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HomeMy WebLinkAbout03-01-22 Septic ComplianceMit MINNESOTA POLLUTION CONTROL AGENCY Compliance Inspection form Lafayette Road North St. Paul, MN 55155-4194 9 Existin Subsurface Se (Wage Treatment System (SSTS) St. Doc Type: Compliance and Enforcement Instructions: Inspector must submit completed form to Local Governmental Unit (LGU) and system owner within 15 days of final determination of compliance or noncompliance. Instructions -for filling out this form are located on the Minnesota Pollution Control Agency (MPCA) website at hftps://www.pca.state.mn.usisites/default/files/wq-wwists4-31 a. pdf. Property Information Local tracking number: Parcel ID# or Secrrwp/Range: 32-118.23-31.0001 Reason for Inspection: Sale Local regulatory authority info: Orono Property address: 385 Stubbs Bay Rd N, Orono Mn 55356 Owner/representative: Bridget Taylor Owner's phone: 763-370-7546 Brief system description: System status 2015 3 Bedroom 10'x38' Mound, (2) 1000 gal, 1000 gal pump tank (Precast) System status on date (mm/dd/yyyy): 3/1/2022 ❑' Compliant— Certificate of compliance- (valid ompliance• (valid for 3 years from report date unless evidence of an imminent threat to public health or safety requiring removal and abatement under section 145A.04, subdivision 8 is discovered or a shorter time frame exists in Local Ordinance.) *Note: Compliance indicates conformance with Minn. R. 7080.1500 as of system status date above and does not guarantee future performance. ❑ Noncompliant —Notice of noncompliance Systems failing to protect ground water must be upgraded, replaced, or use discontinued within the time required by local ordinance. An imminent threat to public health and safety (ITPHS) must be upgraded, replaced, or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance or under section 145A.04 subdivision 8. Reason(s) for noncompliance (check all applicable) ❑ Impact on public health (Compliance component #1) — Imminent threat to public health and safety ❑ Tank integrity (Compliance component #2) — Failing to protect groundwater ❑ Other Compliance Conditions (Compliance component #3) — Imminent threat to public health and safety ❑ Other Compliance Conditions (Compliance component #3) — Failing to protect groundwater ❑ System not abandoned according to Minn. R. 7080.2500 (Compliance component #3) — Failing to protect groundwater ❑ Soil separation (Compliance component #5) — Failing to protect groundwater ❑ Operating permillmonitoring plan requirements (Compliance component #4) — Noncompliant - Inral nrdinann, nsov Comments or recommendations -- — Recommend mowing the above ground mound system and tank area once a year to keep brush and tree roots from getting into the rockbed or tank. Pump the septic tanks this summer (1.5" scum and 3" sludge) and every 2-3years. Certification I hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No determination of the future system performance has been nor can be made due to unknown conditions during system construction, possible abuse of the system, inadequate maintenance, or future water usage. By typing my name below, I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the Purpose of processing this form. Business name: Ingleside Engineering& Constuction, Inc. Certification number: 7878 Inspector signature: License number: 874 (This document has been electronicaV signed) Phone number: 763-479-1869 Necessary or Locally Required Attachments (must be attached) E Soil observation logs 0 System/as-built ❑ Locally required forms ❑ Tank Integrity Assessment Operating permit [] Other information (list): Homeowner testimony Property address: 385 Stubbs Bay Rd N, Orono Mn 55356 Business Name: Ingleside Engineering & Constuction, Inc. Date: 3/1/2022 (mm/dd/yyyy) wq-wwists4-310 • 7/12/21• www.pca.slate.mn.us - Available in alternative formats - 651-296-5300 • 800.657-3864 • TTY 651-282-5332 or 800-667-3864 Page 1 of4 1. Impact on Public Health - Compliance component #1 of 5 System discharges sewage to the ground surface I ❑ Yes' sewage to drain tile or waters ❑ Yes - P -1 No O No System causes sewage backup into dwelling or establishment ❑ Yes* 2 No Any "yes" answer above indicates that the system is an imminent threat to public health and safety. Describe verification methods and results: no Z. Tank Integrity - Compliance component #2 of 5 Compliance Criteria: System consists of seepage pit, El Yes* I] No cesspool, drywall, or leaching pit Sewage tank(s) leak below their ❑ Yes* 2 No designed operating depth. If yes, which sewage tank(s) leaks: Any "yes" answer above indicates that the system is failing to protect groundwater. Describe verification methods and results: Attached supporting documentation: ❑ Other ❑ Not applicable nrwcneu suppon:mg oocumenzation: ❑ Empty tank(s) viewed by inspector Name of maintenance business: Elmer J Peterson License number of maintenance business: L219 Date of maintenance (mm/dd/yyyy): 7/3/2019 ❑ Existing tank integrity assessment (Attach) Date of maintenance (mm/dd/yyyy): (must be within three years) (See form instructions to ensure assessment complies with Minn. R. 7082.0700 subp. 4 B (1)) ❑ Tank is Noncompliant (pumping not necessary— explain below) ❑ Other: Visually inspected tanks, probed tank bottoms. First tank has 1.5' of scum and 3" sludge, recommend pumping tanks this summer. vropeny address: aoa amoos bay nd iv, Orono ann t)wbb Business Name: Ingleside Engineering & Constuction, Inc. Date: 3/1/2022 (mm/dd/yyyy) wq-wwists4-31c • 7/12/21 • wviw. pca.state.mn.us • Available In alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 2 of 4 3. Other Compliance Conditions - Compliance component #3 of 5 3a. Maintenance hole covers appear to be structurally unsound (damaged, cracked, etc.), or unsecured? ❑ Yes' Q No ❑ Unknown 3b. Other issues (electrical hazards, etc.) to immediately and adversely impact public health or safety? ❑ Yes* ❑� No ❑ Unknown 'Yes to 3a or 3b - System is an imminent threat to public health and safety. 3c. System is non -protective of ground water for other conditions as determined by inspector? ❑ Yes* ❑� No ❑ Unknown 3d. System not abandoned in accordance with Minn. R. 7080.2500? ❑ Yes* ❑� No ❑ Unknown *Yes to 3c or 3d - System is failing to protect groundwater. Attached supporting documentation: M Not Applicable ❑ 4. Operating permit and Nitrogen BMP* - Compliance component #4 of 5 Is the system operated under an Operating Permit? ❑ Yes ❑ No Is the system required to employ a Nitrogen BMP specified in the system design? ❑ Yes ❑ No BMP = Best Management Practice(s) specified in the system design. ff the answer to both questions is "no", this section does not need to be completed. Compliance Criteria: a. Have the operating permit requirements been met? b. Is the required nitrogen BMP in place and properly functioning? Any "no" answer above indicates Noncompliance Describe verification methods and results: Attached supporting documentation: ❑ Operating Permit (Attach) Property address: 385 Stubbs Bay Rd N, Orono Mn 55356 Business Name: Ingleside Engineering & Constuction, Inc. ❑■ Yes LE O Not applicable If "yes", A below is required. If "yes", B below is required. 3/1/2022 wq-ww1sts4-3lc • 7/12/21 • www.pca.state.mn.us • Available in alternative formats • 651-296-6300 • 600-657-3864 • TTY 651-282-5332 or 800-657-3864 Page 3 of 4 S. Soil Separation - Compliance component #5 of 5 Date of installation: 6/8/2015 ❑ Unknown (mm/dd/yyyy) Shoreland/Wellhead Protection/Food, ❑ Yes 0 beverage, lodging? Compliance Criteria: 5a. ror systems built prior to April 1, 1996, and not ❑ Yes located in Shoreland or Wellhead Protection Area or not serving a food, beverage or lodging establishment: Drainfield has at least a two -foot vertical separation distance from periodically saturated soil or bedrock. 5b. Non-performance systems built April 1, 1996, or 0 Yes later or for non-performance systems located in Shoreland or Wellhead Protection Areas or serving a food, beverage, or lodging establishment: Drainfield has a three-foot vertical separation distance from periodically saturated soil or bedrock.* No Attached supporting documentation: ❑� Soil observation logs completed for the report No` 17 Two previous verifications of required vertical separation ❑ Not applicable (No soil treatment area) 2 NRCS Soil Survey No* 5c. 'Experimental; "Other", or "Performance" ❑ Yes El No" systems built under pre -2008 Rules; Type IV or V systems built under 2008 Rules 7080. 2350 or 7080.2400 (Intermediate Inspector License required 5 2,500 gallons per day; Advanced Inspector License required > 2,500 gallons per day) Drainfield meets the designed vertical separation distance from periodically saturated soil or bedrock. Any "no" answer above indicates the system is failing to protect groundwater. Describe verification methods and results: Indicate depths or elevations A. Bottom of distribution media 88.01, B. Periodically saturated soil/bedrock 48.0" C. System separation 36" D. Required compliance separation* 38" *May be reduced up to 15 percent if allowed by Local Ordinance Upgrade Requirements (Minn. Stat. § 115.55). An imminent threat to public health and safety (ITPHS) must be upgraded, replaced, or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. If the system is failing to protect groundwater, the system must be upgraded, replaced, or its use discontinued within the time required by local ordinance. If an existing system is not failing as defined in law, and has at least two feet of design soil separation, then the system need not be upgraded, repaired, replaced, or its use discontinued, notwithstanding any local ordinance that is more strict. This provision does not apply to systems in shoreland areas, Wellhead Protection Areas, or those used in connection with food, beverage, and lodging establishments as defined in law. wq-wwists4-31c • 7/12/21 • w vpca.state.mn.us - Available in alternative formats • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3664 Page 4 of 4 ® Hennepin County Property Map Date: 2/15!2022 PARCEL ID: 3211823310001 OWNER NAME: Bridget Cessor-Culver PARCEL ADDRESS: 385 Stubbs Bay Rd N, Orono MN 55356 PARCELAREA: 4.66 acres, 202,919 sq ft A -T -B: Abstract SALE PRICE: $355,000 SALE DATA: 08/2014 SALE CODE: Warranty Deed ASSESSED 2020, PAYABLE 2021 PROPERTY TYPE: Residential HOMESTEAD: Homestead MARKETVALUE: $506,000 TAX TOTAL: $4,200.04 ASSESSED 2021, PAYABLE 2022 PROPERTY TYPE: Residential HOMESTEAD: Homestead MARKET VALUE: $523,000 Comments: This data (I) is furnished 'AS IS' with no representation as to completeness or accuracy; (it) is furnished with no warranty of any kind; and (ii I) Is not suitable for legal, engineering or surveying purposes. Hennepin County shall not be liable for a ny damage, injury or loss resulting from this data. COPYRIGHT O HENNEPIN COUNTY 2022 Soil Observation Log www.SepticResource.com vers 12.4 Owner Information Property Owner/ project: Bridget Taylor Date 3/1/2022 Property Address / PID: 385 Stubbs Bay Rd N Orono 55356 ..ro�jjivvvr Soil Survey Information 0 refer to attached soil survey Parent matl's: ❑� Till ❑ Outwash ❑ Lacustrine ❑ Alluvium ❑ organic ❑ Bedrock landscape position: 2 Summit ❑ Shoulder ❑ Side slope El Toe slope soil survey map units: L22ll2 slope 5 % direction- SW -NE Lerdal Loam Glaciofluvial and reworked till over till BM- top of rock = 100.0" 18' from edge of rkbd endslope NW T downslo e from NW f kb d p corner o roc e Soil Log #1 Q Boring ❑ Pit Elevation 70.0° Depth to SHWT 2211/ 48.0" Depth (in) Texture fragment % matrix color redox color consistence grade shape 0-11 Silt Loam <35 10YR3/2 Loose Loose Granular 11-27 Loam <35 10YR3/3 22" 7.5yr3/4 Friable Weak Blocky 27-38 Loam <35 10YR3/3 7.5YR3/4 2.5Y3/3 Firm Moderate Blocky <35 <35 Platy Comments: Mottled soil 22" 7.5YR3/4, 2.5Y3/3 /3� 1'i /r.5. 4, _n . , 7'9� 7'iK 220301 SB Bridget Taylor 385 Stubbs Bay rd N 32118230001 Ingleside Engineering & Construction Inc. Phone 763-479-1869 Fax 763-479-3161 4920 Hwy 55, PO Box 127 Loretto, MN 55357 Ann: Bridget Taylor Melling Andress: 385 Stubbs Bay Rd N Orono, MN 55376 Jnb Lncnnen: same owner. Same Homeowner Testimony How long have you lived in the house? — How many bedrooms in the house? ? Well & Septic Certifications Septic Design & Installation Well Drilling Irrigation Systems Percolation Tests Well & Septic Pump Service & Installation inglesideengineering.com er oae aWortmorov ea 763-370-7546 Has sewage ever backup in to the house? A O If yes please describe in detail, wet spring/snowmelt, more Has sewage ever been visible/leaking out of the system on to the lawn? U If yes please describe in detail, wet spring/snowmelt, more occupants. etc? Is the septic system connected to a drain tile or other outlet? I✓LO Are there any leaky faucets or toilets? 0 Are low flow toilets installed? 'nom Is there a garbage disposal installed? Is there a automatic dishwasher installed? When was the tank last pumpsd? At what frequency? If there is a lift pump when was the last time it was replaced? Is the system regulated under a monitoring plan or operating Has the septic system ever froze during the winter? V%9 To the best of our knowledge these answers are true & accurate. Date 'g �J ELMER J. PETERSON CO. Pumping Septic Tanks Install New.& Repair Drainfield 5921 Dague Ave. S.E. DELANO, MINNESOTA 55328 (763) 972.2420 L All claims and ranted b goods Thank Youl _Il MUST be accompanied by this bill. QTY. DESCRIPTION PRICE AMOUNT RECEIVE D BY L All claims and ranted b goods Thank Youl _Il MUST be accompanied by this bill. 44' %'TN 41° W4 N Soil Map—Hennepin County, Minnesota (Bridget Taylor) 3 3 Map Scale: 1:757 iFprinted wA portrait (8.5" x 11") Aieer. N0 10 27 40 10 A F 0 35 70 140 210 Map proleo>on: Wal Meiotor Ca aDDrdinab= WGS84 Edge tics: U!M Zane ISN WGS84 USDA Natural Resources Web Soil Survey 2/15/2022 Conservation Service National Cooperative Soil Survey Page 1 of 3 44"WVN 44" S44"N In z O Q O LL z a Q 0 z w V W J a Q k N d d n iy U r T y h 575 D- uni A � C Y N H (0 y c d C ° n j O m m m ° a n ' op a >, _ 3o d`o a `m m Ld m $ 9 N Y d V -W m v c o 0 N ❑�❑ Z ■NJ®Mrdo 0 OCOO D+X ae4 Q 0 N M O �O N N N_ m 0! 0 O r a y N ✓> 7 E d anicmE �c N cmE ,o c n N ma'vaNN� T L Z M ME d m N O N N B N w g= m C m N m aymam Z N EN m �Eaia n N ogo ° 3wmy E 00 w md'o am n ay `m c a r ami y u 0 c 10v£om j 3n a2 cL'yn maaE £3ampu) m diNZ `a °d E C E.- 2 o0 v � mani ?0o aB' c ynC N % 3 0£ LO sIUp E Qxc m v mcmdm OydZ rnm B 0O oo''oam�gm um ¢ }3— mo`o nm `E gy a; 46 Ecmp�p''`� O C Q 0 N O j J T N 00 y 'c a r O m j mw m Ea EO aycEL° -oY viv Eo vo C = O onmc aE 05 3: inv3m Ho 050 y oN FcxEN N d d n iy U r T y h 575 D- uni A � C Y N H (0 y c d C ° n j O m m m ° a n ' op a >, _ 3o d`o a `m m Ld m $ 9 N Y d V -W m v c o 0 N ❑�❑ Z ■NJ®Mrdo 0 OCOO D+X ae4 Q 0 N M O �O N N N_ m 0! Soil Map—Hennepin County, Minnesota Map Unit Legend Bridget Taylor usim Natural Resources Web Soil Survey 2/15/2022 Conservation Service National Cooperative Soil Survey Page 3 of 3 Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI L22D2 Lester loam, 10 to 16 percent 0.0 0.7% slopes, moderately eroded L24A Glencoe clay loam, 0 to 1 0.6 23.3% percent slopes L35A Lerdal loam, 1 to 3 percent 0.6 21.8% slopes L37B Angus loam, 2 to 6 percent 0.4 15.3% slopes L41 C2 Lester -Kilkenny complex, 6 to 0.3 10.3% 10 percent slopes, moderately eroded L49A Klossner soils, depressional, 0 0.2 6.2% to 1 percent slopes L132A Hamel -Glencoe complex, 0 to 0.6 22.5% 2 percent slopes Totals for Area of Interest 2.6 100.0% usim Natural Resources Web Soil Survey 2/15/2022 Conservation Service National Cooperative Soil Survey Page 3 of 3 Map Unit Description: Lerdal loam, 1 to 3 percent slopes ---Hennepin County, Minnesota Hennepin County, Minnesota L35A—Lerdal loam, 7 to 3 percent slopes Map Unit Setting National map unit symbol. h63c Elevation: 820 to 1,080 feet Mean annual precipitation: 23 to 35 inches Mean annual air temperature: 43 to 50 degrees F Frost -free period: 124 to 200 days Farmland classification: All areas are prime farmland Map Unit Composition Lerdal and similar soils: 80 percent Minor components: 20 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Lerdal Setting Landform: Moraines Down-slope shape: Linear Across -slope shape: Linear Parent material., Glaciofluvial and reworked till over till Typical profile Ap - 0 to 13 inches: loam Bt, Big - 13 to 47 inches: clay loam Bk - 47 to 60 inches: loam Properties and qualities Slope: 1 to 3 percent Depth to restrictive feature: More than 80 inches Drainage class: Somewhat poorly drained Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0.20 in/hr) Depth to water table: About 20 inches Frequency of flooding: None Frequency of ponding: None Calcium carbonate, maximum content: 25 percent Gypsum, maximum content. 1 percent Available water supply, 0 to 60 inches: High (about 10.2 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 2e Hydrologic Soil Group: C/D Ecological site: F103XY026MN - Clayey Upland Forests Forage suitability group: Level Swale, Acid (G103XS005MN) Other vegetative classification: Level Swale, Acid (G103XS005MN) Hydric soil rating: No Bridget Taylor USDA Natural Resources Web Soil Survey 2/15/2022 Conservation Service National Cooperative Soil Survey Page 1 of 2 Map Unit Description: Lerdal loam, 1 to 3 percent slopes ---Hennepin County, Minnesota Minor Components Mazaska Percent of map unit: 10 percent Landform: Swales on moraines Down-slope shape: Concave Across -slope shape: Linear Other vegetative classification: Level Swale, Acid (G103XS005MN) Hydric soil rating: Yes Le sueur Percent of map unit: 5 percent Landform: Moraines Down-slope shape: Linear Across -slope shape: Linear Other vegetative classification: Sloping Upland, Acid (G103XS006MN) Hydric soil rating: No Cordova Percent of map unit: 5 percent Landform: Flats on moraines, swales on moraines Down-slope shape: Concave Across -slope shape: Linear Other vegetative classification: Level Swale, Neutral (G103XS001 MN) Hydric soil rating:. Yes Data Source Information Soil Survey Area: Hennepin County, Minnesota Survey Area Data: Version 17, Sep 10, 2021 Bridget Taylor USDA Natural Resources Web Soil Survey 2/15/2022 Conservation Service National Cooperative Soil Survey Page 2 012 Joseph Olson D.B.A. Rusty Olson's--Soil and Percolation Testing Joseph I Olson--MPCA License # 810 11481 Riverview Rd. NE, Hanover, MN 55341 (763)498-8779 Fax (763) 498-8290 December 12, 2012 Pamela Gregory 385 Stubbs Bay Road N Orono, Hennepin County ORONO COPY This on-site Sewage Treatment System is designed for a Type I three-bedroom home in accordance with the Minnesota Pollution Control Agency Chapter 7080 and local ordinances. The periodically saturated soils were located at 18-22 inches (mottled soil). Due to the periodically saturated soils, a pressurized mound system will need to be installed to treat the septic effluent. The bottom of the treatment area must be located at least 3' above the saturated soils. All neighboring wells are greater than 100' from proposed treatment areas. ORONO COPY The soils at a depth of 12" have a percolation rate averaging 4 MPI. The existing septic tanks must he abandoned. Two new 1000 gallon septic tanks need to be installed. A variance may be needed for the septic tanks to be closer than 50 feet from the wetland. F//o All new tanks need to be insulated if there is less than two feet of cover over the top of the tanks. Clean outs must be installed on the end of the laterals for maintenance. The suuPly line must be laid as a directional bored force main below frost and be pressure tested. A 1000 gallon pumping chamber will need to be installed to lift the effluent to die treatment area. The power supply and switches must be located outside the manhole and pumping chamber in a weatherproof enclosure. A warning device must be installed with light and sound devices; this is in case of a pump failure. Nothine other than gray water. (laundry, showers etc) Human water and toilet tissue recommended that you Puma the tanks every two years Sincerely, E;__ . ; �� �: ;rY CITY OF ORONO SEPTIC itMTt _ INCT SPEO Joseph J. Olson DATE 1' PERMIT NO, APPROVED AS SCBMrri ro M 11[(lYylw APPROVrn WI'IHculiRr:CTIO SA5NOThp NOT APPROVED.CORKRC'T 8 RfiSLBM1T BEDR00MS AIff INcREAg1M Nf1A1Re�hc+ MITIMCM, aro for yow inl'lrinaliuo. All work"be aw WYY 1lflTif 16 �y,�'ii rull wmplis p with as Yppli"We wplic MW w "g wds. r� �f�Yi Itamm"O" RslrtanR Wiima no spownewly amd in nyslyA Ki l I' Illi PL %\ S!.; US SI I!Al AL1. 'IIMLS Logs of Soil Borinas License #810 Location or Project: 385 Stubbs Bay Road N. Borings made by: Rusty Olson's Soil and Perc testing 11/28/2012 Classification System: AASHO ; USDS- USDS.SCS_X_; Unified_; Other Auger used (check two): Hand _X_, or Power , Flight, Bucket or Probe Number _1_ Surface elevation _105.1_ Dark brown loam 10yr3/2 ' Brown loam 10yr4/3 'Rusty brown loam to Gay loam 10yr5/4 Number _2_ Surface elevation _105.1_ Dark brown loam 10yr3/2 'Brown loam 10yr4/3 ' Rusty brown loam to clay loam 10yr5/4 oring Number _3_ Surface Elevation _104.6_ "-10" Dark brown loam 10yf8/2 0"-18" Brown loam 10yr413 8"-30" Rusty brown loam to clay loam 10yr5/4 Mottled Soil al -1.7— feet H2O present at _X Mottled Soil at_1.8 feet H2O present at X Mottled Soil at _1.5_ feet H2O present at _X_ � �!f 6� \ G ` �� ka & ■��#�� � ~ ZL � B �{ / K■ \ \ �!f 6� \ G ` / & � ! { \ [ � \ ! /- § : [ q ■ \ \� 6� & ! i � \ \� 203 Minnesota Pollution Control Agency OSTP Design Summary Worksheet UNIVERSITY' ~k OF MINNESOTA �w v 11.09.22 Property Owner/Client: Pamela Gregory Project ID: E== Site Address: 1385 Stubbs Bay Road N, Orono, Hennepin County 1. AVERAGE DESIGN FLOW: A Design Flow 450 Gallons Per Day (GPD) Note: The estimated design flow is owWdwed a peak flow rate including a Safety S. factor. for long tern performance, the avrrW daily flow is recorrxnended to be < Septic Tank capacity: 2000 Gallons 60% of this value. C. Number of Septic Tanks or Comportments: C 2 � Effluent Screen & Alarm? No Type of Sol TnN&nent and Dispersal Are Type of DtSMbuftl* 0 Trenches 0 Bed @) MomW ��t'�mdo 0 Gravity Distribution Q Pressure Mabutim4evd 0 t macre DktrbutionAhLevd 0 Drip DistrDb. 0 ►ioldtg Tads 0 Oil.,= • Selection Required Benchmark Elev = 100 ft System Type Benchmark Location: top of iron Q Type 1 0 Type II 0 Type III 0 Type IV 0 Type V Type of Distribution Media: Rock D. (— Pump Tank f Capacity: 771Galtons Pump Tank 2 Capacity: =Gallons L 2. SITE EVALUATION: A. Depth to Limiting Layer: 20 inches 1.7 It Elevation a Location of Limiting Layer: 103.4 ft B. Measured Percent Land Slope: 5.0 % 0.0 Location: C. Soil Texture: �— Loam Perc Rate: MPI D. Soil Hydraulic Loading Rate: 0.60 GPD/ft2 E. Contour Loading Rate 12.0 Gal/ft 3. DESIGN SUMMARY Trench Design Summary Dispersal Area �ftz Stdewalt Depth in Trench Width in Total Lineal Feet oft Number of Trenches Maximum Trench Depth in Designees Max Trench DepthE==in Bed Design Summary Absorption Area Ift2 Media Below Pipe in Bed Length it Bed Width [=ft Maximum Bed Depth =in Designees Max Bed Depth =in Mound Design Summary Absorption Area 375 ft2 Bed Length 38 It Bed Width 10.0 ft Absorption Width 20.0 ft Clean Sand Lit 1.3 It Berm Width (slope 0.1%)it Upstope Berm Width 11.0 ft Downslope Berm Width 19.0 ft Endslope Berm Width 12.0 it Total System Length 62 ft Total System Width It At -Grade Design Summary Absorption Bed Width it Absorption Bed Length It System Height It Absorption Bed Area e_--�fe Upslope Berm Width ft Downslope Berm Width ft Endstope Berm Width =ft System Length =it System Width =ft Minnesota Pollution OSTP Design Summary Worksheet UNIVERSITY►" Control Agency OF MINNESOTA J� �- ---j Pressure Dfstrifrwt—io-n—$utnmary No. of Perforated Laterals E Perforation Spacing l 3�ft perforation Diameter 1/4 in Lateral Diameter 1.50 in Supply Pipe Diameter 2,00 in� Minirrafm Dose Volume r=.rJ Flow Rate 29 GPM Total Head 20 ft Maximum Dose Volume 112,5 �j Holdlr� Tanks Only Number of Holding Tanks L-- _! Total Volume of Holding Tanks ^—� gallons High Level Alarm? 4. AWtional info for Type IV/Pretreatment Design Type of Pretreatment Unit Being installed: Organic Loading to Pretreatment Unit - Design now X Estimated BOD in mg/L in the effluent X 8.35 + 1,000,000 =gpd X =mg/L X 8.35 + 1,000,000 . =lbs BOD/day Calculate System Organic Loading: lbs. BOD/day + Bottom Area . lbs/day/fe lbs/day + =W . [=Ibs/day/fe I hereby certify that i have completed this work in accordance with all applicable ordinances, rotes and laws. Joseph J Olson -419Kr_ 810 12/12/12 OSTP Mound Design Worksheet �.. Minnesota Pollution -%A OL Clo%r%.. UNIVERSITY K wnrrol Agency .ravrar SYSTEM SIZING: Project ID: A. Design Flow (Flow Ft Solt - 1.A) : 450 GPD B. Soil Loading Rate (flow h Soil -3.C): 0.60 GPD/ft' C. Depth to Limiting Condition: E. 7 ft D. Percent Land Slope: 5.0 % E. Design Media Loading Rate: 1.2 GPD/ft2 F. Mound Absorption Ratio (Table lXa): 2.00 G. Design Contour Loading Rate: 12.0 GPD/ft ��••�•• Table i •••-- -MOUND CONTOUR LOADING RATES: Moasurod Pore Rato OR Toxturo - dortvod mound absorption ratio Ttt~Vt GW Cieatment Contour Loading Rato: I 60nipi OR 1.0. 1.3. 2.0. 2.4. 2.6 '12 61.120 mpf 5.0 .12 n 120 nlpf' .5.p cb' 12. DISPERSAL MEDIA SIZING Ur 1V11NNbSO'IA V 11.09.. TABLE IXa LOADING RATES FOR DETERMINING BOTTOM ABSORPTION AREA AND ABSORPTION RATIOS USING PERCOLATION TESTS Ttt~Vt GW Cieatment Level A. A-2, 6, tlonAArea Percolation Rte 0*1) Londrilto�w Absorption At" Lam" Mound Rte (WdAl') Rado RaW Absorption (Wdne) Raft i0.1 to 5 1.2 1 1.6 1 '0.1 to 5 (free sand and be rine saAM 0.6 2 1 1.8 s to 15 0.78 1.5 1 1.6 16 to 30 0.6 2 0.78 2 31 to 0.6 2A 0.78 2 48 to 60 0.46 2.6 0.6 2.6 61 to 120 5 0.3 5.3 >120 'Systems with these values are not Type I systems. Contour Loading Rate (linear loading rate) is a recd nmended value. A. Calculate Required Dispersal Bed Area: Design Flow (1.A) + Design Media Loading Rate (1.E) - fe If a larger dispersal media area 450 GPD + 1.20 GPD/ft2 375 fe is desired, enter size: ��fe B. Calculate Dispersal Bed Width: Contour Loading Rate (1.G) + Design Media Loading Rate (1.E) - Bed Width 12.0 ft 1.2 gpd/ft2 10 ft C. Calculate Dispersal Bed Length: Dispersal Bed Area (2.A) + Bed Width (2.13) - Bed Length 375 ft2 + 10 ft - 38 ft D. Select Dispersal media: E. If using a registered product, enter the Component Length: in + 12 - it F. if using a registered product, enter the Component Width: in + 12 - IC�-Jft G. Number of Components per Row - Bed Length (2.C) divided by Component Length (4.J) (Round up) ft + it - - 7components/row H. Number of Rows - Bed Width (2.8) divided by Component Width (4.K) (Round up) Note: CLR of 10.3 Adjust Contour Loading Rate on Design Summary page until this number is a whole number gol/ft results in 9 foot (� `'j wide bed. ft + t�_ ! ft - E� rows 1. Total Number of Components - Number of Components per Row X Number of Rows E -==X E= z components ABSORPTION AREA SIZING Note: Mound setbacks are measured from the Absorption Area. A. Calculate Absorption Width: Bed Width (2.8) X Mound Absorption Ratio (1.F) - Absorption Width 10.0 ft x 2.0 - 20.0 ft B. For slopes >I%, the Absorption Width is measured downhill from the upslope edge of the Bed. Calculate Downslope Absorption width: Absorption Width (3.A) - Bed Width (2.B) - ft 20.0 ft 10.0 ft MOUND SIZING A. Calculate Clean Sand Uft: 3 feet minus Depth to Limiting Condition (1.C) - Clean Sand Lift (1 ft minimum) 3.0 ft 1.7 ft - 1.3 ft Design Sand Lit (optional): 1.3 B. Calculate Upslope Height: Clean Sand Lift (4.A) + media depth 0 ft.) + cover (1 ft.) - Upslope Height 1.3 ft 1.0 ft+ 1.0 ft. 3.3 ft D•34: Slw Multiplier Table Und Slope % 0 1 1 3 4 5 6 7 8 9 to t i 12 13 14 15 16 11 l8 19 20 21 22 23 24 25 Upslwe 3:1 3.00 2.91 2.83 I.75 2.68 2.61 2.54 2.48 2,42.2,362,31J21612-2112,17 2.13 2.09 2.06 2.03 2.00 1.97 1.95 1.93 t.9t 1.89 124 12 5 Bert Ratto 4;1 4.00 3.85 3.70 3.51 3.45 3.33 3.23 3.12 3.03 2.94 2.86 2.78 2.70 2.62 2.55 2.48 2.41 2.35 2.29 2.23 2.18 2.13 1.08 2.03 11.98 11.93 Lind Slope % o I 1 1 1 3 14 5 6 1 8 9 110 1 11 -11T13 F14 15 16 17 1 1E 1 19 20 1 Zt I 22 23 24 25 Go1m51ope J:1 1.00 3.04 3.19 3.30 3.41 3.53 3.66 3.E0 3.95 4.11 4.29 4.48 4.64 4.95 5.24 5.55 5.8E 624 6.63 1.04 1,4I 7.43 8.42 Eig t0.D2 Belni Ratio 4:1 4.00.1.17 4.35 4.54 4.76 5.00 526 5.56 5.8E 6.25 6.67 7.14 1.69 8.29 E.91 957 1024 1094 11.67 12.42 13.19 13.49 14.82 17.44 C. Select Upslope Berm Multiplier (based on land slope): 3.33 (figure D-34) D. Calculate Upslope Berm Width: Multiplier (4.C) X Upslope Mound Height (4.11) - Upslope Berm Width 3.33 ft x 3.3 ft - 11.0 ft E. Calculate Drop in Elevation Under Bed: Bed Width (2.6) X Lara! Slope (1.D) + 100 - Drop (ft) 10.0 ft x 5.0 % + 100 = 0.50 ft F. Calculate Downslope Mound Height: Upslope Height (4.6) + Drop in Elevation (4.E) - Downslope Height 3.3 ft + 0.50 ft = 3.8 ft G. Select Downslope Berm Multiplier (based on land slope): 1 5.00 (figure 0-34) H. Calculate Downslope Berm Width: Multiplier (4.G) X Downslope Height (4.F) - Downslope Berm Width 5.00 x 3.8 ft 19.0 ft 1. Calculate Minimum Berm to Cover Absorption Area: Downslope Absorption Width (3.6 or 3.C) + 4 ft. - ft 10.0 ft 4 ft - 14.0 ft J. Design Downslope Bean - greater of 4H and 41: 19.0 ft K. Select Endslope Berm Multiplier: 1 3.00 (usually 3.0 or 4.0) L. Calculate Endslope Berm (4.K) X Downslope Mound Height (4.F) - Endslope Berm Width 3.00 ft x 3.8 ft M. Calculate Mound Width: Upslope Berm Width (4.D) + Bed Width (2.B) + Downslope Berm Width (4.J) - ft 11.0 ft + 1 10.0 ft + 19.0 ft - F 40.0 ft N. Calculate Mound Length: Endslope Berm Width (4.L) + Bed Length (2.C) + Endslope Berm Width (4.1.) - ft 12.0 ft + 38.0 ft + 12.0 ft F 62.0 ft Comments: 5. MOUND DIMENSIONS 0 ---- ------------------ Upslope (4.D) ------------ 11.0 —------- Endslo a K Q Dispersal Bed: (2.8 x 2.C) o Endsto s ;12.0 10X 3 � 38 v O � � O �a Downslope (4.J) 19.0 " ----------------------------------19 - ---------- Total Mound Length (4.N) 1 62.0 4" inspection pipe r-18" cover on top berm 14.D 11.0 12" cover on sides (6" topsoil i.3 Clean sand lift KA) (ft 1.1 Dep, tr, L.imitjn, t?.CI Absor tion Width (3.A) - Note_ 1 20.0 For 0 to 1% slopes, Absorption Width is measured from the Bedequaily in both directions. For slopes >1%, Absorption Width is measured downhill from the Upslope edge of the Bed. 1 12.0 I 19.0 Minnesota Pollution _Control Agency OSTP Pressure Distribution Design Worksheet 1. Select Number of Perforated Laterals In system/zone: (2 feet Is minimum and 3 feet Is maximum spacing) 2. Select Perforation Spacing: 3.0 ft 3. Select Perforation Diameter Size 1/4 in 4. 5. 6. UNIVERSITY OF MINNESOTA \1 V11 `y t.. .. i. 7 �. y .`,.•� -7, V 4p- 11":2s Of r -k { 7 6" W rock Length of Laterals = Media Bed Length - 2 Feet. t P«lo,�t int uhx,: „• . �,a,, o ,p,t M,:: to 3 38 - 2ft = 36 ft Perforation can not be closer then 1 foot from edge. Determine the Number of Perforation Spaces. Divide the Length of laterals (Line 4) by the Perforation Spacing (Line 2) and round down to the nearest whole number. Number of Perforation Spaces - 36 ft It = 12 Spaces Number of Perforations per Lateral is equal to 1.0 plus the Number of Perforation Spaces (Line 5). Perforations Per Lateral = 12 Spaces + 1 = 13 Perls. Per Lateral Check table below to verify the number of perforations per lateral guarantees less than a 10% discharge variation. The value is double If the a center manifold is used. 7. Total Number of Perforations equals the Number of Perforations per Lateral (Line 6) multiplied by the Number of Perforated Laterals (Line 1). 13 Perf. Per Lateral X Number of Perf. Laterals 39 Total Number of Perf. 8. Calculate the Square Feet per Perforation. Recommended value Is 410 ft z per perforation. pwf° t n obdunp 1614' Does not apply to At -Grades ""foi1vnD1nM" tw.e UU ,�. '�. 'h, ti. Bed Area = Bed Width (ft) X Bed Length (ft) 1& 0.13 0.+1 o.es 0.74 /.s o.0 0.51 649 0./ 10 ft x 38 ft = 380 fe zct 0.26 0.5s OAD 1.04 :.S 0." 0.6% 0.„ 1.17 7.0 0.7: 0.72 0." Square Foot per Perforation = Bed Area divided by the Total Number of Perforations (Line 7). {.D 0.37 0.93 s. OAS 1 o.n I ,.2t 1.t3 380 ftZ f 39 orations _ 9.7 "°°° Dweft twlthl/16inch to 114 Inch P fe/perforations P.trttWiom Dweh<ttp with 1 /E Inch perfomdom 2 "t Dth.r atshlhhments -d AA TS whh 3116 9. Select Minimum Average Head: 1.0 ft Foch to //t loth P.rromtbm s foci airr «Whir et n .nor ruts wxn 1 n k ch Perromtioru 10. Select Perforation Discharge (GPM) based on Table III: 0.74 GPM per Perforation 11. Determine required Flow Rate by multiplying the Total Number of Perforations (Line 7) by the Perforation Discharge (Line 10). Maxirtarn Number of Perforations Per Lateral to Guarantee <10% Disdwr Variation `.Inch Perforations 7/32 Inch Perforations PerforationPipe Spacing (feet} Diner (Inches) Perforation Spacing (Feet) Pipe Diameter (inches) 1 114 I m 2 3 I 114 iv: 2 3 2 10 13 18 30 60 2 if 16 21 34 68 21� 8 12 16 28 54 214 10 14 20 32 64 3 8 12 16 25 52 3 9 14 19 30 60 3!16 Inch Perforations 1!8 Inch Perforations Perforation Spacing (Feet) 1 Pipe Diameter (Inches) i'A 94 2 3 Perforation Spacing (Feet) Pipe Diameter (Inches) 1 114 lit 2 3 2 12 18 26 46 87 2 21 33 44 74 149 n 1 12 17 24 40 80 2i 20 30 41 69 135 3 1 12 1 16 1 22 37 1 75 3 20 29 38 64 128 7. Total Number of Perforations equals the Number of Perforations per Lateral (Line 6) multiplied by the Number of Perforated Laterals (Line 1). 13 Perf. Per Lateral X Number of Perf. Laterals 39 Total Number of Perf. 8. Calculate the Square Feet per Perforation. Recommended value Is 410 ft z per perforation. pwf° t n obdunp 1614' Does not apply to At -Grades ""foi1vnD1nM" tw.e UU ,�. '�. 'h, ti. Bed Area = Bed Width (ft) X Bed Length (ft) 1& 0.13 0.+1 o.es 0.74 /.s o.0 0.51 649 0./ 10 ft x 38 ft = 380 fe zct 0.26 0.5s OAD 1.04 :.S 0." 0.6% 0.„ 1.17 7.0 0.7: 0.72 0." Square Foot per Perforation = Bed Area divided by the Total Number of Perforations (Line 7). {.D 0.37 0.93 s. OAS 1 o.n I ,.2t 1.t3 380 ftZ f 39 orations _ 9.7 "°°° Dweft twlthl/16inch to 114 Inch P fe/perforations P.trttWiom Dweh<ttp with 1 /E Inch perfomdom 2 "t Dth.r atshlhhments -d AA TS whh 3116 9. Select Minimum Average Head: 1.0 ft Foch to //t loth P.rromtbm s foci airr «Whir et n .nor ruts wxn 1 n k ch Perromtioru 10. Select Perforation Discharge (GPM) based on Table III: 0.74 GPM per Perforation 11. Determine required Flow Rate by multiplying the Total Number of Perforations (Line 7) by the Perforation Discharge (Line 10). Minnesota Pollution 39 1Perforations OSTP Pressure Distribution Design Worksheet 0.74 (GPM per Perforation 29 UNIVERSITY OF MINNESOTA GPM OSTP Pressure Distribution Minnesota Pollution Design Worksheet Control Agency 12. Select Type of Manifold Connection (End or Center): End Centw 13. Select Lateral Diameter: 1.50 in 14. Volume of Liquid Per Foot of Distribution Piping: 0.110 Gallons/ft 15. Volume of Distribution Piping = = [Number of Perforated Laterals (Line 1) X Length of Laterals (Line 4) X (Volume of Liquid Per Foot of Distribution Piping (Line 14)] X 36 it X 0.110 gal/ft 11.9 Gallons 16. Minimum Dose= Volume of Distribution Piping (Line 15) X 4 11.9 gals X 4 s 47.5 Gallons mans pipe . - Cieanouu ' Tont pump Manifold pipe,` t� mments/Special Design Considerations: UNIVERSITY OF MINNESOTA -0• mate location Table 11 Volume of Liquid in Pipe Pipe Liquid Diameter Per Foot (inches) (Gallons) 1.25 0.078 1.5 0.110 2 0.170 3 0.380 4 0.661 Alternate fixation of phi from puopt OSTP Basic Pump Selection Design: UNIVERSITY M C wool P enucy Worksheet OF MINNESOTA .� 1. PUMP CAPACITY Project ID: v 11.09.22 Pumping to Gravity or Pressure Distribution: (( Q GI&Yk QQ Fr -e Selection required 2 1. If pumping to gravity enter the gallon per minute of the pump: GPM (10 - 45 Wn) 2. if pumping to a pressurized distribution system: 29.0 GPM /tine I of Pressure Distribution) POMC Of 2. HEAD REQUIREMENTS t----� A. Elevation Difference ft between pimp and point of discharge: M« pip.E,, ,,,o ;...... 7 dick e B. Distribution Head Loss: ft C. Additional Head Loss: E7777 --]ft (due to special equipment, etc.) Distribution Head Loss Gravity Distribution = Oft Pressure Distribution based on Minimum Average Head Value on Pressure Distribution Worksheet: IlAnimum Average Head Distribution Head Loss 1ft 5ft 2ft 6ft 5ft 1 Oft D. 1. Supply Pipe Diameter. 2.0 in 2. Supply Pipe Length: 320 ft E. Friction Lou in Plastic Pipe per 100ft from Table h Friction Losse 1 2.23 ft per Io0ft of pipe F. Determine Equivalent Pipe Length from pump discharge to soil dispersal area discharge point. Estimate by adding 25% to supply pipe length for fitting toss. Supply Pipe Length (0.2) X 1.25 a Equivalent Pipe Length 320 it X 1.25 m 400.0 it Table (.Friction Loss in P(astic..Pipe per 100ft Flow Rate fie Diameter (inches) 1 1.25 1.5 1 2 (GPM) 10 9.1 3.1 1.3 0.3 12 12.8 4.3 1.8 0.4 14 17.0 5.7 2.4 0.6 16 21.8 7.3 3.0 0.7 18 9.1 3.8 0.9 20 11.1 4.6 1.1 25 16.8 6.9 1.7 30 23.5 9.7 2.4 35 12.9 3.2 40 16.5 4.1 45 20.5 5.0 50 6.1 55 7.3 60 8.6 65 10.0 70 11.4 75 13.0 85 16.4 95 20.1 G. Calculate Supply Friction Loss by multiplying Friction Loss Per 100ft (Line E) by the Equivalent Pipe Length (Line F) and divide by 100. Supply Friction Loss - 2.23 ft per 100ft X 400.0 ft + 100 8.9 ft H. Total Head requirement is the sum of the Elevation Difference (Line A), the Distribution Head Loss (Line e), Additional Head Loss (Line C), and the Supply Friction loss (Line G ) 6.0 ft 5.0 ft + C=ft + 8.9 ft a 19.9 ft 3. PUMP SELECTION A pump must be selected to deliver at least 29 GPM (Line 1 or Line 2) with at least 20 feet of total head. Percolation Test Data Sheet Uc.#810 Percolating test readings made by: Rusty Olson's Perc. starting at 12:10 P.M. On 11/29/12 Location: 385 Stubbs Bay Road N Hole number: 1 Date hole was prepared: 11/28/12 Depth of hole bottom _12"— inches, Diameter of hole _6"_ inches. Soil data from test hole: Depth, inches Soil texture 0-12" Dark Brown Loam 10yr3/2 Method of scratching side wall: Knife Depth of gravel in bottom of hole 2 inches: Date of initial water filling 11/29/12 depth of initial water filling 12 inches above the hole bottom Method used to maintain at least 12 inches of water depth in hole for at least 4 hours Automatic Siphon Maximum water depth above hole bottom during tests 6 inches 12:31 12:46 6" 3.0 5.0 12:49 1:04 6" 2.9 5.2 1:05 1:20 6" 2.8 5.4 AVERAGE PERC. RATE 5.2 MPI ® V0 City of Orono FOR CITY USE ONLY P 0 Box 66 2750 Kelley Parkway Date Received. P"mit# 4 . Z_ Crystal Bay, MN 55323 (952) 249-4600 Amount: CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION (All permits must be approved by the On -Site Septic Manager and/or Building Official) Job _Site _/ Owner Information: ❑ Site Address.- ii -i 13cc Owner: Mailing Address: City: On' �­10 Zip: Home Phone: Alternate Phone: F _co`ntrac�tor/ Applicant �Info�rmati6`n.� Contractor/App.: Contact Person: Address: State License City.- zip: Expiration Date: Phone: 2 63 `122 - 2? 2,e7 Alternate Phone: TYPES OF OCCUPANCY Residential El Commercial ❑ Other PERMIT TYPE AND FEES New or Replacement System,,/ $400.00 Repair Existing System 100.00 (Tanks or Drainfield) State Surcharge 5.00 5.00 Total $ 1/2 ** ATTENTION APPLICANT ** Fill in a!I appropriate blanks and check all aaaaaaaapropriate boxes. 1 will be installing the following: Tanks 9 Precast Concrete ❑ Fiberglass Number of Tanks: Size of Tanks: Treatment System Trenches Mound Gravel less Chamber s.f. _ s.f. s. f. s.f, ❑ Plastic ❑ Other (list manufacturer) NOTE: The contractor is required to provide an As -Built of the system before the final inspection. The undersigned hereby applies to the City of Orono for issuance of a septic system installation permit, agrees to do all the work in strict accordance with ordinances of the City and regulations of the State of Minnesota and certifies that all statements made on this application are complete, true and correct. Signature of Applicant �~'��� Date: MPCA License No.: -/ Staff Review: '❑ VAccept _ ❑ Denied Reviewer: _f Date: f . Reason for Denial: Comments (to be printed on inspection card); v v_ ,t='' 2/2 CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION I. Applications for septic system permits may be mailed or submitted in person at the City offices; however, permits will not be mailed out. The permit must be picked up in person at the City offices and work must not begin unless the permit card is on the job site. *** DO NOT MAIL PAYMENT WITH THIS APPLICATION *** 2. Permits will be only issued to contractors holding a Minnesota Pollution Control Agency (MPGA) Septic System Installers License. 3. All work must be done in accordance with the approved septic system design. 4. The following inspections will be required for all septic systems: A. Tank installation prior to covering. B. Drainfield trench installation prior to covering. For mounds, inspection is required after rough up, but prior to sand placement (sand must be jar tested for silt content) and again during pressure distribution piping installation in the rock bed. C. Final inspection to verify final cover depths and to verify that all pump station (where required) components are functional and comply with codes. 5. MPCA licensed Installers or their DRP (Designated Responsible Person) shall be present during all inspections. A 24-HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. 3/2 C _�� P�r CITY OF ORONO INSPECTION NOTICE PERMIT NO. -LIZ ADDRESS afN7TRCTOR IPTION CA IN DATE TIME SCHEDULED COMPLETED _k7 TELEPHONE NO. 0 C) COMMENTS: QZ _'11 41 ��- - /z'O 5� CZ z) W_ IIQ cc �2 Zt 0 SEPTIC FINAL El EXCAWGRADING/FILLING ❑ TREE REMOVAL ❑ SITE INSPECTION ❑ PROGRESS ❑ COMPLAINT ❑ FOLLOW-UP ❑ HARD COVER REMOVAL E:1 FOUNDATION/REMOVAL 1Aj ty LQ ORK SATISFACTORY. PROCEED cc LJ CORRECT WORK& PROCEED CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING CORRECT UNSAFE CONDITION WITHIN - HOURS. INSPECTOR WILL RE -TURN I-] STOP ORDER POSTED. CALL INSPECTOR INSPECTION REQUIRED. CALL TO ARRANGE ACCESS, CJ PROJECT COMPLETE fj ISSUE CERTIFICATE OF OCCUPANCY - TEMPORARY PERMANENT LJ PHOTO TAKEN Cl CITATION ISSUED Call for the next inspection 24 hours in advance. (952) 249-4600 Inspector. on site: White Copy/Inspector's File Canary Copy/Site Notice FOOTING n DEMO - FINAL 0 POURED WALL n PLUMBING RI 4El FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ RADON SLAB El MECHANICAL RI FRAMING [:1 MECHANICAL FINAL INSULATION El WOOD BURNER/FIREPLACE FINAL El WATER HOOK-UP AS BUILT - SURVEY 0 SEWER HOOK-UP ❑ DEMO - SITE El PTIC INSTALL- OWNER/CONTRACTOR TO MEET YOU: YES __ NO 0 C) COMMENTS: QZ _'11 41 ��- - /z'O 5� CZ z) W_ IIQ cc �2 Zt 0 SEPTIC FINAL El EXCAWGRADING/FILLING ❑ TREE REMOVAL ❑ SITE INSPECTION ❑ PROGRESS ❑ COMPLAINT ❑ FOLLOW-UP ❑ HARD COVER REMOVAL E:1 FOUNDATION/REMOVAL 1Aj ty LQ ORK SATISFACTORY. PROCEED cc LJ CORRECT WORK& PROCEED CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING CORRECT UNSAFE CONDITION WITHIN - HOURS. INSPECTOR WILL RE -TURN I-] STOP ORDER POSTED. CALL INSPECTOR INSPECTION REQUIRED. CALL TO ARRANGE ACCESS, CJ PROJECT COMPLETE fj ISSUE CERTIFICATE OF OCCUPANCY - TEMPORARY PERMANENT LJ PHOTO TAKEN Cl CITATION ISSUED Call for the next inspection 24 hours in advance. (952) 249-4600 Inspector. on site: White Copy/Inspector's File Canary Copy/Site Notice CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. C79015 MPLETED OWNER CONTRACTOR DESCRIPTION ❑ FOOTING ❑ POURED WALL ❑ FOUNDATION WATERPROOF ❑ RADON SLAB ❑ FRAMING ❑ INSULATION ❑ FINAL ❑ AS BUILT- SURVEY ❑ DEMO -SITE fl- 'C', ❑ DEMO - FIIJAL ❑ PLUMBING Rt ❑ PLUMBING FINAL ❑ MECHANICAL RI ❑ MECHANICAL FINAL ❑ WOOD BURNER/FIREPLACE ❑ WATER HOOK-UP ❑ SEWER HOOK-UP ❑ SEPTIC INSTALL OWNER/CONTRACTOR TO MEET YOU: _ YES — NO NO. TIME • WA 1 Z -1- 0 L— ❑ SEPTIC FINAL ❑ EXCAV/GRADING/FILLING ❑ TREE REMOVAL ❑ SITE INSPECTION ❑ PROGRESS ❑ COMPLAINT ❑ FOLLOW-UP ❑ HARD COVER REMOVAL ❑ FOUNDATION/REMOVAL r..K�■ .. A RR CT UNSAFE CONDITION WITHIN HOUk INSPECTOR WILL RETURN ❑ STOP ORDER POSTED. CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. ❑ PHOTO TAKEN ❑ CITATION ISSUED Call for the next inspection 24 hours in advance. (952) 249-4600 Inspector. on site: White Copy/Inspector's File 01 Canary Copy/SIM Notice Z Q v W �.t Z y o� a j O a cc O 'L �u CC 1t W Z W J d LU CC W 4 O v CITY OF ORONO INSPECTION 20TICE PERMIT NO. [Ol —00"7(4 F-1 111 CALLED IN SCHEDULED DATE TIME OWNER TELEPHONE NO. CONTRACTOR Mel �ee.�0n DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO - SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO - FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: — YES _ NO COM ENTS: 77 t C /to vie t1 w� ❑ WORK SATISFACTORY PROCEED ❑ CORRECT WORK & PROCEED ❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION WITHIN _ INSPECTOR WILL RETURN ❑ STOP ORDER POSTED. CALL INSPECTOR ROJECT COMPLETE ❑ ISS E CERTIFICATE OF OCCUPANCY TEMPORARY PERMANENT HOURS. ❑ PHOTO TAKEN ❑ CITATION ISSUED ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 ^ontracUwvn site: en Inspector. White CopylInspector's Fite Canary Copy/Site Notice 00 CITY OF ORONO CALLED IN INSPECTION, I.QTICE� SCHEDULED PERMIT NO.:"', COMPLETED C) -Z O Uj Q� CC cc 0 LL IAJ cc Lu z ILAJ cc Z) Q LAJ CC OU DATE TIME E NO. El FOOTING ❑ DEMO - FINAL El POURED WALL El PLUMBING RI ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ RADON SLAB ❑ MECHANICAL RI ❑ FRAMING ❑ MECHANICAL FINAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE El FINAL ❑ WATER HOOK-UP [I AS BUILT - SURVEY 0 SEWER HOOK-UP El DEMO - SITE 0 SEPTIC INSTALL OWNERICONTRACTOR TO MEET YOU: — YES __ NO COMMENTS: ❑ SEPTIC FINAL ❑ EXCAV/GRADING/FILLING ❑ TREE REMOVAL. ❑ SITE INSPECTION El PROGRESS El COMPLAINT F1 FOLLOW-UP ❑ HARD COVER REMOVAL ❑ FOUNDATION/REMOVAL d, 40 WORK SATISFACTORY. PROCEED CORRECT WORK& PROCEED CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING CORRECT UNSAFE CONDITION WITHIN — HOURS, INSPECTOR WILL RETURN STOP ORDER POSTED. CALL INSPECTOR r Ll INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. s='l PROJECT COMPLETE ISSUE CERTIFICATE OF OCCUPANCY TEMPORARY PERMANENT I PHOTO TAKEN r} CITATION ISSUED Call for the next inspection 24 hours in advance. (952) 249-4600 Inspector White Copy/Inspector's File Canary Copy/Site Notice