HomeMy WebLinkAbout2003-P06324 - new septic PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P06324
Crystal Bay, Minnesota 55323 Permit Type: Septic
(952) 249-4600 Date Issued: 5/15/2003
SITE ADDRESS: 465 Turnham Rd
Maple Plain,MN 55359
PID: 31-118-23-24-0013
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Septic Permit Sub-type(s): New Septic System
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 100.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 100.50
APPLICANT: Bohn Well Drilling Co. OWNER: Paul Cady
16550 Baseline Ave. 2900 Thomas Avenue S#2412
Shakopee,MN 55379 Minneapolis,MN 55416
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Renitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1
May-08-2003 11:15am From-CITY OF ORONO +9522494616 T-423 P.002/003 F-758
CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION
Boz 66 (2750 Kelley Parkway)
Crystal Bay,Mn 55323
JOB SITE ADDRESS
Occupancy Type: Residential L-,' Commercial Other
Permit Type: lepair
w r Replacement System $100.00
Existing 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: A" v Phone Number: 2
Mailing Address: /S— TkO/ � X _ City: £SSS Zip: s s i y
Contractor's Name:. &,h yr z),;/i;n� Phone Number: ys z -
Mailing Address:i&s'So tY,.- City: 3 .:,64W Zip: -51-3 2!Z
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
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.
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
arc not considered approved unless accompanied by the "City of Orono Septic System
Approval" cover sheet signed by the City impector.
4. The following inspections will be required for all septic systems:
A. Pre-installation site inspection to include inspector, installer,and general contractor.
B. Tank installation prior to covering.
C. Dra.infield trench installation prior to covering. For mounds, inspection is required after
rough up but prior to sand placement(sand will be jar 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 stations
(where required) components are functional and comply with codes.
5. Individual holding MPCA Installers License shall be present during all inspections. A24-hour
notice is required for all inspections.
4/
Goulds
Submersible
E
Effluent Pump
3871
APPLICATIONS Motor: FEATURES ■Stainless steel fasteners.
Specifically designed for the ' Single phase:0.4 HP, 115 m Impeller:Thermoplastic ■Bearings:Upper and lower
or 230 V,60 Hz, 1550 heavydu ball bearing
following uses: RPM,built in overload with Semi-open design with pump construction.
ffluent systems out vanes for mechanical seal
+Homes automatic reset.' protection.
*Farms • Power cord: 10 foot
•Heavy duty sum standard length, 16/3 SJTO ■Casing and Base:Rugged AGENCY LISTING
with three prong grounding thermoplastic design provides
+Water transfer p strength superior su SP Canadian Standards Association
*Dewatering plug.Optional 20 foot p g h and
length, 16/3 SJTW with corrosion resistance.
three prong grounding plug. ■Motor Housing:Cast iron
SPECIFICATIONS • Fully submerged in high for efficient heat transfer,
Pump: grade turbine oil for strength,and durability.
s Solids handling capability: lubrication and efficient ■Motor Cover:Thermoplastic
3/4"maximum. heat transfer. cover with integral handle and
+ Capacities: up to 55 GPM. float switch attachment points.
Total heads:up to 24 feet. Available for automatic and m Power Cable:Severe duty
+ Discharge size:11/2"NPT. manual operation.Automatic rated oil and water resistant.
+ Mechanical seal:carbon- models include Mechanical
rotary/ceramic-stationary, Float Switch assembled and ■0-ring:Provides positive
BUNA-N elastomers. preset at the factory. sealing.No gaskets to replace
+ Temperature: during maintenance.
104°F(40°C)continuous
140°F(60°C) intermittent.
• Fasteners:300 series
stainless steel. METERS FEET
.4
• Capable of running
dry without damage to 8-
components.
components. 25
o _ —
" —► 5 GPM
= 6 20
U 2.5 FT
5 -- -- —
} 15
0 4
J
Q
p 3 10
I-
2 — --
5
1
0 00 10 20 30 40 50 GPM
0 2 4 6 8 1012 m3/h
CAPACITY
®1995 Goulds Pumps,Inc. Effective May,1995
9 B3871
Goulds
6 Submersible
18 Effluent Pump
T
7 � I► C�
6
9
5
4 3871
3
2
DIMENSIONS PAR" p
(All dimensions are_in inches.Do not use for construction purposes.)
Item No. Obscrlptien
1 Impeller
2 Rugged thermoplastic
base
3 Rugged thermoplastic
pump casing
� 11 MAX.
4 Mechanical seal
7r4 10Ye 11/2 NPT 5 Bali bearings
it 6 0-rings
o°,iil u 7 Power cord
3% 8 Oil filled motor
4Y 'fie Cast iron motor
9 housing/stator
9% assembly
6'MINIMUM WATER LEVEL WHEN 10 Thermoplastic
SUPPLIED WITH FLOAT SWITCH motor cover
MODELS PERFORMANCE RATINGS
Order No. HP Volts Phase Max. RPM Solids Power Cord Wis. Total Head Gallons Per
Amps Handling Length (lbs.) (ry,of water) Minute
EP0411 115 12 10' 20 5 53
EP0412 230 6 10' 10 46
EP0411 A910 115 1 12 1550 3/4• 10' 21 15 36
EP0411F* 115 12 20' 20 20 21
EP0412F* 230 6 20' 20 24 0
EP0411AC* 115 12 20' 21
"A"denotes automatic operation.Pump includes float switch.
"F"denotes 20 foot power cord.
"AC"denotes automatic operation,CSA listed with 20 foot power and switch cords.
*CSA listed units.
[IGOULDS PUMPS. INC.
WATER TECHNOLOGIES GROUP
SENECA FAILi.S NEW YORK L3148 SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRINTED IN U.S.A.
a;re18 3x,� _- _ 10
_ In" 'dividual STreatment Syste ms
Non-Transferable License#1043
Date of Issuance•: Apr 21, 2003
e Installer License Expires: Apr 17, 2004
Designer I License Expires: Apr 17, 2004
Bohn Well Drilling Co, Inc.
Designated Registered .Registration
Professionals (DRPs)• Registration Type Expires
Charles M. Bohn Installer May 6, 2005
Gary M. Bohn Installer, Dec 31, 2003
Gary M. Bohn Designer I Dec 31, 2003
r '
Minnesota Pollution Control Agency Rodn E. Massey, Di r
520 Lafayette Road No.St. Paul, Minnesota 55155-4194 Re Environmental Managemen
t Dnrescorc
` 3"'.`�"
a
From:Lisa To:Fax#9522494616 Date:5/13/03 Time:4:13:54 PM Page 1 of 3
ACOADL CERTIFICATE OF LIABILITY INSURANCE 05�i3M/M2 0
PRODUCER (507)665-3364 FAX (507)665-6510 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Handwerk Insy�rance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
202 S. Main ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 175
Le Sueur, MN 56058 INSURERS AFFORDING COVERAGE
INSURED Bon Woll Drilling Co. INSURER A: Secura
16550 Baseline Ave. INSURER B:
Shakopsle, MN 55379 INSURER C:
I INSURER D:
INSURER E:
COVf:RAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
MSSR POLICY EFFECTIVE POLICY EXPIRATION LIMITS
TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MM/DD
GENERAL LIABII-7 P-3043646-0 01/01/2003 01/01/2004 EACH OCCURRENCE $ 500,000
X COMMERCIqIL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 100,0001
CLAIM$MADE M OCCUR MED EXP(Any one person) $ 10,0001
A I PERSONAL&ADV INJURY $ 500,00C
GENERAL AGGREGATE $ 1,000,00C
GEN'L AGGREGAI E LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 1,000,00(
X POLICY JECaT LOC
AUTOMOBILE LA BILITY 20-A-3043647-0 01/01/2003 01/01/2004 COMBINED SINGLE LIMIT
X ANY AUTO (Ea accident) $ 500.000
ALL OWNED AUTOS BODILY INJURY
SCHEDULE AUTOS (Per person) $
A
HIRED AUTO BODILY INJURY $
NON•OWNE AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILIl Y AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA.ACC $
AUTO ONLY: AGO $
EXCE88 LIABIL 20-CU-3043649-0 01/01/2003 01/01/2004 EACH OCCURRENCE $ 2 000 00
X OCCUR CLAIMS MADE AGGREGATE $ 2,000,000
A $
DEDUCTIBLE $
RETENTION $ $
WORKERS CO NBATION AND 20-WC-3043648-0 01/01/2003 01/01/2004X TOSTA -L
RY LIMITS ER
EMPLOYERS'L ILrrY E.L.EACH ACCIDENT $ 500,000
A E.L.DISEASE-EA EMPLOYEE $ 500,000
E.L.DISEASE-POLICY LIMIT TS 500,000
OTHER
DESCRIPTION OF OPE TIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HO DER ADDITIONAL INSURED:INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRrTTSN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
City of Orono BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
PO BOX 66 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
Crystal Bay, MN 55323 AUTHORDED REPRESENTATIVE
rLisa Lindeman
ACORD 25-S(7/97) FAX: (9S2)249-4616 GACORD CORPORATION 1988
From:Lisa To:Fax#9522494616 Date:5/13/03 Time:4:13:54 PM Page 2 of 3
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-5(7/97)
From:Lisa To:Fa)M522494616 Date:5113103 Time:4:13:54 PM Page 3 of 3
Additional Coverages and Factors 12/31/2002
Line of Business Coverages for Business Auto
overage Limits Ded/Ded Type Rate Premium Factor
:ombined single limit 500,000
Jninsured motorist 500,000
combined single limit
Jnderinsured motorist 500,000
combined single limit
Line of Business Coverages for General Liability
overage Limits Ded/Ded Type Rate Premium Factor
Seneral Aggregate 1,000,000
Products/Completed Ops 1,000,000
4ggregate
Personal & Advertising 500,000
Injury
Each Occurrence 500,000
Fire Damage 100,000
Medical Expense 10,000
Line of Business Coverages for Workers Compensation
overage Limits Ded/Ded Type Rate Premium Factor
iJC & Employer's liability 500,000/500,000/
500,000
KPAP 0.89000
4djst. to reconcile-exp 0.98000
nod. premium
SEPTIC SYSTEM APPROVAL
g. O'ev �R
_a
a
_CE
oA o
aT CITY of ORONO
Municipal Offices
, { G
�)� � ,� Street Address: Mailing Address:
`9l� H0 2750 Kelley Parkway P.O. Box 66
n Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner R�� ` }fie r Phone (Home) 64646" (Work)
Address City State Zip
Site Evaluator .CTS r\ State License# 1 OAS Phone# ck�- 445- 44(01
Type of Establishment: Single Family Multi Family
Commercial Est. Gallons Per Day 75y
No. Potential Bedrooms S Slope: 5
Depth of Sand: Upslope: a " Downslope: a9" Soil Sizing Factor
Pere Rates P-1 a-7 P-2 a7 P-3 a.9 P-4 a,9 P-5 P-6 P-7
Restricting Layer Depth B-1 g_ B-2 Q.4 B-3 1,DL B-4 1. 1 B-5 1 B-6 1,a
Type of Treatment System:
Standard 'X Alternative Other Performance
Pressurized Mound System_ At-Grade System
Gravity Trenches System Pressurized Trench System
Gravity Trenches W/Lift Pressurized Bed System
Holding Tank W/Alarm
Septic Tank Size taSO�\oob # of Tanks 7a Lift Tank Size �a S C
Pump Brand GPM 19.-3 Head 15.5�
Treatment System:
Minimum Square Feet with inches of rock below pipe
Mound Bed 10 x 6 Mound Treatment Area d X 1{a,' S�x I i 5
THIS IS NOT A PERMIT. This is a design approval form which must accompany the site plan.
A permit must be issued to a licensed septic contractor prior to installation.
NOTICE TO INSTALLERS: Any changes to the approved plans must have prior approval of the
inspector(952-249-4600) Call for inspection 24 hours in advance.
ALL DRAINFIELD AREAS MUST BE FENCED OFF prior to building site excavation and
fencing must remain in place until final site grading. Approval to pour footings will not be granted
until the Inspections Department has verified the primary and alternate sites are protected.
NO VEHICULAR TRAFFIC OF ANY KIND is allowed within 20'of tested drainfield sites ever.
ACCEPTED DENIED By the City of Orono subject to existing regulations and
the following conditions:
� cR.c� 0 GC boil S.�c.S
0\ deSr\ —y" be
Leo <*wy
r,�ac( Sfian ns QCs g�
By: Gti•—ovVK � - ' - 11- Q
Matt Bolterman, On-Site Systems Manager Date
Telephone(952)249-4600 • Fax(952)249-4616
www.cLorono.mn.us
Bohn Well Drilling Co,
16550 Baseline Avenue
Shakopee, MN 55379
Phone; 952-445-4809
Fax; 952-445-1439
Percolation Tests, Soil Borings
& Septic System Design
CREATED BY.• _4Ary M. gohk DATE PREPARED; 11-20-02
LICENSE# 1043
PREPARED FOR; Ray Miller
MAIUNGADDRESS.• 1566 Muryhy Parkway
Eagan, MN 55122
PHONE#; WORK#;
FAX#; 651-686.8098 MOBILE#; 612-723-7137
SITE LOC4770N INFORMAT70N;
HOMEOWNERS;
SITEADDRESS; 465 Turnham Road
ADDITION; Turnham To//Addition LOT 1 BLOCK 3
COUNTY._ Henniven TOWNSHIP,• Orono
T.• 118N R. 23W S; 31
A = NXWOM
� w
MOUND DESIGN WORKSHEET
(For Flows up to 1200 gpd)
A. FLOW Fsunwtd Sewage Flows In Gttlont pet day
Estimated �� gpd 6���o Munba Type rnenl typem '1
or measured x 1.5 = gpd. kwIn "
2 3W 22.5 Ito• 6M
19
B. SEPTIC TANK LIQUID VOLUMES 4 " 3305 2
2 2-3'b gallons .2 r.-A 6 � su iii �In
7 1050 Im 370 Type o
a
O
8 1200 675 408 lit
C. SOILS (refer to site evaluation) co1°nm
1. Depth to restricting layer _ i /L _ inches feet L-r-..0-r
2. Depth of percolation tests = 12 irlcllc'; s....„a,p..l snl..w
t S0(1
3. Texture �bG .,, Percolation rate 1 -7o jilpilo„
1••• 1 uo »30 )000
4. Land slope 5 '% 7.a,.. ,n., >aD
D. ROCK LAYER DIMENSIONS
I. Multiply flow rate by 0.83 to obtain required irea of rock layer: A x 0.83 =
2f-e _ gpd x U.i3:.1 sll. f t./gpd = (o2d sd. f t.
2. Select width of rock layer (inax 10' if <120 111pi max 5) = eD ft.
3. Length of rock layer = arca - width
lo?-c7 5q,.ft. /D ft. _ �2 _ ft.
•...•.,J`U p.VpU ltt ID ,ltJ t.'�i;.0` ^^"'.
Width ft pb
<120ttlpi <10, Length .ft
ROCK VOLUME' >120u1pi <5'
1. Multiply rock arca by rock depth to get cubic feet of rock; 4120 Sq. ft. x
ft. = re20 cu. f t.
2. Divide cu. ft. by 27 cu. ft./cu. yd. to get cubic yards;
(,20 cu. ft. 27 = z 3 cu. yd.
3. Multiply cubic yards by 1.4 to Fact weight of rock in tons; �3 cu. yd. x 1.4
ton/ell. yd. = 2.2 t(1n..
F. ABSORPTION WIDTH Absorption WI41tb Stzhit'fable
I. Percolation rate in top 12 iilchts of soil is/G 3a t111�i I'mej-60,R-„•;n Gallo" RA6co(Aliva,pia,
Texture (6 G mss.- Mieutm pep Inch Soil 7eaeut o.,Aa P- -;d1A to Pock
l�sp11 aquMe t«w layer W1dlh
raut,thm 0 1 Coale Sand 1.10 1.00
0 I to s SWA 1.20 1.00
2. Select allowable soil loading rate from table; 0 los rntSam 060 200
&In 1 s Sandy Loam 079 11.32
g p d/f t 2 16 l0 30 loam 060 2.00
31to 43 Sill Loam 030 2,40
46%060 clay Loam 045 2.67
6010 12o Clay 0 2A 5.00
3. Calculate adsorption width ratio by dividing rock layer than 120 clay 0:0 600
loading rate of 1.20 gpd/ft'. by allow,ihic' lc,,idint, rate;
1.20 gi3d;1,2, . � 1,1'd/ft' _ • �.o
4. Multiply adsorption width ratio by rock layer width to get
required adsorption width;
2.in x /0 ft = 20 ft
' Cov r 1'
G. MOUND SLOPE WIDTH & LENGTH v"dslope:-9:
slope ratio-:_
(landslope 1% or more)
1. Subtract rock layer width from absorption width Clean Sand
atura15oi1 rt (6:Topsoil �
to obtain minimum downslope width UrniftU7rr
ZG ft- e';C' ft.= /0 feet Upslopewalh Dowtacbpe i th
2. Calculate minimum mound size Rock Width
a. Determine depth of clean sand fill at 1
Absorption Width
upslope edge of rock layer: A 1
Separation 3' - ft = 2- feet
b. Add depth of clean sand for separation (2a) SLOPE MULTIPLIER TABLE
at upslope edge, depth of rock layer(1 foot) to
depth of cover (1 foot) to find the mound height 1'"a 11PSL°PE DOWNSLOPEg slo ' multipliers for various multi liers for various
at the upslope edge of rock layer; in slope ratios slope ratio,
ft+ lft+ 1ft-_ feet 3:1 4:1 5:1 6:1 7:1 8:1 3:1 4:1 :1 6:1 7:
0 0
c. Enter table with landslope and upslope ratio. 3.
1 291 4.0 5.0 6.0 7.0 8.0 3.0 4.0 5.0 6.0 7.0
3.85 4.76 5.66 6.54 7.41 3.09 4.17 526 638 7.S3
Select berm multiplier of 3. �3
76.82
2 7-83 3.70 451 536 6.14 6.90 3.19 4.35 SS6 8.14
d. Multiply berm multiplier by upslope mound , 7-,s 3.57 43s s.os 5.79 6.45 330 4.54 s.s8 32 S."height to find upslope width: 4 L6A 3.45 4.17 4.PA 5.46 6.06 3.41 1.76 6.25 7.89 9.n
x_�_ /3. feet 5 261 3.33 4.00 4.62 5.19 5.71 3.53 5.00 6.67 8S7 10.77
e. Multiply rock layer width by 6 254 3.23 3.8S 4.41 4.93 5.41 3.66 5.26 7.14 938 1107
landslope to determine drop in elevation; 7 2.48 3.12 3.70 "4.23 3.70 5.13 3.80 556 7.69 1034 11."
_Q-x_E%= 100 feet 8 242 3.03 3S7 4.05 4.49 4.88 3.95 5.88 833 1154 15.91
f. Add depth of clean sand for-slope difference 9 2.36 294 3.45 3.90 430 4.65 4.11 615 9A9 13.04 18.92
(2e) at downslope rock edge, to the mound 10 2-71 286 333 3.75 4.12 4.44 4.29 6.67 10.00 15.00 17.''-' .
height at the upslope edge of rock layer (2b) 11 226 278 3.27 3.61 3.95 4.26 4.48 7.14 11.11 17.65 30.
to find the downslope mound height; 12 2-21 270 3.12 3.49 3.80 4.08 1 4.69 7.69 12-50 21.43 43.75
. 5- ft +Z ft= y3"feet
g. Enter table with landslope and downslope ratio. Select
downslope multiplier of 5.�
h. Multiply downslope multiplier by downslope mound height to
get downslope width:
c x 47!s' = 22r feet
i. Compare the values of step G.1 /o
and Step G.2h 2-2-r- Upslope width
Select the greater of the two values as the
downslope width: use 2t:. r feet `
j. Total mound width is the sum of Upslope Width ue�oob _ Bed o olv p p ov_ o U slo a Width
Rock �
�p:p:o d4i Width ?ne°ree.e .s
upslope (G.2d) width plus rock layer oQ0 00 a 04. Length 'a_A QQ; , ,
width (D.2) plus downslope width(G.2i);
/Y r ft+ to ft+ 2Ge_r_ f t = Downslope width
- feet E°
k. Total mound length is the sum of upslope Absorption Width
width (G.2d) plus rock layer length (D.3)
plus upslope width (G.2d);
I,Tf- ft + 62 ft+ /_�S- ft = Q-feet Total Length
Final Dimensions:
5-0
50' IIS own SIoP�
N,;:1N0 CROSS-SECTION
r .
PERCENT SLOPE OF X �_ ^. S:. _ C`s RO'�..c_ . SIZE GF SAN
ORIGINAL SOIL DB
EOTEXTILE CLC?'. OR 4 _nc"-:es _. Cs ^. G?�^-L OR
.. _
'ON,PACTED HAY OR
TRAW COVERED WI"'::
CD ROSIN PAPER 22
Cr:ND':
TO 6 I.`:C!:F5
O O O
op
�U?SI,O DIC TW_--t
74 54,E d
CLEAN WASHED SAND OR APPROVED PIT RUN SAND. PIT RUN SAND MUST DE APPROVED BY d ii COUNTY
ENVIRONMENTAL HEALTH BEFORE T!: DAY OF CONSTRUCTION. WE WILL CHARGE FOR AN INSPECTION FOR
THIS APPROVAL.
DEC.11.20029�3 33PM- BOHN WELL DRILLINGPI 0 t NO.314 .5i5=
o
O I
C) I
4, 1 & . O
J.
gra /®/
fit 98.25
���, `�}i, J. �i` t' � • are/
I
c11 1 RMECTC P&Jh=c
REVMW
MA'T'E -Iz-a t #HERMIT Nth I
APPROVED AS SUBMITTED
APPROVED WITH CORRECTI(M AS NOTI I
INOT APPROVED-CORRECT a RESUBMIT I I 0
�Aese unpds on{a your inrosmatioa. All work shall be dew
b full eontplianee with all applicable septic and zoning code. I
i QI Requirements including items not specifically noted in this review.
O
KW THIS"AN 50 ON SITE AT ALL TIMES
I
BOHN WELL DRILLING CO. I
f GARY M.BOHN �� �l�rK"
�w P
LICENSE#1043 3
18550 BASELINE AVE.
SHAKOPEE,MN 55379 I
PRESSURE DISTRIBUTION SYSTEM Geotextile fabric
1. Select number of perforated laterals
Quarter inch perforations spaced @T 41
7
f
roc n
2. Select perforation spacing feet. to)
.9
Perf Sizing 7/32"-1/4"
3. Since perforations should not be placed closer than 1 ft. to Perf Spacing 15-5'
the edge of the rock layer (see diagram),subtract 2 ft. from
the rock layer length. Perforation Discharges in gpm
- 2ft. = Go feet. perforation diameter
KtXk layer lengffi head inches
(feet) 1/8* 13/16 7/32 1 114
4. Determine the number of spaces between perforations. 1.oa 0.18 0.42 0.56 0.74
Divide the length above by perforation spacing and round 2.06 0.26 0.59 0.80 1.04
down to nearest whole number.
.5.0 0.41 . 0.94 1.26 1.65
Length perf. spacing = w"0 ft. ft. = 12- spaces 0 Use 1.0 foot for single-forrAy homes.
(3) (2) b Use 2.0 feet for onythkV else.
Potential for pkigging
5. Number of perforations is equal to one plus the number of 2
perforation spaces
Maximum number of quarter inch perforations per
2 spaces+ I =Z3 perforations/lateral lateral to guamantee<10%discharge variation
Perforation
spacing 6. Multiply perforations per lateral by number of laterals to (feet) 1.k, 1 z 2
get total number of perforations. 2.5 14 18 28
A 2C perforations. 0 3.0 13 17 26
-rateW- X 3.3 12 16 25
Calculate the square footage per perforation (6-10 sqft/pero 4.0 11 15 23
System area:-x-= 5.0 10 14 22
P C
sqf t/perf
.Uea rT0_r 5-FO-1
"FOLD LOCATED AT END or rncSSkJrtE OISTRIOW" SYSTEM
7. Determine required flow rate by multiplying
number of perforations by flow per perforation Z..
216 j,
X r-T 9P M
t
errs apm pert
8. If laterals are connected to header pipe as shown on upper
example, to select minimum required lateral diameter; enter
table with perforation spacing and number of perforations LAaT Of KIWOUTED"t LATC-LS MR
per lateral. Select minimum diameter for
perforated lateral = 92 inches.
9. If perforated lateral system is attached to manifold pipe near
the center, lower diagram, perforated lateral length and
Z ILI=
number of perforations per lateral will be approximately one
half of that in step 8. Using these values, select minimum
diameter for perforated lateral inches.
I. Determine surface area Sizing of Dosing Chamber
Rectangle area = L x W wdlhI
x = sq feet II
Circle area = x (diameter)2
n+4 ``ngll,
3.14--4 x x - sgft
Other? Get surface area from manufacturer. sgft ><=s.i�
Diameter
2. Calculate gallons per inch
There are 7.5 gallon per cubic foot of volume, therefore you must multiply the area times the
conversion factor and divide by 12 inch per foot to calculate gallon per inch.
Area x 7.5=-12 = x 7.5 + 12 gallon per inch
Legal Tank:
3. Total tank volume 500 gallons or
Depth (inch) x gallon/inch = 9 x —! .�.y 2 gallon 100% the Daily flow
or
4. Calculate gallon to cover pump (with 2-3 inch of water coverin um Alternating Pumps
(Pump & Block height (inch) +2 inch) x gallon/inch g p p)
x Z.. gallon Eainwed Smage no.3 in Calkm M day
N� CIM 1 Qaa 8 chn m pM
5. Calculate Total Puutpout Volume `"
A. To maximize pump life, select sump size for 4 to 5 um
3 iso U iII°,° 61Yi
per day. pump operations 4 6W 575 a�
__2 gpd +-� _ /S'D 5 750 .50 Ivo ��
B. Calculate drainback gallon per dose 6 9W 3 »2 r I
7 IWO 600 JA a
a. Determine total pipe length, S� R I 675 ,�, m
feet. ear
b. Determine liquid volume of pipe, ./7 gallon per foot.
c. Drainback quantity = _ _ ft x Pipe Diameter Gallons per ft
C. Total pump out volume ./7 gal - —gal inches
L5 gal/dose + Lf 1 0.045
gal = / S$. 5" Total gallon 125 0.078
1.5 0.11
6. Float separation distance (equal total pumpout volume) 2 0.17
Total pumpvolume _gal/inch 2�5 0.25
3 0.38
inch 4 0.66
7. Calculate volume-for alarm (typically 2 to 3 inches) i
_ Y
Depth (inch) x gallon/inch =_�x--Z= -gallon
8. Calculate total gallon
gallon over pump + gallon pumpout +gallon alarm
4 + 5 + 7
2
+
Inlet `. ` w+x' pets
9. Total depth = total gallon+gallon/inch pipe Pe
Reseryapacity
z � inch e C
On Control
---- ------
Pumpoul volume
EDailylflow
mended: :.: ......... '
`' Ot(Control
ate reserve capacity (75% the daily flow) .Y
_ — Pump height x .75 = 7� x .75 - S62.3^gallons
�_'�
PUMP SELECTION PROCEDURE perforation Discharges in gpm
A. Determine pump capacity: perforation diameter
gravity distribution head inches)
:1.Minimum required discharge is 10 gpm (feet) 1/8* 3/16 7/32 1 114
2. Maximum suggested discharge is 45 gpm
1.00 0.18 0.42 0.56 0.74
pressure distribution 2.0b 0.26 0.59 0.80 1.04
see pressure design worksheeet 5.0 0.41 0.94 1.26 1.65
Selected pump capacity: /q 3 gpm °Use 1.0 toot for single-family homes.
b Use 2.0 feet for anything else.
' Potential for plugging
B. Determine head requirements:
1. Elevation difference between pump and point of discharge.
/b feet
2.Special head requirement:
If pumping to a pressure distribution system, five feet for pressure
required at manifold. if gravity systern, zero. S` feet
Boit treatment
3. Friction loss system
a. Enter friction loss table with gpm and pipe diameter.
total
9
Read friction loss in feet per 100 feet from table. inlei -= dielevation
fference
F.L. _ 3 ft./100 ft of pipe pipe '`
b. Determine total pipe length from pump to discharge -
---------------------------- ------
point. Estimate by adding 25 percent to pipe length for fitting ' --
loss. Equivalent pipe length times 1.25 = total pipe length
x 1.25 = G 2.r feet
c. Calculate total friction loss by multiplying friction loss Friction Loss in Plastic Pipe
in ft/100 ft by equivalent pipe length. Per 100 feet
Total friction loss = G 2-.,r x . 73 100 = . YG _ feetnominal
pipe diameter
4.Total head required is the sum of elevation difference,special head flow rate 1.5" 2" 3"
gpm
requirements, and total friction loss. 20 2.47 0.73 0.11
6h + S + • YG (1) (2) (3c) 25 '3J3'. �1-1:1 0.16
Total head: /.: S- feet 30 5.23 1.55 0.23
35 6.96�: 2.06 0.30
is -
40 ? 8.91:.:r;`2'64 '.0:39::
45 11.07 3.28 0.48
C. Pump selection 50 13.46 3.99 0.58
55 4.76 . ,0 70
1. A pump must be selected to deliver at least/ gpm 60 5.60 0.82
(Step A) with at least /S. feet of total head (Step B). 65 6.48 0.95
70 7.44 1.09
I'EIZCOLA'I'ION'1'1:S'i' I)A'1'A SIIEE'1'
/ ' a.m.
Percolation tcs.readings made by— GAY Q o n C1 un /Y Ac- 194Z-statiing at /D:oo P.M.
Test hole location /5 1 , 1lolc number 0/ , Date hole was prepared
Depth of hole bottom lZ inches,Diatttctcr of Iwl• inches
Soil data from test hole:
Depth, inches Soil texture
Mcthod of scratching sid;wall h a; � —
Dcp;h of grave:in bottom of ho;c.— -inches
Datc and hour of initial water filling 11-1f-`32- , Dcpth of initial water filling -i�inchcs above hole bottom
Method used to maintain it least 12 iinchcs of watcr-dcpth in hole for at least 4 hours A�LlJL/� Gt i��G re F. / I
r e !- %�� ,Maximum water depth above holt bottom during test inchcs
Timc Percolation
Time interval, Measurement, Drop in water rate, Remarks
minutes inchcs level, inches minutes per
inch 1 l / 7v
6
o
1 - T-- --
� 1
Percolation rate = 2 -..,acs per inch. CONVERSIONS
1116=.06 114=.25 1116=.44 A .63 13116=.81
M=.13 5116=.31 1C1=.5 11/16=.69 118=.88
3116=.19 318=.38 9/16=.56 314=.15 MG=.9i
PERCOLATION TEST DATA SIIEI:'I'
/ a.m.
Percolation test:c:dings ntadc by G a r V Ae o Cl 1? un 11"&-VZ starting at /a:do p.m.
LL.aI ,
Test hole location. L , 1 lulc nuumber Date hole was prepared 11-15--0 2-
Dcpeh of hole boGom 12— inches,Diameter of hold inches
Soil data from test hole:
Depth, inches Soil texture
Method of scratching sid;wall h a r —
Dcpth of gravel in bottom of I;o!c inches
Date and hour of initial water filling— - , Dcpth of initial water filling 12- -inches above hole bottom
Method used to maintain at Icast 12 inchcs of watcr�Jcpth in hole for at Icast d hours - /I ef /O Z21-a ti C re Fr
l/l CJ t7 L[ Q r e F%�� , Maximum water depth above hole bottom during test inchcs
Time Percolation
Time interval, Measurement. Drop in water rate. Remarks
minutes inches Icvcl, inches minutes per
inch 1 </►'// 70
2023/� ?
— 3�Y 2? 6
f
i
I I
Percolation rate = 2'2 ::.u-cs per inch. CONVERSIONS
114
1/16=.06 =.25 1116=.44 518=.63 13116=.81
118=.13 5/16=.31 112=.5 11116=.69 M .88
A=.19 318=.38 9/16=.56 314=.15 M6=.94
DEC.11.2002 3:33PM BOHN WELL DRILLING NO.314 P.3i5
pEItCOLATION'I" .s7r I)A'rA SItL"f'1'
a.m.
l�oi ep
percolgion tcsl;c�dinys n;adc by � �'���►
�.,/e.a
,11010 number Date hole was prcpa
Trot hole hocador
Depth of holo bot'.o
inches,Diameter of huh inches
Soil data from lost hole:
Soil texture
Depth,inches
Method of scratching sid;wal
� igchcs
Death of grave.in bottom of ho.
/o inchea above hole bottom
Daly and hour of initial cater Cilling . °
��. — Ueptll of initial water rtllin& _ G
ed to maintain at Icast 12 inches co wate"cpth in hole for at least A hour .
Method us inches
C' F ' 1111/ ,M81111wnl water depth above hole bottom during ter
Percolation
Time crop in water rate, Rt:muks
Time interval, Measurement, minutcx r
minutes
inches level,inches ,
inch Ily
0, a ._.._
o A c '— `r 6
a0 �` If
a
1 •
I+
i
2�;.;;;:;cs per inch. CON"' ONS
Pcrcohauon ram 1/16:.06 114=.25 7116;.44 518..63
118=.13 5116=.31 112=.5 11116=.69 718=�6
3116=.19 9=.39 9116=.56 314=.i5 116=.94
DEC.11.2002 3:33PM BOHN WELL DRILLING NO.314 P.4i5
PERCOLATION'I' wr DATA SI1L"m
a.m.
Gar ►-
percofation tcs;t rcaditlgs made by_—&2 � '►�
04 j�• ,I talc nwnbcr •
Uate hole was prcparcd �$
Test holo loeado
Depth of holt.botto inches,Dianictcr of hul• Inches
Soil data from test hole:
Soil texture
Depth,inches
Method of scratching sidpwal
Dcpth of grave;in bottom of Itol'-2incl+cg
� �ro '" 47 inehos above hole bottom
pt�of iunial water filling
Data and hour of initial water rillin ,
Method used to maintain at least 12 inches o;watcr*lnh in Hole for at least 4 hour inches
Maximum water depth above hole bottom during tca
1'crcolalian
Time Drop u�water rate. Remarks
interval, Mcasuremcnt, ,
Time inches level,inches minutes per
minutes inch
J ' o s
if a
° i�
I�
1
I
oo to 9 --.::.utea per inch. WNWISIONS ,63 1 16 , 1
1 arcolati m a e g
1116:.Oo 114..25 1116=. 416 1�
1�=,13 X16..31 112 w5� 31d=,15 1SI16=,94
3116=.19 318=•38 WI6 .
Soil Boring Log
Date: 111)-o2
,Project Location: /?a Twp
Client. Borings made by:
Address:
I ,
city State Zip Lic.0 D4?
Boring method: Auer Pit' Probe Other Color classifications stem: Munsell Other
Boring Number Boring Number
Surface Elevation Surface Elevation
Soil type at system depth: Soil type at system depth:
Depth Texture Color Depth Texture Color
Feet Feet
O
goy,, ,
1 --- /a a ---
. /d a
��dY/2--- 2 --- /
,
K, /oy r
3 --- 3---
4 -- 4 ---
5 --- 5 ---
6 --- 6 ---
7 --- 7 ---
Structure: Blocky Platy Prismatic None Structure: Blocky Platy Prismatic None
Slope: % Slope: % -
End of boring at_ feet. End of boring at feet.
Standing water table: yes no Standing water table: yes no
Present at feet of depth, Present at feet of depth,
hours after boring. hours after boring.
Mottled soil: Mottled soil:
Observed at_� feet of depth. b�/ Observed at feet of depth.
Not present in boring hole Not present in boring hole
Observations and comments: Observations and comments:
Soil Boring Log
Date:1/-
,Project Location: /�� `� . Twp
Client: Borings made by:
Address: C- I t;Y �U. Bata u
city Stale Zip lid.f 1043
Boring method: Auger Pit' Probe Other Color classifications stem: Munsell other
Boring Number Boring Number �/ `1'
Surface Elevation Surface Elevation
Soil type at system depth: Soil type at system depth:
Depth Texture Color Depth
Feet Texture Color
Feet
-- gay goy, y/y 4�4y �04� /Dy� yy
IOC, .....
2 -- F 2---
3 -- 3 ---
4 ---
5 -- 5 ---
6--- 6 ---
7 --- 7 ---
Structure: Blocky Platy Prismatic None Structure: Blocky Platy Prisrriatic None
i
Slope: % Slope:
End of boring at f— feet. End of boring at- feet.
Standing water table: yes no Standing water table: yes no
Present at feet of depth, Present at feet of depth,
hours after boring. 10K hours after boring.
Mottled soil: Mottled soil: /Ofir 6l
Observed at feet of depth. Observed at-
� feet of depth. y
Not present in boring hole Not present In boring hole
Observations and comments: Observations and comments:
Soil Boring Log
Date:
Project Location: /Jr,fe �/ Twp
Client. Borings made by:
Address: GALY ,t4. 13aN N
104:
city Slate Zip lid.It
Boring method: Auger Pit' Probe other Color classifications stem: Munsell other
Boring Number - s^ Boring Number
Surface Elevation Surface Elevation
Soil type at system depth: Soil type at system depth:
Depth
Texture Color Depth Feet Texture Color
y
2 --- 2 ---
3 --
4 --- 4 ---
5 --- 5 ---
6 --- 6 ---
7 --- 7---
Structure: Blocky Platy Prismatic None Structure: Blocky Platy Prismatic None
Slope: % Slope: z % -
End of boring at /. feet. End of boring at- A r feet.
Standing water table: yes no Standing water table: yes no
Present at feet of depth, Present at feet of depth,
hours after boring. hours after boring.
Mottled soil: (�y Mottled soil:
Observed at feet of depth. Observed at�, feet of depth.
Not present in b ring hole Not present in boring hole
Observations and comments: Observations and comments:
INDIVIDUAL SEWAGE TREATMENT SYSTEM AS-BUILT FORM
INSTALLER: &Rq WgLL V�l LTJ KQ Co
City/Tw . (/an D Date of Installation Permit No.-Po (Q_,�jZ+
Owner Installed for(#Bedrooms or gpd)
Project Addr ss
City dvOVi D )j NEW [:] REPLACE ❑ REPAIR ❑ADDITION
SETBACKS: , TRENCHES, BED OR GRAVELLESS LEACHFIELD:
Buildings to Tank D box concrete/plastic
Buildings to Drainfield Trend th Width
Well(s)setback 50'or 100' //( not installed Trench Leng
Distance to Lake l' Creek Wetland .� Trench Bottom Le yes/no
Property Line(s) Jr.n�.- Trench Spacing
Drainfield Rock Below Pipe
SEPTIC/HOLDING TANK(S) C9 New ❑ Existing or Size of Gravelless Pipe
Liquid Capacity 9-SQ IQ20 Actual/Expected Depth of Backfi
Tank ManufacturerAbsorption Area: Square Feet
Baffle Type: Plastic Fiberglass Sanitary-T Concrele Lineal Feet
No. of Inspection Ipes4" lam.
No. & Diam. of Manhole Access dq 1 PUMP INFO:
No. & Height of Manhole Risers Liquid Capacity
Tanks 4 ft or less below Final Grade s Y no Tank Manufacturer SaIfAlt existing
Tank Connections Sealed e /no No. & Height of Risers /-41-1
Tank/Riser Covers Sealed or above water table_<yes no Pump Manuf. &Modyl No.Ga�ti , . 3871
Horsepower y _AL GPM 17.
MOUND OR ATGRADE: Feet of Head /
Percent Slope S % Cycles Per Day
Dike Width up down side Gallons Per Cycle /74
Drainfield Rock Below Pipe inches Size of Discharge Line 1.5"
Inches of Sand Below Rock upslop downslope Type of Electrical Hookup ost& ox a
Perforation Size&Spacing Alarm Locat' seen
garage m
Pipe Size and Spacing % S- Alarm-1ank Ale /Level Alarm/Other
Dimensions of Rock Bed ,.L Cycle oun er&Water Meter(Commercial)
Dimensions of Sand Base X 9p
Depth of Final Cover /$ /-0 1,2..11
DRAWING OF SYSTEM:
10t
Comments:
I hereby certify,as the installer,that the Individual sewage ,r 'A/ �}� n
treatment system was installed in accordance with the Scott Company Name 0 �"'CLL L.Jt;,lt L 11461 GO
County Individual/Community Sewage Treatment System R52.445_ 001
M
Ordinance No.4. License Number �r Phone Number
Installer's Signature �6�fi�� Address N550 I R A94-1 Ne
R'•:
' f
„ 5
M
h k
qpy-
ii .1711,
6
IM
„:tom:.•.. � � y .�' " r
;-; fit. •� � � �e�'
It
' �*
^"�-y '" � � .mac '�`. _ u d ^ �g •�
41 .r
1 �
� tl
.. s
i
e�
a
�y T\} FY•tr F� f� � 'J > '�d• p 9,may »r `+
` ♦, ., Dom. �'., * I r r� .F - 6 � '�w*
�I,` A.. ere .. , } •`„ �, f
♦ "'.� ,�`r. ,,.'sue , '�5 .. .� '�
� 3
u
r ..
>
p aad41^�
a� a
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. P6 s 1 y CO PLETED
ADDRESS L 6 S Tei^�Q� R�
OWNER /� C119—
CONTR. ��I r-,11(/-_
TELEPHONE NO. b 1 Z' C1 1 9— 1421-1—
DESCRIPTION
4 2ILDESCRIPTION }Q_
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL ZbEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL _)I60` 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:—YES /
COMMEt7,,J,,
CC
QC
W
QC - <�
Q
a
W
W
D;
PRK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
cc
LU tRRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contrctor on site:
Inspector.
White CopyMspector's File Canary Copy/Site Notice
V
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N T C SCHEDULED
PERMIT NO. COMPLETED
ADDRESS
OWNER eemm
TELEPHONE N0. ���— l — ��S`7 Z � �/F�O�►/1
DESCRIPTION
01 FOOTING 11 MECHANICAL Al 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:: 1FES_NO
co COMMENTS:cc
Sq� V P, t
az
LL
W
Qo`atc
CC kr
a
�
'WORK SATISFACTORY:PROCEED El PROJECT COMPLETE
W/❑ _CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copylinspectoes File Canary Copy/Site Notice