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
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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_
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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
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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
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❑ 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 •
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❑ SEPTIC FINAL
❑ EXCAV/GRADING/FILLING
❑ TREE REMOVAL
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❑ FOLLOW-UP
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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
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SCHEDULED
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OWNER TELEPHONE NO.
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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:
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❑ WORK SATISFACTORY PROCEED
❑ CORRECT WORK & PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION
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❑ 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
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Inspector.
White CopylInspector's Fite
Canary Copy/Site Notice
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❑ 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
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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
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Call for the next inspection 24 hours in advance. (952) 249-4600
Inspector
White Copy/Inspector's File Canary Copy/Site Notice