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HomeMy WebLinkAboutBuilding Permit Application lk Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) THE APPLICANT IS: (circle one) WNE R CONTRACTOR JOB SITE ADDRESS: 1/70 44/917 ZSR a64-/k- ZIP: �15"3 9/ NAME OF OWNER: ,eea gy /e) PHONE: (home) V 26 -f21/3 (work) 76 /37 3 MAILING ADDRESS: '7O fit/, 24 cy 8/i!/'CITY: 1.4-4.�2-rih ZIP: CONTRACTOR: F PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION# TYPE OF WORK: New Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detail): e)7/-i rs e c',�i S �h� yh q� t y/l1-- 'f t'f,>Y . (/(Ydi uhf d c 4 -e ) STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. ' APPLICANT'S SIGNATURE:/' � DATE: /-- / - 7 7 NOTE! Parade of Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permitted events will not be allowed. 5 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data, pursuant to section 13.82, subdivision 5, to a law enforcement officer. The commissioner of revenue may place the notice required under this subdivision in the individual income tax or property tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request, excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04(available upon request) to review private data on yourself. 6. Your full name is required to process this application or permit. First Middle Last Address City State Zip Phone I understand my rights as stated above. ?Z' Signature 6 11 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: PID: DESCRIPTION OF WORK: ZONING REVIEW BY: DATE APPROVED: BUILDING REVIEW BY: DATE APPROVED: FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE Yes No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units OTHER (specify) ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front (Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: By: Council Approval Date: Septic: Staff Approval Date: By: Zoning File: # Resolution: # Resolution Date: Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS(in house): 7 f 4. BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: Sq Footage $ Per Sq Ftg Basement x = 1st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ Inspections Required: Work Requiring Separate Permits: Site Plumbing Fire Hardcover Removal Mechanical Water Connection Footing Septic Sewer Connection Framing Fireplace Lawn Irrigation Insulation (Masonry) Other Wall Board (Mfg.) Well (State Permit) Final Grading/Filling Electrical (State Permit) Other REMARKS(IN HOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT): 8 THIS OLD HOUSE Minnesc;a tate 273.11,subdivisions 16& 17 provide for exemption from property tax for all or a portion of the value of improvlments made to homes 35 years of age or older. This law,commonly referred to as"This Old House" is effective for improvements made through January 2,2003. This program provides for the value of new improvements made to qualifying properties to be deferred from taxation for up to 10 years. The value of the improvements would then be phased in over a period of 5 years. To qualify for this exemption,your property must meet the following requirements: 1.The property must be 35 years of age or older at the time the improvements commence. 2. The property must be receiving the homestead classification or will be receiving the homestead classification by December 1st of the year the improvement is begun. This includes property classified as residential homesteads(including duplexes& triplexes),relative homesteads,disabled homesteads,agricultural homesteads,townhomes,and condominiums. 3. The total estimated market value of the property on January 2nd of the assessment year in which the improvements are made(residential property=land and structures;agricultural property=house,garage,& 1 acre)must not exceed$150,000 unless: the property is located in a city or town in which 50%or more of the homes were constructed before 1960 based on the 1990 census,and the city or town's median family income based upon the 1990 federal census is less than the statewide median family income based upon the 1990 federal census.(The cities of Minneapolis,Hopkins,Excelsior,and Spring Park meet these requirements.) Properties with an estimated market value of$300,000 or more on January 2nd of the assessment year in which improvements are made do not qualify for value exemption. The requirements in#3 apply only to improvements that were begun,and applications that were made after,July 1, 1994. You must make application with the county assessor by July 1 in order to qualify your property for exemption from the property tax. Once an improvement has been designated for exemption,it cannot be repealed or replaced. THE DEADLINE FOR MAKING APPLICATION DEPENDS ON WHETHER YOUR CITY OR TOWN REQUIRES BUILDING PERMITS. If your city/town requires building permits,you must first obtain a building permit for construction of the improvement before the work commences. You must complete the application for the exemption and return it to the assessor's office before July 1st of the assessment year in which improvement is first added in order to qualify for exemption in that year. If your city/town does not require building permits,you must make application for exemption BEFORE the improvement is begun. If your city/town requires building permits only on certain types of improvements,you must make application for exemption of those improvements not requiring a building permit BEFORE the improvement is begun. An application for exemption must be made within 3 years of the date of the permit. The property would then qualify for the remainder of the 10 year exemption period. *Only improvements made to the residence and garage,or the construction of a new garage qualify for the exemption. * Only improvements with a value of$1,000 or more made to the house and garage of a property receiving a homestead classification qualify for exemption from property tax. * The exemption may be applied to no more than three separate improvements made to the house and garage. Improvements made to the site surrounding the home do not qualify for exemption. *The value exemption is limited to one two-car garage(600 square feet)per residence. NOTE: If you are converting an existing garage into living space,you must clearly state on the application your intent to convert the existing garage into living space. *A maximum of up to$50,000 of the improvement value added by the assessor may be considered for the program. *Houses 35-69 years old qualify for 50%of the assessor's improvement amount up to a maximum exemption amount of '.$25,000. Houses 70 years of age or older qualify for up to 100%of the assessor's improvement amount to a maximum of $50,000. * If a house is moved from its original site and is at least 35 years old,additional improvements done to the property may qualify. The following improvements do not qualify for exemption: *If more than 50%of the square footage of a house is voluntarily razed or torn down,the original house is deemed to no longer exist;and,as a result,the value of any improvements would not qualify for exemption. *If any combination of improvements double the size(above grade gross building area)of a structure,any improvement that further increases the size of the structure will not qualify for exemption. • IF YOU SELL OR OFFER YOUR PROPERTY FOR SALE, YOU MUST DISCLOSE TO PROSPECTIVE BUYERS WHETHER ANY IMPROVEMENTS MADE TO YOUR HOME ARE EXEMPT FROM THE PROPERTY TAX YOU ARE ALSO REQUIRED TO NOTIFY BUYERS THAT THE EXEMPTION WILL TERMINATE WHEN THE PROPERTY IS SOLD. IN ADDITION,IFA PROPERTY LOSES ITS HOMESTEAD STATUS, THE EXEMPTION EXPIRES AS OF THE NEXT ASSESSMENT DATE. . Upd 9/97 TO APPLY: Call City Assessor at 473-1844 CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: . 9 7 0 (,J rte.''Z o Cj\ v d • \1v-t S 5 5 3 9 I. PID: ill 00044 DES CRIPTI ON OF WORK: c,v . = v 4- ; vx. C r-e co i • r")cr d • ZONTiYG REVIEWBY: G DATE APPROVED: BUILD]�lNG REVIEW BY: . • • . • - DATE APPROVED: • . • FEES TO BE CHARGED: • • • Misc. Fees Calculated By: • PERMIT -Yes • No PLAN REVIEW Yes No SEWER CONNECTION STATE SURCHARGE . Yes No WA.U.L.K CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITEINSPECTION Number of SAC Units .. •'OTHER (specify) ZONING CHECK LIST Zoning District: R - 1 g Fire Department: L L Post Office: lti&Li z 0,4' School District: 2 7 g . • Lot Area: Sq.ft. • Acres 3 Width 7 ( 0 Depth 1 r r Survey Submitted: Yes No Date of Survey: L/ 1 `l$ Proposed Setbacks: Front (Lake): - Right Side:- Rear (Street): . Left Side: Adjacent Structures: Wetland: Building Height: Def. Hgt. Peak Hgt. Lot Coverage: Grading: Staff Approval Date: - By: Council Approval Date: Septic: Staff Approval Date: By: . • - Zoning File: # • Resolution:# Resolution Date:• • Shoreland District: Avg. Setback: Bluff Setback: Lot Coverage: Existing Proposed Hardcover: 0-75' 75-250' • 250-500' • • 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: ' Y REMARKS (in house): • • • '' 26 . • • BUILDING REVIEW CHECK LIST UBC: CONSTRUCTION TYPE: • • Sq Footage S Per Sq Ftg Basement x .. . 1st Floor , z — • 2nd Floor x Garage x _ x _ - TOTAL Estimated Construction Value: S Inspections Required: • Work Requiring Site Separate Permits: Hardcover Removal Plumbing Fire .. . . _ Footing Mechanical Water Connection Framipg Septic - — Sewer Connection - Insulation Fireplace Lawn Irrigation • Wall Board Well (State Permit) - • (Masonry) _ Other Final (Mfg.) Other Grading/Filling Electrical (State Permit) REMARKS ON HOUSE): ---- • • REVIEW BY OTHERS: _ • _____ __ DATE: _____---- New - Access: Existing • Access Approval: Date By: • RE S (TO BE NOTED ON PERMIT): • • • • • • • i • • 27 . . . .. ---- • •i .N• . ,6o1V' 0 0 CITY of ORONO ti Municipal Offices r'C'; ti �a Street Address: Mailing Address: `9$EggOg' 2750 Kelley Parkway P.O. Box 66 Orono, MN 55356 Crystal Bay, MN 55323-0066 Wetland Alteration Guidelines: Excavation of Ponds 1. Excavation of ponds in upland areas (not within nor within 26' of a Type 1 thru Type 8 wetland) requires a staff-issued land alteration permit if not more than 500 cubic yards, and a Conditional Use Permit (CUP) if more than 500 cubic yards. Such grading may require a permit fom the MCWD. 2. Excavation of a pond in a WCA wetland that is not a City-protected wetland, will require MCWD approval as well as a City land alteration permit (and a CUP if over 500 c.y.), and may require U.S. Army Corps of Engineers approval. 3. Excavation of a pond in or within 26' of a City-protected wetland, will require a Variance and Conditional Use Permit approval regardless of the amount of excavation; likely will require MCWD and Corps approval; and may require DNR approval if it is a DNR-protected wetland. 4. City approval of pond excavations will take into account the applicable requirements and review considerations as defined in Zoning Code Sections 10.55 and 10.56. 5. The City will generally not approve a Var/CUP application for a decorative pond in City-protected wetlands unless such pond is designed to meet minimum wildlife habitat specifications, which generally include: - Pond surface area of at least 2500 s.f. - 10:1 perimeter bench to a l' depth - Depth of approximately 4-5' - Excavating a small portion of a larger wetland 6. Approval for ponds excavated in City-protected wetlands will normally require the use of erosion control measures,vegetation restoration,and the granting of a conservation and flowage easement to the City. 7. Information required in order to make application for a Var/CUP for pond excavation includes but is not limited to: - Complete General Land Use Application with fee/property owner list/plat map Property survey - Wetland delineation report (must use a professional delineator) - Grading plan (existing and proposed contours) - Vegetation restoration plan - Indication of spoil disposal site Glossary: WCA: Wetlands Conservation Act MCWD: Minnehaha Creek Watershed District DNR: Minnesota Department of Natural Resources var: variance CUP: Conditional Use Permit Telephone(952)249-4600 • Fax(952)249-4616 www.ci.orono.mn.us t4/es1 S;de , Pry01 lieec L4its 970 w9►, a4* E11.41 w iv 41 Z..,#g , Al h SSS7/ '2 /, If f,l ,.., .. ., / . , • , ,,„, .: ,. „/ , , ,-._ jano.c / / = Z. 0 , ,' 7` 4T a '-,...,_.„7,.........,,,,rF� • s' f T i. 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"..:'4.'1,2_.-;1 4 1 \ � S � V t pf � 6 f § .1�' ?':iii--4.4.,,, r 1 - 5 deral 1pplicatonl �ormsforsWatvrfv, l+arldz�Projects' a r, 3�$'r.."`r,,rte .,;41,4,-,,':-,..4.,,,e2,,,,, _ Asa. f -,- _r YT t,: s,Y �...&" , T.gg '- `:-4-1 1 x '''1"`;,. x� s s*3 "' ,w,,-,,,,,,,,:°,40:44,,,i,M , rel 3 P1�gr"y u-.' . • o N. 4`+i ALL "s.w ` ,.� YT ": Ul :i. 4 fv '=f} T -=.,,,31. 1' '�„,. ,{{ . 5$ ",,,, .} d ] t3lr 5� i •i,£ y Yc. .ti / o+�" a" 1 t y ` ,t� s *(flX * �Y -firs _ � .rat �'tP���,s #�3 s..gg . a* syM� ..x , .r"" r i - ,+al �'.� a. ,. pp• , � � qJ�,k'u': e W til [@ q, ,l l�.i ® :i6i*,' 1 ! f 4 F k. NTy zi 9 w !.i 4.,..,!' 9Y i -141• 1 i ;,t. R ! ,g,-.1-'..,..,',--; .�! $ 1 1 • � } 9` `+.. - , g ;'.7a,, I; ®®75,!1 . 'k� ��� Al 4''F 1, ,!� t✓.,. :10 44 4 '4 1,'4 i 4i 9 i 4 II 3, 1 X11 -1Pt,4,;„„•,1 1 Ig " ,,i, 11 '1 94 (' 43 r h`,4,, ,la -s t r 3 !r;& ''14.''' a} Sx ,'.rR . i �S s t*. '.#i ft o v ','' `R.4!'' ti, 8i';,. +. ,k ! i ,t-tv' .a r. :'.;•6.. � A 4 �; 4 VA:I11 ! t '''.!4A' A 1� Y !g !1 1 8l 1 , �. .1_- ..N4 0 1 �,� ,!;';',4T7' 1 A 9 ®J{i� y ,ks'tr'4,+e, s ? ---...:4 �',x W �Y p:7e 'z N # s,:-04,::t7,,,,,, ,,,,, i� � " ip �T ' i # .fyh x- g,„ ydy ,,,w ' 4.J F t [^ y 4, ".5. P Y.i,-,..4.-;,,F,',%,-,,,,,,,,,,,,-, yo- # ', .v' s �+-' a ,Iv.,:,,-, �1HL�a ao-' ,t 4 'L , Te , st t's.. -, t „-.1.-0-,;„! v� h �' •-Ar .,', FR,'-!1,.:," 1 l i e a t'!. `hili yy 4 1 It(3 Vat 25) %i:v e ,�" '-,V s °, s_c Use these application forms to apply to 1)the appropriate Local Government Unit(LGU),2)the Minnesota Department of Natural Resources(DNR),and 3)the U.S.Army Corps of Engineers(COE)for authorization of any proposed water/ wetland project affecting lakes, rivers, streams or wetlands that may fall within the jurisdiction of any(or all)of these three agencies. If 401 certification is required from the Minnesota Pollution Control Agency (MPCA), the COE will forward these application forms to the MPCA for processing.You do not need to send this application to the MPCA. This application packet includes the following: ■ PART 1: BASIC APPLICATION must be filled out by all applicants (pages 1-3,plus requested attachments). •APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT(page 4)must also be completed(non-shaded blocks only), signed and submitted by the applicant or agent, along with Part 1,to complete the Federal (U.S.Army Corps of Engineers)component of the application process using these forms. ■ PART 2: REPLACEMENT PLAN SUPPLEMENT must be filled out by applicants who need to develop a replacement plan for wetland mitigation (pages 5-8,plus requested attachments). • INSTRUCTIONS(Instructions 1-4) are provided to assist with completion and mailing of the application. Before beginning work on your project,you must receive all required approvals from your LGU, the DNR and the U.S. Army Corps of Engineers(COE). If you have not received a reply after 45 days, or if you wish to confirm the status of your application at any time, contact the agencies directly(see Instructions,page 4). Proceeding with work before all required authorizations are obtained may result in fines or other penalties. If you have questions or need assistance with filling out these forms, contact your local Soil and Water Conservation District(SWCD)office, your LGU, your regional DNR office,or your COE regulatory field office (see Instructions, page 4). NOTE 1: If you believe that your project may be subject to Watershed District regulation, local Planning and Zoning jurisdiction, or any other locally implemented or enacted controls besides those of your LGU, contact the appropriate office(s)directly in addition to your LGU,the DNR and the COE. NOTE 2: If you are a Federal Farm Program participant, and if your project affects a wetland or water body on agricultural land, your eligibility for USDA benefits may be affected. In addition to your LGU,the DNR and the COE, contact your local Natural Resources Conservation Service (NRCS) office to request and complete the appropriate form before initiat- ing any activity. A QUICK LOOK AT THE PERMIT APPLICATION PROCESS l Send copies of these completed application forms 4.When the review process is complete,your application to your LGU,your regional DNR office,and your COE will either be approved, approved with changes or conditions, regulatory field office. withdrawn,or denied.You will be informed of the.decision. , 2.Any of the agencies may make initial contact with you 5.For information about laws,rules and regulations that direct to a)inform you that it has no jurisdiction over your project,, this process,the website www.revisorleg.state.mn.us includes b)request additional information needed;or c)inform you complete State of Minnesota waters and wetlands laws and of applicable fees. rules,and the website www.mvp.usace.army,mil provides information on U.S.Army Corps of Engineers regulations. 3.When your application is considered complete and appropriate fees have been received(if requested), 6.For information on the appeals process,contact the appro- your application will be distributed for appropriate agency priate agency(see Instructions,page 4). review and public comments. SNA-02620-02 12.14.00 . f N" z�' fi 7 v fi e x r z Z �s; a a3iw' ? .xa r r :_, c "'",7'77-taa.. �I 1111.1 to LacaliStateffedet 11,> PpliCatlon dorms for Wtr/Well4” Projects 4 `A 1 Sp . 0.'ey t! �� gR M,k�t� 1 l LLVgY�c �G{6r; d{` -',-„,%,-2440;_° � e�» x �N �'�,,.�r� y .+.3 „9.,,T.,-- ,,,,;:.&.1-4:3-77.71-,,-:: ::..;,� 7 t'�X, vY� ��i z ,$�r fi-' � t 4 �s?�, . 5..titslit .A., a9:.Y "^— .a.'% ,.._ . r , s,„,,, „,,„, '.:.,' d�'4�, 7” x . <, .N �- 'r' S h� PART 1: BASIC APPLICATION "See HELP"directs you to important additional information and assistance in Instructions,page 1. 1.APPLICANT CONTACT INFORMATION (See HELP 1): 1A.AUTHORIZED AGENT (See HELP IA.) Name: ife£61 6''11x) (only if applicable; an agent is not required) Complete mailing address: Name: 9 70 14/.-/7 24/ 8494, 't/ Title: 'V4,7 Z al st rn ti S S 3 9 / Mailing address: Residential phone: ( 9S2) N26" f 2 GV3 Residential phone: ( ) Business phone: ( ) Business phone: L_ ) Fax (if available): ( ) Fax(if available): ( ) email (if available): email (if available): 2. PROJECT NAME OR TITLE(if applicable): I hereby authorize to act in my behalf as an agent in the processing of t'iis application and to furnish,upon request, supple- mental nfo tion in support of this application. 3.NAME OR I.D.#OF WATER BODY/BODIES IMPACTED** ` i applicable; i known l //' �� 7 .--... Z t f—m/ (f Pp f Applicant signature Date 4a.ANY WETLANDS IMPACTED?(circle one) e, NO 4c.If YES,indicate size of entire wetland(check one): 4b. If YES,what type(if known;circle all that apply): 4 Less than 10 acres(indicate size: 12 /1 ' ) O 10 to 40 acres 1 IL 2 0 4 5 6 7 8 R unknown ©Greater than 40 acres 5. PROJECT LOCATION** (information can be found on property tax statement,property title or title insurance): 1/4 section: 3C Section: Township: //I Range: 2$ f County: / 4,7 Lot#: Block: Subdivision: 6.ADDITIONAL LOCATION DESCRIPTIONS** (if applicable; if known): Parcel ID#/Geocode: UTM coordinates: easterly northerly Project street address: Fire#: **For multiple water bodies or locations,attach additional sheets labeled ADDITIONAL WATER BODIES IMPACTED, ADDITIONAL PROJECT LOCATIONS, or ADDITIONAL LOCATION DESCRIPTIONS. 1 7. HOW TO GET TO THE SITE: Attach a simple site locator map.If needed, include on the map written directions to the site from a known location or landmark.Include highway and street names and numbers.Also provide distances from known locations and any other information that would assist in locating the site. Label the sheet SITE LOCATOR MAP. 8. PURPOSE OF PROJECT: What do you propose to do,and why is it needed?Please be brief. (See HELP//8 before completing this section.) u y t 2 �p v 14)o f v ,6.e-'r. T3/7 / ih �y Sed; 71).;s t4,1/1 hi'p hifir`' rohrpp c�hcti'h;y� . .✓%9 4.4 'yi/f 44,1 0r di fe.,17 fcrr S yw,ae re 4, 9. PROPOSED TIMELINE:Approximate project start date: jf.f)h, _�'/ Projected end date: 14 10. PROJECT DESCRIPTION: Describe in detail what you plan to do and how you plan to do it. This is the most important part of your application.See HELP 10 before completing this section;see also What To Include on Plans(Instructions, page 2). If space below is not adequate,attach separate sheet labeled PROJECT DESCRIPTION. 73 a c.s tivle- 2 /n vtids th e ' 1-"'E .fI /kei �`.� 14.1, Ilh f Ji1-2, tf b p t ie4 , d n' vs- /'/ r., f""QG,e X G4 * d M41.4).,„/ /)o J,e d 4 (v -y c#2,4 A*S'L 1v fr- 9 v /1'15 c ") �f 1492 j, y 5 4/ 7-c �,hR c,r•.�,�1 cs, d/'t. AA?,/41-, ®f /p# .J i1 lis yoy fsrz•h, >3., e fY� 4G4 .. IM/4 1114- •• �YI I1 (4v 4'119455 Gl Qihdt 147,11 fes 1�jiL C; /`-C4/e r'j/.4- 44-437c;hh j4,/`/ .0L tl›4441 u+l7it/f $14 /e.i, • 11. FOOTPRINT OF IMPACT(if applicable): Indicate total amount(in acres or square feet)of wetland(s)or water body area(s)to be filled,drained,inundated or excavated;and/or indicate length of stream or river affected(in linear feet). �1^ (9 000 � acres or� � square feet and/or linear feet 12.TYPE AND ESTIMATED AMOUNT OF MATERIAL(S)TO BE PLACED INTO OR EXCAVATED FROM THE WETLAND OR WATER BODY (if applicable): List each type of material(such as rock, sand,clay, concrete)to be filled or excavated, and estimate amount in cubic yards. ❑ FILLING EXCAVATING Type(s)of material Estimated amount in cubic yards Type(s) of material Estimated amount in cubic yards 51 )1' • 13. ESTIMATED PROJECT COST: •-p (for determination of DNR fees only, which are based on total project cost) 2 14. SEQUENCING CONSIDERATIONS: What alternatives to this proposed project have you considered that could have avoided or minimized impacts to wetlands or water?List at least two alternatives(one of which may be"no build" or"do nothing"),and explain why you chose to pursue the option described in this application over these alternatives. -Thi, r s n a If%!' Vg 111,7 (.+7211' �1 f � i��j grt "le cs,. 15. PORTION OF WORK ALREADY COMPLETED: Is any portion of the work already completed? frU If yes, describe the completed work on a separate sheet of paper labeled WORK ALREADY COMPLETED. (See HELP 15 before completing this section.) 16.ADJOINING PROPERTY OWNERS: For projects that impact more than 10,000 square feet of water or wetlands, list below complete names and mailing addresses of adjacent property owners whose property also adjoins the wetland or water body where the work is being proposed. (See HELP 16. If necessary, attach a separate sheet labeled ADJOINING PROPERTY OWNERS.) Complete name(s) Complete mailing address (including street address, city, state, zip code) 17.STATUS OF OTHER APPROVALS: List any other permits, reviews or approvals related to this proposed project that are either pending or have already been approved or denied. See HELP 17 if already applied for Agency Type of approval ID number Date applied for Date approved Date denied • 18. I am applying for state and local authorization to conduct the work described in this application. I am familiar with the information contained in this application.To the best of my knowledge and belief,all information in Part 1 is true,complete and accurate. I possess the authority to undertake the work described, or I am acting as the duly authorized agent of the applicant. f— Signature of applicant Date OR Signature of agent Date This block must be signed by the person who desires to undertake the proposed activity(the applicant in Section 1) or by the applicant's duly authorized agent(if the boxed Section lA has been filled out and signed by the applicant). Federal authorization: Generally, in addition to state authorization,projects in wetland or water areas also require Federal authorization from the Corps of Engineers under Section 404 of the Clean Water Act. To apply to the Corps using this application package, the applicant/agent must complete the modified one-page Federal application form on page 4 and mail it to the Corps(address on Instructions,page 4)with a copy of the state application.Applicants may, if they wish,apply only for Corps authorization by using the unmodified Federal application form that is available from Corps offices or via the Internet at www.mvp.usace.army.mil 3 . APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT(33 CFR 325) OMB APPROVAL NO.(RENEWAL PENDING) The public burden for this collection of information is estimated to average 10 hours per response,although the majority of applications should require5 hours or less. This includes the time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information.Send comments regarding this burden estimate or any other aspect of this collection of information,including suggestions for reducing this burden,to Department of Defense,Washington Headquarters Service Directorate of Information Operations and Reports,1215 Jefferson Davis Highway,Suite 1204, Arlington,VA 22202 4302;and to the Office of Management and Budget,Paperwork Reduction Project(0710-0003),Washington,DC 20503.Respondents should be aware that notwithstanding any other provision of law,no person shall besubject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.Please DO NOT RETURN your form to either of these addresses.Completed applications must be submitted to the District engineer having jurisdiction over the location of the proposed activity. PRIVACY ACT STATEMENT:Authorities:Rivers and Harbors Act,Section 10,33 USC 403;Clean Water Act,Section 404,33 USC 1344;Marine Protection, Research and Sanctuaries Act,33 USC 1413,Section 103.Principal purpose:Information provided on this form will be used in evaluating the application for a permit. Routine uses:This information may be shared with the Department of Justice and other Federal,state and local government agencies.Submission of requested information is voluntary;however,if information is not provided,the permit application cannot be evaluated nor can a permit be issued. ITEMS 1 THROUGH 4 TO BE FILLED IN BY THE CORPS. 1.APPLICATION NO. .FIELD OFFICE CODE 3.DATE RECEIVED 4.DATE APPLICATION COMPLETED YOU DO NOT NEED TO COMPLETE THE SHADED AREAS. All applicants need to complete non-shaded items 5 and 26. If an agent is to be used,also complete items 8 and 11. This optional Federal form is valid for use only when included as a part of this entire state application packet. 5.APP ICANT'S NAME // 8.AUTHORIZED AGENT'S NAME AND TITLE(an agent is not required) - -:,„,:.y,,,,, r,„„,..„.,,,,,...:„,,„,,,,,,,,,,,,, ,,,..„,4:: i 41e --— 12-1,...W;7';''''''''7-.1:'.-7-;:' -' ,. ..''''5'm'i47V14..';T;473 ,75P4.!r•-•T-Stl...!7-•;.,•7‘..,.,;''..':ifItag-L,...,.:Ii;sitt tilt..',‘ �.a 1, j'd , „;� ,' , to re, .,y, $ 7 r 6,'°• ,.gp w 7. a • i, :$ Y �a . ("' 9" ;•:',%.•'., 414.•:.:•,1.--;,� ix y ".� dui. 11. STATEMENT OF AUTHORIZA-,,,,,,,,4;;;;N,.0":„. ION(ijapplicable;complete only if authorizing an agent) I hereby authorize to act in my behalf as my agent in the processing of this application and to furnish, upon request,supplemental information in support of this permit application. DATE: APPLICANT'S SIGNATURE: a.-.'• ...+-:!*°"z-i z,, .' awi „ "' 'yx,^x ,1'v�EP,7.r 4' pr'"ltxI' f :1','1 as.'m xJ Y„3 :x £ a�.,++* , 9 "z� d t a4 . , t F , a,'k1 --...=..,.' ` 5 ':4,1. ^- , "1 ,y`* 0 , , a ., ee1°�' : `7 aei , ...,.4,,. � w .aaxax .4,,a .,,,;- �sz--'.4.7:-7,. ,,, a,,,,I " , 411Z111117 r.,°' I ffi4x,'Al. at � G .. , . c .a ^:. ' ,7 : i r at' ¢ � �x „t 'a� 77r'x* , , 3 aw"" 9 e ' 3Gov-c -r. t y �t r ¢ "> s,w ,k $ *. . . ,A2:.:,--:::,-., -,,,�. =:',;...!-!-?,,,:.ttwin c^ r. t # A.. aa 3t." i£ '�,.c"45T„T'7'"� 41,7; � t;ed 'a «tj » 3. : : x� 2 , gF"'2 , ^„ az�a a :-..7,77F, i-0t 'Kb �� 5,, c _ t° t '; a na;da �,N:� ��'� ;--r:::'''.'.:k F S '� EI� t ' sO. , f ## a e o " "',1 $gy. ', ;'''...:1:':::::;-'-'' ` ' x . e ' ' M� w ' # au :. C� .„;.,„v.: ‘,:)-7,;.i:,:.•.?- s .._C ,a �. F. = :rlkx :.% ,°TS'1,1-4-S4 .: - w • 0 $ 1 i ,i 96 . ' t• x � ”,''.. `.' Vtr4; ' 11.16.41114/.- ÷,. .r,,,,,,-, 1 i t, " a v -Sr � e'_`d¢ _ tq , ,. „7s.i,..` v. 4:01 ;s -:1.` &N.`i ' a9*"r - l , S .� a, ea4 ., s Aa' , ---,AS trrea z ` .`4' rdF F = 't t� : } ,r� s IS . .; ..t,t sA,„0„,it ; . •.. r. 9 i + aA5 4zk3 aaare .t ra , its. 5 "PEt f . Y -77, . 1 ^�'R �:4P a .� b- ¢ ilM 1: 7� ' fi ?,t ';{ • �i� '41 s 74 it ' a€ " ` • c a d 4 1, `.* i' : res }, rat7 : I `t 3 4 ,. tls .-.„„..,53.f '.7f� s -• ' a �� I# : 1 4: E -. a�, ;5 �v.:"'"';:,:--,.1:-:„., cro. ,, . .z^ T' r .. a �?B ,r 0: A , !r,,,,,77",„"':::;1:77:1 ,7- '„s ,177:F " :aS a :':::, L1ig t F , rg rit't8 ? r . s,, ', .1,:;Z: ur.. ,+i' < # e - . %2 , PARATe sztar, • • ;'.1..-.,..-it1;51..,:.4 .14,•!. .t.:.,lifm,.112-4-.4 '-020.gety,,,k,A-1 - ,,,,,y1.244&;simitimat&A„,,,,,.., 26.Application is hereby made for a permit or permits to authorize the work described in this application.I certify that the information in this application is complete and accurate.I further certify that I possess the authority to undertake the work described herein or am acting as the duly authorized agent of the applicant. ,Ce<' f. '-),i 2f-eV Signature of applicant Date Signature of agent(if any) Date The application must be signed by the person who desires to undertake the proposed activity(applicant),or it may be signed by a duly authorized agent if the statement in Block 11 has been filled out and signed.18 U.S.C.Section 1001 provides that:Whoever,in any manner within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies,conceals,or covers up with any trick,scheme or disguises a material fact or makes any false,fictitious or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false,fictitious or fraudulent statements or entry,shall be fined not more than S10,000 or imprisoned not more than five years or both. ENG FORM 4345,Jul 97 EDITION OF FEB 94 IS OBSOLETE. (Proponent CECW-OR) 4 huse CITY OF ORONO Permit # SEPTIC SYSTEM APPROVAL Fee $ -'5D a Entered By The General Contractor will be given a copy of this report and is responsible for its distribution to all sub-contractors. Septic system design is not considered as approved unless this sheet is attached. LOCATION: (?-70 GENERAL CONTRACTOR: SEPTIC CONTRACTOR:` PHONE: �J OWNER: A& / 7' ,KAPPROVED 0 CONDITIONALLY APPROVED: Note Changes Below COMMENTS: (7 C I Ne S (%/ /S-r7/1J C-> I/tIU b1p , e imA4 S`T I� /A) (iso /Uai /' --1-7 -A-)&-C. /0o -/C)0 ~ /DOO w/Pu ' 55 ,qua-e-Ak ( / / J Sot 'L) lOarr /Uri - Pr i�tO cfn,a'� /N STA z X776/' / F f))a " L�� lei CSE S `' o� / NOTICE TO INSTALLERS: Any changes to the approved plan and specs must have prior approval of the Inspector (473-7357). Call for inspections 24 hours in advance. NOTICE TO GENERAL CONTRACTORS: Drainfield sites must be protected prior to and after system installation to avoid compaction of the natural soil. Drainfield areas must be fenced off to eliminate all traffic over them. -/2-0" DateApproved B Appro e y 1 ' • —P T� '► Til r I19 ' . 95' KATYDID LANE ST. MICHAEL, MN 55376 497-3566 • Steven B. Schirmers Nov.:c.ber 28 , 1988 Jane Bonner • 970 Wayzata Blvd. Orono, Henn. Co. , MN • This system is Designed for a Type 1, Three bedroom home and in accordance with the Minnesota Pollution Control Agency Chapter 7080 and local ordinances . The soils on this site are typical of SCS soils mapped -• HbC - Hayden loam. A seasonally high water tabJ.e was located at 12" ,• 16" & 18" , - (mottling) . Due to the seasonally high water table, a pressurized mound system will need to be installed. The bottom of the rock bed must be located at least 3 ' above the seasonally high water table . This site has an existing failing system, tanks with over floN,7. The existing tanks are old and may not be possible to use . May be used upon approval by the local Inspector. The soils at a depth of 18" have a percolation rate averaging 17 . 5 min/inch and are adequate for treating septic effluent. A pumping chamber will need to be installed to lift the effluent to the treatment area . The manifold and supply line pipe must have back drainage to the pumping chamber . The distribution pipes shall have their ends capped. Be sure the rock and' sand fill , material are clean. The sod layer below the entire mounded area must be turned over, just break up the sod, be sure not to over work. The power supply and switches must be located outside the manhole and pumping chamber in a weather proof enclosure . A warning device must be installed with a light and sound device, this is in case of a pump failure. (Mercury floats are a good method) . All neighboring wells are located more than 100 ' away from the proposed treatment area . Keep all heavy equipment off of the proposed treatment area before and after construction as much as possible. The treatment area should be marked off before .construction. With proper installation and maintenance, this system should have no problem in treating septic effluent effectively. It is recommended to have Soil and Percolation Tests the septic tanks pumped every 2 years . Septic System :)e.;:an CT— SBS/ds Steven E. Schirmers � , . _......-1 _ •-,. I3 .).‘, • • .0 . 1 • .. .g : . • 0 1 A 1 ' • 0 0 x . .. . , . . • s ........ , . l 0": .'/ • 4' , ...• 11 .14 r • • f - _ ! A ----A— : ,I) . . / I(It.'" _ i • •. 1 i 1 . • -\ ..i, • - .--- ./ 1, . • . -.., T 5 : ---- >43----; -- s / 1 , .04•' i W 1 / • , " .•-- ;''' I ) • . ' •'' -9- ------- r. i -0 ,.---- ----- 1 • •! . . • .c-N-N1- /-, _ 1 ..6 ..., .---it: / I _-,- *----,-ar 4 ,c'-i"--<' ----- //, 7 1 . ..s •- !..k. ' Pi ' • i-i 43 ..,. r • -4)) 1 1 oi ILI • , :k -k • .9 • 10, 1 , v.) • ,,, • kS. , . - 4 )1 . tl . Z . , i 4r•A ‘ . / • . 1 / . ,• -c (ir l I 1 , -- 1. I A I. •••••,....„.p.:•_. ±46..........„........z , 0 I-1 .20 f x '..t. , ,—..i. . • t),,J .6'a-ok -JE. . ,.,31-1 , • \<0 rs , " d- c- .( q) . • __.' • _ i•.,, 5i . At • 17. 13 .153 '' ..,,'-` ' •('---\ i i \ •.. _.., y.,• i ' -c:11 \ . p-',•-. .• ,as\... 01 ' —4 • v.t---o v • „/„....—............- A ill • 6-F-Yri v . , lo e. ft\ -4) Er.c, 1 ,, • , "‘ I,' r i • 1 .G, i< • 1 {\L . • • IA NI i V- I -k . __v.__ • 1 h,1 • i -C. . •• k C NI • 0 • • 0, 1 L., . 1 h 0)4 1 )4 , lt • . , 'I A • • ... • .• c, • k k I j,.. .. • 7 n, t . 0- 0 :••6?-4 . , 0 t. 1 • ir w (,(,)-0 • .. l't. 1 (A • d a' --.7! (2y. r.!7'17_ !<•}1.- • - .-Z!. ,..:.; r\ i..41 -• - 0 o 'I'rt 194 .‘-•• 9 (N‘I Ig tNi C••,. .1 117- ?t, IC-% 1 i --. r• • .n ...,. ,,,,• °- ;',•• - 7^ ;-',•--!". . . L.1., a, , , ,.4 4 ;, • 1 a)i :: ' .•., 0 a • 1 __ co 1',) . r_... .. ,. ...--• c o ,It..4. " • 1,4•:c.',. I 0 c o-- I•ti;•.o • : 4-. c cr 11,1N, • C2 6t l' 1 t (ij Q. g) :•' 0 2 ' (.1 .t% 1,_• : S ,. . , 4o A.) 'W.- ..4.1 Z.: 1 I I o c•LL 1 : ,•:•,, . it i vi .-...„ > I ,14 ••,.. o i ,..„, I 1_ ,.- -• ,t, .) 7, I ta i I ifq --I ; ! ...,1 .±) (-1 p 1 0., . . I P 1 : .. ,It-, .... 1 • ill -------- -...--- - • ___,..._____. __ . . rri \ i't, - 1: ___,NziO`XX ' F-oc_jr--- V-V�' lrJ ` u7\ J 5 • • SET- BACKS , HOUSE _ System must t✓e: - . Tank x a t -r c k 20 from property ,ane _ '1 ,-L ' .r�' i t T ' - • . - •• 7.' .fro;n wells • . \'-f V,41-•-•'\? ,i, �a from b'e, s. . x_c....J `? , LG-{%'' '.z �=f`I„i Teo':re�,t area •— fro-n loes , _`� StreornS I o„� �• '' Trecl±rent area ao from property lines NOTE: Pev,er s Jpp.y and _.ti-� c ,es r�>5t be l cc ed ;n a `,wecther prauf cnc..,5,re ou`scle the pump;ng (,`o:i bar and rnah'Ioe \ ' . . r^^�PeL-S Yq>~x.c"-IA" ')S from wells-_ cLfi' a0.from b'i'gS.. _ ___ — t ,1.��_. �.Q frorn 'rees ' S�;`'�- r,O1�',\G ELEVATIONS 1 � c It I n,:n. �_ Til 1 E! - � do.S-� y P_tx' — d -2 TH.r2�"L._17 2gra . Tank• Tank =--_ TH."3 EL.'n2? Drop to Tank .______11 PRESSURE DISTRIBUTION MOUND SYSTE'�1 T}i"4 EL�_ _ t ! - J —^ - 7'3.5 EL- Min. 1 to 8 -Pumping ' . �f Mox.l"to41 4- k-Y P -S\'\)- Y--S SNA� _.ac.NJ _ _ Chamber ELEVATION a1 PROPOSED PUMPING 4'lo 6"dio.p;pe ' .04(N -c-041.• _.-r-pktav--s .v--17a)-kK ._ CHA\'B;ER- '1S•O A-V-V— Lc c.A- t3 -4...-e,(4) -S-14 - - k,v-O ) Cil- 1.4 ti-- --- )o c,o SYSTEM DESIGN -MOUND •c � i -c _5 TT11�1_ ti - s trt . _ - ��i"i►=-a/-u. , sLA c3 9 3..5 MX:. L,� �� ,43J L >4 pc >` aci�1x{- ‘f• t1+�=se 1,;r;K o=N Usea il • TYPE— ., . _ BEDROOM , Average percolotion rale 17.5 min./inch (des;gn.83 sq.ft treatment area perga'. of daily sewage fcv) j 1 • -.- b gal./day x.83sq.ft./go!3'73 sq.ft. of treatment area +10% = 410 sq.ft. (-: 10ft.width=.'4J'_ ft.'ength of bed arra 4 side slope run oto l x 3-6 height= _3_. ft.z_Vft.lc„n-area needed) ,� Clean rock needed— Yj .sq.ft.lreotrnert area x /.0 5' depth of 1/ 1rock--:.(-4..3P yds, 1dia. ,includes 2"of rock above pipe) / I, • Cleon sand fill below rock needed_1 0 cu yds. approx. , sandy loom bock fill._;,_0__cu.yds.opprox., topsoil 6 . `� cu.yd. 1,_'10c--•_ _' ,..1.:113 ....-� _c--'c'-`c". "\ __L•-_`�. . ' . (mac co --1,r,\ �o c•;oma �_o io - -c3 -T"b�soN,Fc, 1V'Q c 1-:m L,a- S,r.Y s.- , $__ ,:1_0.-sc-t ) Number of tanks required c , 1st tank/000 got. ,2nd lonk/QS7Qgal.minrruns P>,.>~�s FwNvozNy.11� 4th »:�c-v Pumping chamber capacity- 25% of doily sewage flow of ys0__g•o!.=1L�r•oi.4 reserve storageof 150 JL�i 1/B::.4SP<-al.4 pipebock draw e— i � P 9 P Y-' Y �9 j � PROPERTY OF: TA1�- � �o���� �' ' of 1'' •al./1001in.ft.ofd"dia. supply pipe, lin.fi.needed 11 O , 3 a got 4 manifold.1 gol./100linft of a�'do.p;pe,tn.ft.needed `)_ , a gal, c, p �F . .12�-Tlf� Rt . total capacity needed b 9 (coa1.(plus area for pump) u�� rn,r,/000 oa l,«�. • .0 O 1J () 1.-a . 1-;-' t--k'4S• Co- 'f o- ` Distribution pipe.11dio. , Al Y.....!•n.ft., 11y 'dia. perforations.3,(,-...lopart _ . Pump size bhp. (pumpobte capacity I cal. 4cycles/day) u•_:..‹,,.... a 0_' N v�o _c'QE':.�— S-PTFST/h✓G /N Note: When constructing bed , this area should be shaped Note: Distance from treatment oreo to neighboring welts— 1 Desi ned E J S% �i {- -- to divert run-off from entering treatment oreo. L >� -11-1)41-i-1)4?-f 100 g y LPN. 6!2-497-3566 I Dote:11.43Q/.& L-13 CERTIFICATION # 00627 Logs of Soil Borings Location or Project Jane Bonner, 970 Wayzata Blvd. , Orono Borings made by S-P Testing, Inc . Steve Schirmers Date 11-22-88 Classifiction System: AASHO ; USDA-SCS X ; Unified ; Other Auger used (check two) : Hand X , or Power , Flight , or Bucket X Depth, 1 Boring number 1 Depth, Boring number 2 in 1 in feet Surface elevation 96. 8 `feet Surface elevation 97 . 7 ' 0 - 0 Topsoil dark. gray Topsoil dark gray 1 ' -mottling loam loam 1 - 0 - 1 ' 2" 1 - Dark gray clay loam 0 - 1-1/2 ' -mottling 1 ' 2" - 1 ' 8" _ Gray l-1/2 ' - 1 ' 10" loam 2 2 - ' Rusty gray clay loam Rusty gray brown 1 ' 10" - 2-1/2 ' clay loam 3 - 3 - • Olive gray clay 1 ' 8" - 3-1/2 ' loam '2-1/2 ' - 3 ' 10" 4 - 4 - Rusty gray brown Rusty olive gray loam ' loam 5 - 5 3 ' 10" - 5 ' 8" 3-1/2 ' - 6 ' 6 - 6 _ 7 - '7 _ • 8 - 8 - • • End of boring at 6 ' feet. End of boring at 5 ' 8" feet. Standing water table: Standing water table : present at feet of depth, present at feet of depth, hours 'after boring. hours after boring. Not present in hole X Not present in hole X • Mottled soil : Mottled soil : Observed at 1 ' feet of depth. Observed at 1-1/2 ' feet of depth. Not present in hole Not present in hole Comments : Comments : L-13 CERTIFICATION # 00627 Logs of Soil Borings • Location or Project Jane Bonner. 970 Wayzata Blvd. , Orono • ' Borings made by S-P Testing, Inc . Steve Schirmers • Date 11-22-88 Classifiction System: AASHO ; USDA-SCS X ; Unified ; Other ' Auger used (check two) : Hand X , or Power , Flight , or Bucket X Depth, Boring number 3 'Depth, • Boring number• in in feet Surface elevation 97 . 2 feet Surface elevation 0 0 Topsoil dark gray 1 - .loam 1 • - 1 ' 4"-mottling 0 - '1 ' 8" _ 2 _ Gray loam 2 1' 8". - 2 ' 2" Gray 2 , 2„. - 2-1/2 ' clay oam 3 - Rusty gray clay. loam 3 - - 3 ' 2" 4 4 Rusty olive gray I loam 5 - 5 - i 3 ' 2" - 6 ' 6 - 6 - 7 7 - 7 - • • 8 - 8 - End of boring at 6 ' feet. End of boring at feet. Standing water table: Standing water table: present at feet of depth, present at feet of depth, hours after boring. hours, after boring. Not present in hole X Not present in hole . Mottled soil : Mottled soil : Observed at 1 ' 4" feet of depth. Observed at feet of depth. Not present in hole Not present in hole Comments : Comments : . CERT. #00627 • PERCOLATION TEST DATA SHEET Percolation test readings made by S—P Testing, Inc . on 11-23-88 starting at 10 : 4 7 p.m. (Jule) Test hole location__ Wayzata Blvd. , Hole number 2 ,Date hole was prepared 11-22-88 P 'P" • Depth of hole bottom 18 _inches,Diameter of hole 6 inches Soil data from test hole: Depth, inches Soil texture 0 — 18" Topsoil dark gray loam Method of scratching sidewall Knife 2 Depth of gravel in bottom of hole inches 11-22-88 3 : 30_p,ln. 12 Date and hour of initial water filling , Depth of initial water tilling inches above hole bottom Method used to maintain at least 12 inches of water depth in hole for at least 4 hours Automatic siphon 6 , Maximum water depth above hole bottom during test inches Time Percolation I Time interval, Measurement, Drop in water rate, Remarks minutes inches level,inches minutes per inch {{ 10 : 35 prefill 6 1 10 : 47 11 : 17 " • 7/8 34 . 3 30 min 11 : 20 11: 50 " 1 IIi 11 : 53 12 : 23 " " • f • • 34 . 3 Percolation rate = minutes per inch. i • • • CERT.#00527 • PERCOLATION TEST DATA SHEET ---- • Percolation test readings made by S—P Testing, Inc . on 11-23-88 starting at 10 : 48 a• • , Nair) • 970 Wayzata Blvd. 3 ' 11-22-88. Test hole location ,Hole number , Date hole was prepared . Depth of hole bororn_ 18 inches,Diameter of hole 6 inches • Soil data from test hole: • Depth, inches • Soil texture • 0 — 18" Topsoil dark gray loam • • • • Method of scratching sidewall Knife ' 2 • Depth of gravel in bottom of hole inches uiai 12 Date and hour of initial water filling 11-22-88_ 3 - 30p veth f water filling, inches above 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 test 6 inches • Time I I Percolation Time interval,' Measurement, Drop in water rate, Remarks minutes i inches level,inches minutes per inch • 10 : 35 prefili 6 j 10 : 48 11 : 18 j ! 3 10 . 0 30 min 11 : 19 11 : 49 , I 2-7/8 [ 10 . 4 n " ' I 11 : 52 12 : 22 2-7/8 10 . 4• " I I • Percolation rate = 10 ' 3 minutes per inch. • • • • •..x. • CERT. #00627 . PERCOLATION TEST DATA SHEET -- 41110 Percolation test readings made by S—P Testing. Inc . on 11-23-88starting at 10 : 46 (Jdv 1 11-22-88 Test hole location 970 Wayzata Blvd. , Hole number Date hole was prepared • Depth of hole bottom 18 _inches,Diameter of hole 6 inches • Soil data from test hole: Depth, inches Soil texture 0 — 14" Topsoil dark gray loam • • 14" — 18" Dark gray clay loam • Method of scratching sidewall Knife 2 • Depth of gravel in bottom of hole inches Date and hour of initial water fillin11-22-88 u- 30 m 12 t' epth�'initial water filling 'inches above hole bottom Method used to maintain at least 12 inches of water depth in hole for at least 4 hours Automatic siphon 6 ... ,Maximum water depth above hole bottom during test inches Time 1 Percolation Time interval, I Measurement, Drop in water rate, i Remarks minutes inches level,inches minutes per I • inch 10 : 35 prefill 6 • 10 : 46 I 11 : 16 I, 4-1/8 . 7 . 3 30 min 11 : 21 11 : 51 3-3/4 8 . 0 " " 11 : 54 12 : 24 ii 3-5/8 0 . 3 II " " I • I 1 . Percolation rate = 7' 9 minutes per inch. . PER=ORATED • LATERALS SANDY LOAM SOI `� - . - � _-�-_ - ..-1\ /... •�, .,/, • 7 i' i', • Vii.: LAYER OF STRAW OR i - �'' >'`' • MARSH HAY COVERED �.4tip, ' /, WITH RED .ROSIN . PAPER / ,�``j � �. r I tii OR 2 ,�. . P! rF FROM PUMP /' _./ / 7' / , /i ••• / ,/,,. l' - ' 17 • CLEAN ROCK �. ;,; "� �'' DIVERSION FOR %, // :� �/ NOTES. SURFACE WATF_R 6" TOPSOIL % ' / i j `"/ . I. SELECT AS LEVEL A SITE AS POSSIBLE FOR THE MOUND. ' - i' - , .r ,, = 2 REMOVE EXCESS VEGETATION. PLOW, DISK OR USING BACK OE THE MKER TEETH, E TORE / ROUGHEN THE SURFACE SOIL 6 INCHES DEEP. DO THIS ONLY .- rW • CONTENT IS LESS THAN THE PLASTIC LIMIT(SOIL IS PLASTIC IF IT CAN BE ROLLED +• INTO AN I/O INCH WIRE).DO NOT REMOVE ANY OF THE SURFACE SOIL. MOUND > Wy�� // - PERFORMANCE ON CLAY SOIL DEPENDS ON EXTREME CARE TO PREVENT COMPACTION /'"V AND RIDDLING OF THE CLAY DURING CONSTRUCTION.DO NOT USE HEAVY CONSTRUC- -.� �. � � �" ION EQUIPMENT AND DO NOT CONSTRUCT THE MOUND WHEN THE CLAY SO{L IS '�-,2 J-._.,.Q " • / / f ,_ 1 IN A PLASTIC CONDITION. .-,., �� �� ' / 3. USE ONLY TRACK-TYPE EQUIPMENT FOR CONSTRUCTING THE MOUND SO AS NOT r 9" / , ....__ ,_...._ - %• TD COMPACT THE ORIGINAL SOIL. 4. THERE MUST BE AT LEAST 2 FEET OF NATURAL OR FILL SOIL HAVING A PERCd11- Z ~ / `� ' TION RATE NO SLOWER THAN 120 MINUTES PER INCH AND NO FASTER THAW 5 3 ' , ti � MINUTES PER INCH,BEFORE PLACING THE LAYER OF CLEAN SAND. 4...'• /0 �_ - ` j " : •. :t`}' . ".• 5. THE 12 INCH LAYER OF CLEAN SAND IS PART OF THE M9UNO CONSTRUCTION. SAND IS CONSIDERED CLEAN IF IT CAN PASS THE"FRUIT JAR TEST FOR CONCRETE SAND. CLE/� �O , ;` + u'- 6 THE TOP OF THE CLEAN SAND LAYER AND THE TOP OF THE ROC( BED MUST BE S `r^1Iv _ ?� `-<,..r.....! `'/ CONSTRUCTED LEVEL • ANp t 3 'IT...! .4 DIST RIBUTION•PIPES ARE II/2-INCH DIAMETER SPACED 40 INCHES ON CENTER FI • f OD 6 -t-,i`t•^�y •* PND CONNECTED TOA MANIFOLD IN THE CENTER OF THE ROCK BED. PIPES HAVE �J F �� '''•'':-.-.--.'i-`::,'':. •`: / INCH PERFORATIONS DRILLIED EYERY 36 IINCHES ANO EPOINTING DOWNWARD. ROKLL Er R ::".;1:-‘47:.- Y B. NINE INCHESOFROCKBARE PLACED UNDER THE PERFORATED LATERALS AND 2 UP - , �� INCHES ABOVE FOR A TOTAL ROCK DEPTH OF 12 INCHES. L" 9. THE ROCK IS FIRST COVERED WITH A LAYER OF HAY OR STRAW WHICH IS THEN /� a---- COVERED WITH A LAYER OF RED ROSIN PAPER LAPPED 6 INCHES AT THE SEAMS. BARN i ru R 1 •` AT LEAST fi INCHES OF LOAMY SAND SHOULD BE PLACED OVER THE TOP OF THE R 41.s ROCK BED. I. I I. A ErINCH LAYER OF TOP SOIL SHOULD BE R E MOUND SO AYERTHAT ED. 12 CROWN THE SOILGRASS VER COVERCOVER ATBLEAST 6u INCHES AN THCED E CENTER OR THE F THE MOUND ABOVE THE ROCK LAYER SO THAT HEAVY RAIN WILL RUN OFF. 13. SIDE SLOPES OF THE DIKES SHOULD BE NO STEEPER THAN 4,I ON CLAY SOILS AND 3`1 ON SANDY SOILS. I,4-D -LAY€R.DEPENDS ON THE AMOUNI_OF DAILY SE £). 15. MAXIMUM EFFLUENT DOSE PER PUMP CYCLE SHOULD BE NO MORE THE TABLE VALUES. 16. MINIMUM PUMPING RATE IS SHOWN IN TABLE. PUMPING HEAD MUST BE ADEQUATE TO OVERCOME ELEVATION DIFFERENCE, FRICTION LOSS PLUS 5 FEET FOR PERFORATED LATERALS. •• E-4 4 INCHES STRAW OR MARSH SANDY LOAM SOIL HAY AND LAYER OF RED ' ROSIN PAPER PERFORATED LATERAL GRASS COVER 6 INCHES SAND FILL TOPSOIL MAXIMUM SLOPE —r►1.- ,- .1. 4 TO I e ry . _ 'V'"--- TOPSOIL LJ c'/c, SLOPE 4,i SUBSOIL PLOWED OR CLEAN ROCK DISKED SURFACE 3/4 TO 21/2 INCHES • CROSS SECTION A - A _ PIPE FROM . / PUMPING CHAMBER w / ' 1 ' j • I. I , r II PERFORATED i i � • —• LATERALS ` 1 I „ ' _ . ~ BEDAREA�I z -id `�I i- , w . - I I __' i i I w A __. t11 m w w , I I — i 20 I INCHES i cr.-IL-'t. y INCHES -"4 i ' • — — L'___ - •- - DIKE - MAX.j-- 10 FEET _DIKE TOTAL WIDTH . . / 1I ( : 1 ► . PLAN VIEW • . E-12 • Z2 02 Q coCC O2 :co WCc 0< f LLLi V WEL c_7_ Q 4 Cl. rj Q O II li t . � z Z , I1 s z s, lr rcr) r w Qz O o �I WZ Q OW '; o LL }- Qa :� 1 1 • Iii _- Q • O ' / OC O J U O ,t_ 0 T Ja op WW: - w a. H U Om O L)c v)�� w Q • Q „ \\/ co Da 0I (I)02, ZV = Z W O— O / • U- O-d �N �uJ _ Qd CZQ �J O U y-' v U a. L.1 uZ'V�, LL1 C_ 0. Q CL SONO - . I 0 0 3I w LI; END PERFORATION OF A PERFORATED LATERAL Grass Cover v tame WV \ Topsoil Layer of Geotextile Fabric (or luyer Loamy Sand Layer of hay or straw covered with red ,•••• , rosin paper) • c77-ri ccct c. Perforsted La eral -4-- Perforation Drilled Horizontal into Cap Near Top A3, Plus , At Least 12" to Edge cccc4 cfcctDrain Field Rock ,„ -cc of Rock Layer - ..44k • Perforations Located at Clean Sand Layer Bottom of Lateral ••••• • Original Soil Properly Scarified Before Placing Sand Layer • Q • >- 0 i ; , JF-- Z 2 < U 0_m y1_ zZ O X ~ Qm0 �(!)<D CLIU L.L. W �Z� Z Z �__,(DW Q-, LI j W '�1-�;sJU CLOQ Cs., 1 W CC �ZOz � 1 F-i- O (/) (2 OOF- 2Q O O m i-Y J LI_V) p lit p Z Z O 2 JU D CrCa W LL-DZ - Y o ppm m11-1 Z2 lL>(/)a �CCQ D U z c O 0I z �Q ct u QJ �Om0- u—m(n W O J �i W DCpc W! D ]O zo j OU W W U cr c6 U -� Q 0 > 2 JI ��ami- �� LiJ Z O _if _ D U Y W QH F-O Q2 �. I z W Z W OwV)°.. 0 O �� J z d- z _z Q Oz0 Y Q~W CZ+ 'J EEcni—c~� 0OTJ Y U = Q W O_ 0 z ~ UW' w UHF-2z JQ0Q U 0 0 Q 1-- H H I J w(nC!)0O UJOZZ (n U JQ QOU 0 JDDZJ JJOO O H , J (!O 0 iW ~Z I W22QQ WILU U U ll J I Q (I) 0...LL J O. Z E ' H O O (n W 21 Q EO� W w -7 W Z U C D. W Z- W i-- CLa, v) �' DQ 5' o U LY OW ♦ ZU � ' __.._____ CL N 2 0 - ___, Ky` .f • I1'� J 0 z Q I =CC Cc � 1 0 -� U� Uo = W~ D Q . Z < i-- 0 c p CLcrz ( ) U - WW p J OJ ct W 0 CC rr... O W U O LU W J Cr x Z W a---J W Z _1 IJ O 0Cr• Z 3' IL I-- 0Q r.QQ W WCC CC `'n 0- (j)0 I CL rims— i— • �' o mi) U J , Q.._...1 pr,- Uj. IN CC! i! c ,.. i r�i CL ; %._ . J OO.w Jz W� ' Qm - �' a. ww wwCC Q �` .1;--%.- 1E ETAL-- • . COVER • Vt • C-7.--- . - Z ,.f-_, . :41 k-tt -, . 0 \r __ti aI -'-.--4. fk4/ .10 • , ' iy# 1 re • MIi CONCRETE t.1 ) MANHOLE RING . •... •_. • METHODS OF SECURING MANHOLE COVER TO PREVENT UNAUTHORIZED ENTRY II it ,1 11 1____� PENCIL -- MARKS ,..., 1i • . ..--k-i-.;i _Li-- . • .:....:,;;;.:-.- • - - • • • . .-.).:-• - it :-• -1:iii.f.-.:;:: °-' "-Yr 7' / \i' MANHOLE ;; , �Yr ,. 1, INLET SCUM .r."-r-- �I :; OU FLET y " r. 'OUTLET LEVEL-I '• � :i 11. ;i : �i 11. 1 _ 1 _ ._iiSCUEY1 CLEAR SPACE -- - ; CLEAN OUT TANK WHEN - - - - --- - - S R LESS OR - _--_---___-__._ -- _-___ _ - ' „B,. fS 12" OR LESS , 7_----_- _-_-_ : 1. y, i BLACK COLOR �/ �. - N • , DISTINGUISHES SLUDGE � ::;: SLUDGE /'' LAYER FROM LIQUID 1 MEASURE SCUM AND SLUDGE ACCUMULATIONS IN THE SEPTIC TANK 1