MPI.
The existing se�ic system does not conform to ti�e stabe code chapter?080.
The exi�ing t�mk mu�t be ab�.
Two nevr 1000 gallon septic tanks�ed to be installed.A new 1000 gallon lift station needs to be installed.
A pwnping cl►amber will aeed to be in�alled to lift the effluent to tbe tr�t area. The power su�ly and
switches must be located ou�i�e the manhok arai pumping chamber in a wr�therproof e�losure. A
warning device m�st be�with light and sowul devices;this is in case of a}�mp failure.Tha
mamifold a�supply line mu�t have b�dc�e to tl�pump chamber.Tie rock sad fitl�ateriab maat
be cleao.The sod lay�below the�ti�e�area must be huned over.Just break up the sod and be
sure not to ova w�k.
Nothi�otl�er t�arav water (ba�drv a�owers.�tc.l Homaa witer sad toikt tis�e s6ould be
dl�oostd of�to�e se�c taol�s. Carb�e di�oos�ts are aot r+aso�e.�ded. Additives mnat not be
■aed.t�ev iaav a■se�r�tal�to voar se�tie svsbao. It is ncommea�d ffiat voa o�n t�
taAk even vear for 1 hak.eva�►two veara for t�ro taalcs.
Sincerely,
Joseph J.Olson
s� � Job#�
T�wrir�rr
Pwooww�r
Universi� of Minnesata Mound Design Worksheet
���x�
a �ow
Estirrialed � soo gpd(9ee fgu�A-1) - (
or meee�ired x 1.5(safetY fac�o�- i 0 gpd
B. �P'iIC TAlqC LIQUID VOLUMES
Seplic tank qpecity 2000 galbns(see figure G1)
t�xr�er d tankslcompar6nents 0
Efl�ent Fil� (Y�) Y�
C-1 Seplk Tank k�Gallons
Nianber of M'mimum Capaary with Capaaty witl�
Bedrooms Capacily Garb.Disp. Disp.and lift
or less 11 5
3 or 4 1500
5 or 6 7150
7,8 or 9 3000
C. SOL.S(Sife ev�ua6on data)
1. Depth b resUiding layer= 2.1 feet
2. Deplh af penoolation tests= 12 inches
3. Te�xe bam
4. Sai loading ra�e(see Fgima D-33) 0.60 9pd��
P�eroolation rate 3 MPI
5. 96 Land Sbpe 6.0 %
D. ROCK LAYER O�IENSIONS
1. Multiplp aver'age d�ign flow(A)bY 0.83 t�ob�ain req�ed are�a d rodc la�r:I�m A x 0.83=
600 gpd x 0.83 il�k,�pd= 500 ft�
2. O�e rock layer widlh =0.83 il`Igpd x L.inear Loa�ng Ra�e(LiR)(see LLR d�art
0.83 it�/gpd x 12.00 = 10.0 ft
LLR Chxt
Perk Rabe LLR
<120 MPI <=12
>=120 MPI <�
3. l..englh of rock layer=area divided by wi�h=
500.0 1t� / 10.0 feet= 50.0 ft
E ROCK VOLUII�
1. I�ddpyr rodc�a by rodc depth to g�a�bic feet of rock
500.0 X 1.0 ft= 500.0 ft3
2. Divide iC�by 27 it�tyd3 to get cubic yards
500.0 ft3 / 27 = 18.5 yd3
3. Nhd6ply cubic y�by 1.4 to get weight d rodc in 1ons;
18.5 yd3 X 1.4 ta�yd3 = 25.9 tons
Page 1 of 5
F. �ABSORPTION IMDTH AMorptlon ratlo: 2
' 1. AbsorpGon widlh equals absorption ratio 6mes rodc layer width
2.00 x 10.0 ft = 20.0 ft
G. YOUi�SLOPE rYDTH 8 LENGTH(Groa�et than 19�)
1. Downslope absorption wi�h=absorption widlh minus rock layer width
20.0 feet - 10.0 feet= 10.0 ft
2. Cal�mound siae �
UPSL
a Deph d dean sand at upslope edge of rock layer=3 feet minus distance to restriding layer(C1)
3.0 ft - 2.1 ft= 1.0 ft
b.Mound hei�t�the upslope edge d rock layer=deplh of dean s�d for separabon(G2a)
at upslope edge Plus dePlh d rock layer(11oaR)b deplh d aover(1 foot)
1 ft+1ft+1 ft= 3.0 ft
c.Upsbpe beim rn�dtipYe�based on land sbPe(see f►9�►s D-34)
Sele�ed berm multlplier: 3.23
d.Upslope widfh=bertn m�liplier(G2c)times�Ope max�d heighaG2b):
3.23 x 3.0 ft = 10.0 ft
DOWNSLOPE
e.Drop�►eleva6on=rodc layex wi�h(D2)times pe�oent lar�slope(C5)I 100
10.0 ft x 6.0 96 /100= 0.6 ft
f.Dowrulope mo�d heigM=deqh afi dean sand for slope d�(G2e)
at downslope rock edge pk�s the mounG height at the upslope edge d rodc layer(2b)
0.6 ft + 3.0 ft= 3.6 ft
9•DoMrt�Ope bertn rt�d�Y�based an Peroe�land slope(see F�re D-34
S�ted bertn mul�plier: 5.26
h.Downslope widh=dow�loPe rtndUPNer(�29)�s do�ope max�d hei�G�
5.26 x 3.6 = 19.0 ft
i.Select�d G1 and G2h as tl�e downslope width 19.0 ft
j.Tatal mo�d wicNh is the surn d upslope(G2�width p�s rock lay�width(D2)plus dormslope width(Gti)
10.0 it+ 10.0 ft+ 19.0 ft= 39.0 ft
k.Tdal moixid ler�h is the s�um d upslope width(G2�plus rodc layer IengUi(D3)pius upslope v�idlh(G2d)
10.0 ft + 50.0 ft+ 10.0 ft= 70.0 ft
Final Dirt�ensions >196 39.0 ft x 70.0 ft
I hereby oertity th�all wak has been completed in a000rdamoe with all applicxde ordinamces,rules&laws.
(signatu�e) 810(lioense#) 7/2/Z007(date)
Page 2 of 5
, � • ' 4'�P�Pe
0 0 0 12"topsoil
1.0
Mal grade
R�laye� 2.1 .
�
10.0 10.0 19.0
29.0
absorption width �
Mound Detail: Land slope> 1%
�o.o
u��,�,:
R
�o.o w�au,: �o.o € �o.o
Tdal Lengfh:50.0
Ilrfdlh:
39.0
Downslope berm: Downslope absorptlon width:
19.0 10.0
Totsl length:70.0
Nobes:
Divert surface waRe�away fiom mound.
Page 5 of 5
' University of Minnesota Pressure Distribution System Design -10/25/04
a aarea�scer�s mwr ae�ene►sar wr ae�e�a
or�..s
�
�. seba ma�er a4 perroratea laEerals: � T�,,,'�'T
2. sebcc perfo�aaon spaang= Oft
c.�...,:k w..,�
3. Since perforatior�s sFauld not be piaoed doser that 1 foot to
the edge d the rodc Iayer(see dia9r�n),subtrad 2 feet from "�' 'p.,�k
���
50 -2 ft= 48 R ��f'.`�-�p�^��jlg�gl/�'
�
4. Detertn�e tlie numbef of spaoes betw�eeo perfo�atior�s.
Divide tha lengtli(3)bY P�sP�9(2)and round doMm to n�rest whole nwnber.
Perforafion spac�ng= 48 ft/ 3 ft= 16
5. Seled pefioraGon size 1/4 irx;h
6. Nksnber of peAaatiais is equal fo one plus the number of PeAoraYon sPaoes(4)•
•Chec�c!lare E�41b esswe tlie numberof perlb►ations per�tera!gu�aMees
<10%�►$e�.
16 spaoes+1= 17 pe�foraaonsAateral
E�Yaximun Num of 114 Mch porMrations E-b um N�anber of 3H6 inch peiforatlons
Isl�ral m ra�ee<10% variatlon labxal bo rarMee<10'1G d varlatlon
SP�in9 P�e D�n�r Spaci�9 P�e Diemeber
ft 1 inch 1.25 irxd� 1.5 inch 2.0 irx;h feet 1 ir�ch 1.25 inch 1.5 inch 2.0 inch
2.5 8 14 18 28 2.5 12 19 5 39
,:t�x _ �.� �::'��. ,� '� . _. �'� � � �:�:::
3.3 7 12 16 25T J� 3.3 10 17 23 36
�3.�,- .a�_: - ;, �_ r::
r;":.,.�_ �+�-.'. . '��.x �'.:is� _ ; .�.- .� �'.� ;; •.� z �
5.0 6 10 14 22 5 3�9 15 20 31
7. A Tated raxnber of perforations=Perfo►ations per late�al(5)timea number of laf�erals(1).
17 perfaJ lat x 3 laberala= 51 perforatior�s
B.Cak�e ihe square foofsge Per Pe�o�tiO�•
Reoonrnsndsd value is 6-10 sq�NpeA.Does not appl�r to at�rades.
1. Rodc bed amea=rodc width(R)x rock lengtl�(ft)
10 �x 50 R= 500 1'�
2. per perforation=Rodc 8ed Area/oumber of perfs(6)
500.0 fl/ 51 parfs = 9.8 ft/perf
8. Delem�aie requred flow rate by m�ying the totai n�rtnber
�P�(�)bY�P�P��s�see figure E�)
51 perfs x 0.74 gpm/perfs= 37.7 gpm
E-6 PerMratloo n GPM
Head rforations diameter
feet inches
3/1 7/32 1/4
1 0. 0.56 0.74
+���';�as ���:,,:
5 0.94 1.26 S 1 1.65
a. u.s 7.0�Oat tor sYqls�nly nanes. -
�--------- ------�-------- �i
b.lke 2.0 Feet(or eke � = .„""
' r��^�.,.�
9. Detertnine Min�num Pipe Sire � `;'; . ` -' �
A. ManHoW on End. If laterala are connec�ed to header Pipe � �..�,,,�.,,.. I
as shown in Figure E-1,to seled minimum required lateral !�..E-�:M���a�d a.�„ � .
diame�er;erMer figure E-4 or E-5 wHh peAoration spacing and
�-- ----------------__ _-----------_
number of perfora6oris per lateral.Seled minimum diameter
for peAoratad la�erals= 2.0 inc�es
B. Cenbor Manffold. If pe�fora6ed Iateral system�s attached tO „�E�M�,�- --__
manifdd ppe near the oenter,kkke Figure E-2�Perforrated lateral len9th(3) ,-F-�:;:;;,._ ,
and nu�of perforations per la/eral(5)wi11 be appropma�y . - _: � ,
one half of That in step A. Using these valuea seled ,
minimum diameter for perfora�ed la�aral= 1.5 inc�es ` _ f�- ,,
I hereby that I have car�pleted this worlc u�accordanoe wilh a9 sppNcable ordinanoes�rules atxl Iaws.
(signature) 810 (license�) 07102r07(date) .
� Universifijl of Minnesota Pump Selection Procedure - 10125104
AN boxed rectangles rrn,st be entered,n�e resc wi�be c�cu�abed.
o�r.
1. DeEermine pump ca�pacity: ,ts.�rw.e
A. G�'vily Distributlort rwoo.ew..
1.Mn6naun requ�ed�Scharge is 10�m
2 Ma�dnwxn sugges6ed �s 45 gpn
For oihe�e�ab�tunenls�109fi gr�er than the waber {
supply ra�e,but no fas�er than tlie�a1e at which efl�ent will flow
out o#tl�e distritwtion devioe.
B. Presaure Distributlon-s�ee pressure design worksheet sou t�earme�,t sysrem
&pant�o.��f��d.��i�scharge
:}i1Ei'tii'�
Selt�ed Pump Cepedt�l: �gpm tota�pipe
leng
inlet 2A.elevation
� ��T�' �� � difference
�m �� � `'
p1pe xj ---- - - �
A �Elevation�nce between pump and pant of discharge. :� :
, ..__ _
U� =1 i --------------------------- ------
B. Speaal t�ead requirement?(See tigwe-Speaa!Head Requi►ements)
�-�feet Speci�Head Re� uirements
Graviiy Distribu6on Oft
C. FricUon loss in supply pipe Pre.asure Distribution 5ft
1. Selec:t pipe diameter �2 in
2. E�Figur�e E-9 with gpm(1A or B)and ppe diameter(C1)
Read iric6on loss in feet 100 feet irom Fgur�E-9 E-9 F�tion Loss in Plaatic Pipe
Frictiai loss= 2.64 ft/100 ft o#pipe 100 it
nominal
3.De�ertrune btal pipe length irom purr�p di�h�ge to sal sys6ern discharge pant Fbw Rate ' di�rieter
Es�na�e by adding 25 peroent lo p�e length for iriction los,s in fiitir�gs. 1.5' 2.0' 3"
times 1.25=equivalent Pipe length � �,.;.� :„
� 4
L ��Jft x 1.25= 28.75 feet 25 3.73 1.11 0.16
€�G�� �x� ,��i, #.�,:
4.C�cula�e total fiiction loss by mutbplying iriction loss(C2) 35 6.96 2.06 0.3
by the equiwalent piPe lenglh(C3)�d divide by 100. �i �. .��� ,:� �.
Friction Loss= 2.64 ft1100ft X 28.75 ft / 100= 0.8 feet 45 11.07 3.28 0.48
��� �.f ���
:,
D. Total head requirement is the�m of elevation ditf�ence(A),special 55 4.76 0.7
h�d requrcements(B),and tot�fric�ia�bss(C4). �_='° � °�� �:$�2
9 ft + 5 ft + 1.0 ft 65 6.48 0.95
70`" °?:+14 1.C19 °'
Total Head: 15.0 feet
3. Pump Selection
1.A pump must be selected to deliver at least 38 9Pm(1A or B)
with at least 15.0 feet of�otal head 2D).
I t�eby ae�tify that I have oompleted lhis wak in a000rda�we wilh�I applic�le ordinanoes,n�les and laws.
(signabure) 810 (license#) 7102I07 (Date1
Page 1 of 1
Los�s of Soii Borin�s
Lkk�nse�810
� Locatbn ot Pnoject: 350 Stubbs Bay Road N. � �
Bo�inga made by: Rusty Olson's Soil and Perc testing 6/28/2007
Classiflcatlon System: AASHO : USDS-USDS�CS X : Unffisd : Othe�
Auger used(check two): Hand X .or Power .Flight,Bucket or Probe X
Boring Number_1_Surface elevation 92.7_ Mottled Soil at 2.1_feet
0"-18"Daric brown bam 10yr3/2 H20 present at X_
18"-26"BroMm loam 10yr4/4
26"30"Rusty brown clay loam 10yr5/4
Boring Number 2_Surfac:e elevation_92.7_ Mottled Soil at 2.1_feet
0-18"Dark brown loam 10yr3/2 H20 present at X_
18"-26"Brotim bam 10yr4/4
26"-30"Rusty brown clay loam 10yr5/4
Boring Number_3_Surtace Elevation_91.1 Mottled Soil at 2.3 feet
0"-20"Daric brown loam 10yr3/2 H20 present at X_
20"-28"Brown loam 10yr4/4
28"-36"Rusty brown clay loam 10yr5/4
Peroolation Test Data Sheet
Lic.#�810
Peroolation test readings made by: Rusty Olson's Perc. starting at 10:20 A� On 06/29/07
Location: 350 Stubbs Bay Ro�N.
Hole numbe►: 1
Dabe hole was pnepared:6/28/07
Depth of hde bottom_12=inches, Diamete�of hole 6"_inches.
Soit daha from test hole:
De�,m�es Sod texture
0-12" Duk brown loam 10y�3/2
Method of scxatching side wall: ICnife
Deptfi of gravel in bot�om of hole 2 inches:
Date and hour of inidal water filling 6/28/07 At 11:30 A.M. depth of initial water fllling 12 inches
above hde bottom.
Method t�sed�mairrt�n at least 12 irx�es af waber depth in hole for at least 4 hours Automatic Siphon
Maximum water dep�h above hole botbom during tests 6 inches
Time Time th rop in H20 Perc ate
10:30 10:45 6" 5.5 2.7
10:48 11:03 6" 5.5 2.7
11:04 11:19 6" 5.5 2.7
AVERAG ERC. RATE 2.7 M 1
Percolation Test Data Sheet
Lic.#�810
�
Peroolation test r�dings made by: Rusty Olson's Per�c. starting at 10:20 AM. On 06/29/07
Loc�tion: 350 Stubb,s Bay Road N.
Hole number.2
Dabe hole was pnepared:6/28/07
Depth of hole bot6om_12"_inches,Diameter of hole 6"_inches.
Soil data from test hole:
DEPth, int��es Soil bexture
0-12" Dark brown bam 10yr3/2
Method of scratching side wall: Knife
Depth of gra�rel in bot6om of hole 2 inches:
Date and hour of inidal water filling 6/28/07 At 11:30 AM. depth of inidal water filling 12 inches
above hole bottom.
Method used tio mainhain at least 12 iru;hes of water depth in hde for at least 4 hours Automatic Siptwn
Ma�rimum wa6er depih above hole bottom dtning tests 6 ind�e,s
�me ime De th Dro in H20 Perc Rate
10:31 10:46 6" 4.7 3.2
10:47 11:02 6" 4.6 3.2
11:05 11:20 6" 4.5 3.3
AVERA P RC. T 3.2 MPI
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DATE , T�E �
CITY OF ORONO CALLED IN -J�-I� -����
INSPECTION N � SCHEDULED �"1- �
PERMIT NO. COMPLETED � ��, 'Ar�
ADDRESS ` ����� Y�
OWN ER CONTR.
TELEPHONE NO. � `
s
� DESCRIPTION
� 01 FOOTING 11 MECHANI L RI 18 EXCAV/GRADING\/FILLIN
Q 02 FRAMING 13 MECHA AL FINAL 19 RE/WETLANDS
� 03 INSULATION �. 24/25 WOO BURNER/FIREPLA EE O�� �
Z04 WALL BD. 12 WATER H O -UP SIT CTION
Q 05 FINAL �, 14 SE R HO UP � ROGRESS
� 07 DEMO-SITE 27 S . /�'2�1�COMPLAINT
v 07 DEMO-FINAL 15 SEP IC INSTAL . "�'�`�22 F L
i09 PLUMBING RI 23 SEP C FINAL HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDA N/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO ��k /�'�
� COMMENTS: �� y e-
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W� WORKSAT FACTORY:PROCEED ❑ PROJECT MPLETE
W ❑CORRECT ORK&PROCEED G ISSUE CER FICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
Owner►Contractor on site:
Inspector. � /
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