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Home My WebLink Aboutas-built 11-24-21UNIVERSITY OF MINNESOTA OTQ As -Built Form Owner: El/e'" rci!e-r- Parcel Number: O',i 4 01 Street/City/Zip Code: 1-17,'V ✓'ems , � azw Lot: Section: Township: N Range: W Installation Date: 9ti1 3A ( Installer: uM � �''' License Number: 0 is the system in Shoreland, serving a MDH facility or in a Wellhead Protection area? ❑ f YES NO � cv Number of Bedrooms/ Flow Rate:—3 50 # / gpd Septic Tanks, No & Size: i V #/gal Pump Tank Size: ?s 7 gal Tank Manufacturer:3t^�J.7 Pump Size: '�� hp 7 gpm �-)5 ft of TDH Floats properly set? 4 YES ❑ NO Soil Treatment Area: ❑ TYPE I ❑ TYPE 11 ❑ TYPE III &f TYPE IV ❑ TYPE V ❑ TRENCH ❑ BED Of MOUND ❑ AT -GRADE ❑ WARRANTIED ❑ OTHER: Limiting Layer/Depth: Rockbed Size: /0 x ' , Describe: y Depth from Surface: Adsorption Width: Media or Slat depth: Sand Depth: la hu' o (under mound) Trench Width: ft Bottom Square Feet Area:ft r Design Variances: Other Information: List any further system descriptions: List any material testing results (jar test, sieve analysis, etc): S � , Ibos It&C 4d List conditions during construction: 740 t -_ qo'< List who is responsible for establishing vegetative cover: 5 Aq i¢ I herebv certify that I have completed this work in accordance with applicable ordinances, rules, and laws. Installer) // !' f (license#) �- (Date) Site Drawing. Items to be identified: 1. Septic, holding and pump tanks, piping, and soil system configuration. Label bed or trench width and length or rockbed size, absorption on width and final dimensions. Indicate alarm location. 2. Show all setbacks from tank and soil system including: A. Property boundaries B. Buildings C. Wells D. Water bodies E. Road right-of-way 3. Improvements — present and future 4. Benchmark location and distance of tank and soil system from benchmark i Ronlarompnf citp tO 2020, Regents of the University of Minnesota. All rights reserved. For additional copies or for Americans with Disabilities Act accommodations, please call (800) 322-8642. University of Minnesota is an equal opportunity educator and employer. Updated 05/20. Brow 6-9 "41 CAI/ Shipping Tkt No: BROWN-WILBERT TANK INSTALLATION INSTRUCTIONS SITE CONDITIONS The site must be accessible to large heavy trucks. Be free of items like trees, stumps, overhead wires and buildings that could interfere with delivery or installation. The trucks must be able to within three to six feet of placement excavation. EXCAVATION Excavation should be approximately 12" minimum larger than tank size to allow for adequate back fill; this may vary with soil conditions. Excavation shall have a level bottom so the weight bears on the outside walls of the tank. BEDDING Proper use of bedding materials is important to ensure service life of the tank structure. Bedding must be capable of bearing the weight of the tank. Bedding material shall have the ability of 100% to be able to pass through a 3/4" screen. Bedding thickness shall be 4" minimum compacted (thickness may vary with existing soil conditions). JOINT SEAL Joint surfaces must be clean and proper placement of sealant according to manufactures recommendations. WATER TABLE Tanks being placed where water levels can potentially be higher than the elevation of the tank cover must be brought to the attention of Brown - Wilbert, Inc. Either an alternate location should be considered or a waterproof coating applied to tank. BACKFILL MATERIAL Sidewalls of tanks require dry backfill materials that have the ability of 100% to be able to pass through a 2" screen and have a minimum of 12" on all sides from bottom to top of tank. Backfill material shall be placed in a manner to avoid impact loads on the sidewall of tank. COVER MATERIAL Cover material shall be dry soil, sand or gravel and have the ability of 100% to be able to pass through a 4" screen. Cover material shall be mounded over tank and around risers to direct run-off away from both. INLET & OUTLET Pipe not to exceed i" past interior wall of tank where a baffle is used. BURIAL DEPTH Tanks not to exceed the maximum burial depth of each model's specifications. Model #: 2250 3C Liquid Capacity: 757/757/757 Max. Burial Depth: 8 Fr Model #: Liquid Capacity: Max. Burial Depth: Model #: Liquid Capacity: Max. Burial Depth: Cuctomerc Dunaway Const (651-442-7212) 9/17/20 Qty: 1 Date of Mfg:! Qty: Date of Mfg:... Qty: Date of Mfg: Delivery Address: Tanks 4780 N. Arm Drive W Qty Sent Item Returned City Orono, MN 1 2250 3C Directions: All other Supplies QtV Sent Item Returned Qt 1 Pump Pad Conceal a i ni u N 16 or 0 G&B-104 (02/21118) M V011 }.1 CERTIFICATION OF AGGREGATES AND b 4 0 GRANULAR MATERIALS fiy} of Tf1r¢ Project o: Contractors Tester Name: Tim Mueller Tester Certification No (If Required): 15465 Submitted y:Fn-meContractor) ubmitted o: (PRO-1ectEngineer) Source or Stockpile Location: Barton Sand & Gravel - 8000 Zachary lane Maple Grove, Mn I certify that these materials to be delivered to this project conform to the appropriate specification requirements. (Type/Print Name) Certified by: (Contractor's Authorized Representative Signature) pate: Pay Item Number Class or Type of Aggregate Quantity Gradation Tests (if required) Required Attached 3126 washed sand 241 Crushing Tests (N Required) Quality Tests (if Requied) (LAR, Shale, Bitumen, IR, etc.) Required Attached Required Attached Note: NOTE: Attach Required test results (gradations, crushing, bitumen content, qualities, etc.), per the Schedule of Materials Control, plan or proposal, etc. Send cony to Proiect Engineer. Complete below if salvaged/recycled materials are being used: Type or Class of Aggregate Bitumen content of the composite mixture: % Bituminous % Concrete % Glass % Specification Gradation Table for 3138 (3138-3, 3138-0, or 3138-5) Based upon the percentage of recycled material specified above 99 surge 99 99 99 237 238 239 240 241 tm tm tm tm tm 9121 9121 9121 9122 9122 100 99 99 99 99 92 86 89 94 93 74 72 72 84 85 42 43 43 38 54 10 12 11 5 10 1 1 1 1 1 2.81 2.85 2.65 2.82 2.58 99 99 99 99 99 91 91 90 91 91 78 77 76 77 78 46 46 45 43 44 12 12 12 11 10 2 2 1 1 1 2.73 2.73 2.77 2.78 2.77 99 99 99 99 99 90 9D 90 90 90 75 75 75 75 75 46 46 46 46 46 14 14 14 13 13 2 2 2 2 2 2.75 2.75 2.75 2.76 2.76 YTD Average 99 90 73 47 18 3 2.71 G&B-104 (02121118) OW i If ,�NaT4, CERTIFICATION OF AGGREGATES AND a os a GRANULAR MATERIALS of ,,Pa Project o: Contractor's Tester Name: Tim Mueller Tester Certification No (If Required): 15465 Submitted y: nmeContractor) Submitted o:(Project ngineer Source or Stockpile Location: Barton Sand & Gravel, 5000 Zachary Lane N Maple Grove, MN T certify that these materials to be delivered to this project conform to the appropriate specification requirements. (Type/Print Name) Certified by: (Contractor's Authorized Representative Signature) Date: Pay Item Number Class or Type of Aggregate Quantity Gradation Tests (If required) Required Attached Washed - rock 90 Crushing Tests (If Required) Quality Tests (If Requied) (LAR, Shale, Bitumen, IR, etc.) Required Attached Required Attached Note: (VOTE: Attach Required test results (gradations, crushing, bitumen content, qualities, etc,), per the Schedule of Materials Control, plan or proposal, etc. Send copy to P Complete below if salvaged/recycled materials are being used: Type or Class of Aggregate Bitumen content of the composite mixture: % Bituminous % Concrete % Glass % Specification Gradation Table for 3138 (3138-3, 3138-4, or 3138-5) Based upon the percentage of recycled material specified above 59 70 71 72 73 74 75 76 71 78 79 80 81 82 83 84 85 86 87 88 89 90 tm tm tm tm tm tm tm tm tm tm km km km km km tm tm tm tm tm tm tm YTD 8123 8124 8125 8126 8127 8130 8131 911 912 913 917 918 919 9/10 9113 9114 9115 9116 9117 9120 9121 9122 Average 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 95 94 98 96 93 99 95 91 94 97 95 94 97 96 99 93 95 99 96 95 94 90 94 57 61 61 60 56 60 45 52 58 58 53 53 59 49 59 64 59 61 59 58 54 57 56 4 4 4 5 6 7 4 6 7 5 5 3 4 4 7 5 8 7 7 5 7 6 5 0.1 0.2 0.3 0.2 0.2 0.4 0.2 0.2 0.2 0.2 0.1 0.1 0.4 0.2 0.2 0.2 0.3 0.2 0.3 0.2 0.3 0.2 0.3 surge 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 96 96 96 96 96 96 96 95 95 95 95 95 95 95 96 95 95 96 96 96 96 95 58 58 58 58 58 58 57 57 57 57 56 56 55 54 55 55 56 57 57 57 58 58 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 0.2 0.2 0.2 0.2 0.2 0.3 0.3 02 0.2 02 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.3 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100 97 97 97 97 96 96 96 96 96 96 96 96 96 96 96 96 96 96 96 96 96 95 62 62 62 62 61 61 60 59 59 59 59 59 59 58 58 58 58 58 58 58 57 57 6 6 6 6 6 6 6 6 6 6 6 6 6 5 5 5 5 5 5 5 5 5 0.3 0.4 0.4 0.4 0.4 0.4 0.2 0.2 0.2 0.2 02 0.2 0.2 0.2 0.2 0.2 0,2 0.2 0.2 0.2 0.2 0.2