HomeMy WebLinkAbout2007-P11445 - new septic system PERMIT
CITY C�F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11445
Crystal Bay, Minnesota 55323 Permit Type: se tic
(952) 249-4600 p
Date Issued: 9/19/2007
SITE ADDRESS: 410 Big Island Unit#
Excelsior,MN 55331
PID: 23-117-23-32-0074
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Se tic Permit Sub-type(s): New Septic System
Permit Type: P
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 100.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 100.50
APPLICANT: Able Excavating OWNER: Gregory O'Conner ETAL
15630 Old Brick Yard Rd. 1549 Livingston Ave-#107
Shakopee,MN 55379 West St. Paul,MN 55118
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
�
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APPL[CANT PERM[TEE SIGNATURE UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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. CITY OF ORONO SEPT`IC SYSTEM PERM��I'APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay,Mn 55323
JOB SITE ADDRESS � � �'L
Occupancy Type: Residential Commercial Other
� �
Permit Type: New or Replacement System � ��0�_ ,�G'✓,
Repair Existing System $ 50.00
(Tanks or Drainfield)
$0.50 State surcharge added to above fees
* See fee schedule for non-residential permit fees
,,; ���-!O 7
Owner's Name: j'� Phone Number: ��-�`'� ��7— �'Q �7
Mailing Address: i rr�.► S City •c. Zip: �/J
Contractor's Name: � �� � Phone Number: Lr%/�,i'L—Z�SZ. -% 5��}�
Mailing Address: � ' d3 �-a� yr City�ji�r � Zip: �,����
� ���
*** DOYNOT MAII, PAYMENT WITH THIS APPLICATION***
GENERAL INSTRUCTIONS
1. Applications for septic system permits may be mailed or submitted in person at the City
Offices; however, permits will not be mailed out. The permit must be picked up in person
at the City Offices and work must not begin unless the permit card is on the job site.
2. Permits will be issued only to contractors holding a Minnesota Pollution Control
Agency(NIl'CA) Septic System Installers License.
3. All work must be done in accordance with th.e ap}�rQv�d septic system design. Design reports
are not considered approved unless accompanied by the "City of Orono Septic System
Approvai" cover sheet signed by the City inspector.
4. The following inspections will be required for all septic systems:
A. Pre-installation site inspection to include inspector, installer, and general contractor.
B. Tank installation prior to covering.
C. Drainfield trench installation prior to covering. For mounds, inspection is required after
rough up but prior to sand placement(sand will be jar tested for silt content), and again
during pressure distribution piping installation in the rock bed.
D. Final inspection to verify proper final cover depths and to verify that all pump stations
(where required) components are functional and comply with codes.
� S. Individual holding MPCA Installers License shall be present during a11 inspections. A 24-hout•
notice is required for all inspections.
r
�♦ �
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate �
boxes.
1. I have received a copy of the system design including the City of Orono Septic
System Approval Cover Sheet.
2. I will be installing the following: �
A. Tanks: Precast Concrete Other Manufacturer
Tank Capacities: 1) gal. 2) gal 3) gal
B. Pump Station(if required)
Pump make& model (attach pump curve&
literature); system design requires gpm at feet of head.
High water alarm make& model . Outside
electrical work to be completed by installer electrician other
C. Treatment . � �
Trenches: s.f. Maund
Depzh of rock below pi�e " Rock bed dimensions ' x '
_Drop Boxes Sand bed dimensions ' x '
Distribution Box Pressure Dist. Fipe Diam. "
Manifold Pipe Diam. "
D. Final Cover/Topsoil to be: borrowed from site
(show location on site plan)
trucked in
The undersigned hereby applies to the City of Orono for issuance of a septic system installation permit,
agrees to do all work in strict accordance with ordinances of the City and the regulations of the State
of Minnesota,and certifies that a 1 statements made on thi application are complete,true and correct.
Signature ofApplicant / Date: � �7
NIPCA License No. � ���
--------------------------------------------------------------------------------------------------------------------------
Staff Review: Approval Denial
Reviewer: Date•
Reason for Denial: *
-
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BEGROn���S. t,,,,�: ,i��,�;������t �f��; PJ�P�BER '�
OF BEDROUi�1S IiVur►�IUHT�S IN1S pES1GA{, '
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T .,_��;'�7�y007 a�,;55 763d575011 SPTE�fINC�INC PAGE 91/05
y S�p T��'���G� �N�i■ Steve B, Schim�ers •MPCA Ce�t.No. 627
� 951 k(atydld l.ane NE • St. ich�el� M 653�7�x (,�63) 497 501�
� Stats License#394
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August 6. 2007 � � � �j ,
;
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� Greg O'Connor i
410 Big Islanc� �
Orano, Hen�n. Co., MN bRQNO Capy►
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This �ft� hes en �xisting cesspool which la cl�ssifi�d as non�compliant. The tank will
r��sed to be �bandoned e�s d�erm�ned by the Clty c�f 0����, The tank has not been
used this yeer. '
This On-Site Sewage Treatment Sygtem is D�sign'�d for a Type 11, three bedroorn '�
home, in accordance with the Minnesate Pollution:�on,Uol Ay�ency Chapte�7080 and
local ordinances.
-� ��
The soils on this site�re clay loam to#oam, The r�ottled soils w�re I�ted at 8b
(redox feature�) . �'he bottom of the f►eatlr�ent are$� must be loc�ted at(eelst 3' above
the redox features. A standard trench sys�tem meiy�be inst�;lled using standard Infiltrato�
Chamber. '
i
Approv�l will be needed far the tanks ta be 16' �y Pram the cabin, the system to be
15' frorn theporch on the cabin� 8�the system to be . 0'from the properly line,
ORONO COPY
�
All property lines are.approxim�te 8�must be locat�d prior to inst�tla�on.
,
,,
The sofls at� depth of 24" have a percoletivn ra#e�af 12.0 mpi.
,
+�t�r o�oRaxo
2 new tanks will be need to be inetalled, Norwesc���ItMi'� N RE
'�'NSP�
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'��oveoµsusMrrrE�
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��T �.RESUBMIT
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�fi�K i�lepliaartl�ap�s uptio and soning cwil�,
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P4`JPERTY OF: �r�=`_ O �:;�t�- `,"'--
� ��.t� 1�:`, S� `-�,c�; �- �c 6c'r. �Pelcolotion Tests Scole= "�� = 'i; �;` _ t c`�. ":,_,..—_.
; v J - � •�,5oil Borings ,.. � . . .� �
� �o_ �= ��,s _ �Ber�c�: tviork �,.-i�,< < � � l ��;Gti�.� %
O J 1''"J
,� Nole� This sYstem is to be cc�s�rucled lo meel
-" " the M�nnesoio Pollulion Contro! Agency S-P TEST/NG /IVC..,
Q ' Cha ter 7080 & Local Ordinance � ��� -=�- %�.- :: -
� P Deyqned 6y: /� � i
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� � Note : Check all underground utilities Do:��5/��C—`? �.763-497-356
m
� • - --__-- --- existing grade
--- bock fill i a�min_
" � �
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� SET- BACKS rnke sidew�Els & bottorn to �
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cD HOUSE System must be� � ��e ���
, �-- .-36��---•�
o : Tnnk ?� f rom property rines �a� p=r;-r�-.=�,��5� .
� � 4rom v�lls .
tn �o from b4dgs_�.,�4~,� G�:';,��'�- lS' i RET�iCFi X-SECTI�N
� ! e
' ,u �,��r�.� q�����.��,� ;� (min_ ot iwo frenches�
T�eQtmer� area a'-�� fram �opecty fu�es (ma� IengfF� 100�)
o MAN6��5 -mAx. �'� ,from weSls,��F��-t1-�at=�c'
c : ti?.'�oF �a�r �� =�% rom bldgss:-5:��,_�.t�� �
'-' ' --, �v'from trees �i1''`''�'p�'�"'�"'S SO1L BORING ELE1/ATIONS
,� ' � � ' , .i�from {akes 8�streac� At le�st 4 1�2�of und�siurbed earlh
E • - =�min. 4.�d� 9�,.� , ; � , between trer�ct,es ��,D THIII EL.-�.C�
.t . ('�- �1�.�- Tonk ���,�.3 :---: �--�-=� -; TN�`2EL.-�;�,�
� � Tonk . i ' _-� ; : r" , Grode S %sbpe TH.`3 EL- ,�•�
Drop 1� Tonk S¢-�=�"` �
SS f5�, '"� �1£�';� ,. TH.4EL-
'' ti� G� .� t �� ;S ��.,;, .
w Min. !�io B� -C���.,� .�G �. 30 ��'�� �1 TH. 5 El.-
s. - .
E , � _l '� �.�
� ; Ma�z.i'to 4' �s�- - a -;:.�:-��,' -�-�,.;:'�;� `��'°, _. DROP BOXES �?�:��___ ,�� ��s��}?-� ._. _
. � �
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,� 4 1a fi�dia.pp� N�-w��c.a �rt,s��4_-�:= " �1�;�;: l�k4��'� �(�•S _
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� j SYSfEM DESIGN , '
� TYPE�SL;� �� - Percolotion role �_'��min.�inch (design�� -�'=�m�n�h y
w - .
red w/� of mck filter m�teriol -�3�r =!a?�sq.ft of trench bottom area needed - �:�"trench width_=r�`���C�n N.oF trench needed , cxxn�er of drop bouces�—
� Treatment areo req�i �,r����c�_ . •(b be derermined by the insfall�)
�o
Number of lanks reqJired T � !st tank!���'��gal�, 2nd tankavr��gat. miriunrr�s
� Cleon rock�.cu.yds. ( 3/4" fo 2 I/2��dia.,includes 2�obove pipe 1 �� `•-�t�-c i�A,� ��'.; � F�" G�s�1 ''-�,<-`- Pf�OPERTY OF= �s �r`�'����'
":;=� ,i��� �:-,:. , �;=-• f � :� � ���ti �:
07 �I� ��1 u �SL��-',t,%
� ��'^:; ; M '` 1�y�5:�,�� � �-;,
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N
0
a- .
S—P TEST/NG_lN-C.
Q , Note� Oistance from treahnent orea 10 ne wells— 1-1- !— ,��>� ��.�` ----�
: Note� When wr�structing .trerrfies , SHs area shouH be shoped \���S ���,k�� ��` f,�1�'^� Designed 6y�-
� � 10 divert run-off from entering treatment arsa. r
� ; Date�/�/d� � PH. 612-497-3566
i �
Sep 14 07 09: 18a Entertainment Themes, Inc 6513061080 p. 4
' ���,1'��.[7 !"�I�i�J �)�� YO'OA\iC��]1���
1. A�Ek�GE DESYG]!T PLOW '�`t'�'�': �:� ���5:`''�_.
,A-1: 6slimoP�d Sowaga Flows In Gcallons pe!Day
A. Estiznated 3 c?�.� gpd(see figure A-1) num er Q
or measured x 1�(safefiy f�ctor)- � gpd bedrooms aau� cias:u cioss ui cie�s iv
2 300 225 1B0 6�96
B. Septic tank capacity �.�1 at,i� gallons(see fi'gur�e G1) 3 450 300 2to or tno
"�'���-'< �l�'��v�A)�j"F'.,�=�� .•'�i1�111��•��.� S��l6S;�j;.��Y�,!-''ti;� �' ���7�0'(^, 4 600 375 256 values
5 750 450 294 In the
2. S�YLS(Site eunl uatian dafa) 6 voo 525 a3z Ciass�.
C. Depth to restrictixig layer= �:�•� '1�� � 1�,�a�� feet > >oso eoo 3�o n,o�m
D. Mar,depth of system Item 2C-3 Et= S•� ft-3 ft= ��,.f ft o �20o a�s aoe columns.
E. Texture �-�F���� - ���1✓� t.�?�1k+tiPercolation rate I 3,��� MPI
F. Soil Sizing Factor(SSF) �•�� sqFt/�d (see figur�e U-15) ;�l•T N.�N�+r(�.>
�',. % Land Slo�e� 5 % C-1; Se IicTRuk Ca acilies(iu xllons
3. 'TIZ��IC� OY��d� �3��"TQIVH 1�,��A Numher o( Minimum Liquid Liquid capacity will� Liquid capacity
Bedrooms Capacity gubegc disposal wilh disposal&
I-1. For lrenches with 6 u�ches of rock below the pipe: lin ins�d�
A x F= �'�Q gpd x �,-�� sqft/gpd = (.�c�c:� sqft io�i�55 750 >>zs �soo
3 or4 )000 1500
I. For trenclles with 17_uuhes of rock below fhe pipe: ;or 5 tsoo zzso 20°°
A x F x 0.8= _�pd x sqFt/gpd x 0.8= sqft �,Bor9 z000 a000 3000
J. For trenches wii1118 incl�es of rock below the pipe: �
A x F x 0.66= �pd x syft/gpd x 0.66- sqtt °�t rSSSF ��3'S`�raration d Sofl Stxtng
)( P )
K. For trenches with 7_4 inches of rock below the pipe: re=<o�a�;�.,H�« so;�s:�;.,e r�«��
minu�es per inch Soil Texture equyc(eet/gallon
A x F x 0.6=�d x_ sqft/�pd x 0.6= sqft m i er da (s f�i a
L. For pravi beds with 6 or 12 inches of rock below the 1D�� r�s��.ihe.,n.r Co��,����a O.P3
v � P i 0.1 lo S Mcdium sand 0.6J
2.,x A x F= i.5 x�pd x sy(t/gpd = sqFt o.,,a 5•- ;°�a�,°;° ,.�,
. . 6 to 15 Sendy bun� 7.27
For pressure beds with 6 or 12 ix�ches of rock below the p�p�; ,6�o�o Loam �,Gz
A x F= �pd x sqff/gpd = sqft �z.�p�s__._.._.___._s!i{.�p"�" `;�0°-,
-�� 96 Iv GO Clay laam 2.20
Sandy ilay
sqry��oy
4. DYS�'RZ�]&11TdQ1>d (CITecJc�all thafiapply) o�.�eiioizo••• a�Y <.ao
Sandy cloy
Sed (<6%slope) V Urop boxes(any slope) Rock s�owrr thao izo"" Sily clay
�Tcendles Distribution box(<3��0) �Charnber " se systems(or rapidly permeable soi n:
prrsy.,.e distribuHon or e�•nal d�stri6aliun w;lh
Pressure �tl'dVlt Gravelless ^a�^�h>25W o(tlxlolalsyslem.
Y •'Soil havLng 50%or mnre fine sand plvs very llnc sand
"'A mound must be used.
'•'An othcT or per(ormance syslem musl be used
5. SYS'B'�M b�I1D'd'h�, IL�Ie1G`I'�-T azed VOlL�11lR�
M. Select trench w�dth - ��v ft D-9: Soil Chancteristics and Soil sizing
(aclotx ISSF)for CGrave{Iess Pipe
N. If using rock,divide bottom area by Wldth: ��'"1� 1�J,I<or L)-c M = percolation rote lineal feet/
�'C�� sqft=_...`�,c�_Ft= '��,�U lineal feet (nvnules/inch) soil lexture gallon/day
Rock depth Uelow distribution pipe plus 0.5 foot tunes bottom area: ras�eT cn��o.i• Coarse Sand --
0.1 io 5 Mcdiwn Sa��d 0.28
Rock deptl�in feet+0.5 feet x Area (H,I,),1C,or L) Loamy Sand
U.1 to 5 Pine Sand°' 0.6
( ft+0.5 fl) x sqft=.�,��uft 6 i�u Sa��dy Loun o.a2
Volwne in cubic yards =volume v� cuft divided by 27 31 1045 s�i Lo;m os�
s�u
ruf t=27= cuyds 9G io GO Ctay Loam�CL) 0.74
Sandy CL
Wei.ght of rocic in tons= cubic yards tunes 1,4 s�i�c�
slowcr than 60'"' C a --
cuy ds x J.4= tons Sandy�lay
O. If usin.g 10"GraveRless T'ip�, Flow (A)x Gravelless SSP(see fio irre D-9) sury�tay
"Soil loo coarsc for sewa e treatment.
�d X lineal feet/gpd = lineal feet use Sy5cem5 ro��aPia�y permeablc soils.
"Soll having 50y or inore ii�m 5and i very flrm sand.
P. If tasing CltamUer.s, H�I�J�or K (based on heighl of chamber slats) = ��•Soil with loo high a percentaga of clay(or
inslallation o(a slandani ingruw�d syslem.
width of chamber in feet(M)
����U sqft= :��u fi= �.�=�iJ linea] feet � ��.�,k�.h�� __ ,�-
SL'1 _ l�� L,OI��J C.�'�'�1VV1:lSC:tit�p� Qiia;?'•�' ::'s: (rn�,..c�.e e^' ._..%.,
6. 1.A1MI�1 f�IZ�A. �s.;-�
, e,o� �;o;�•
.:�;b:: I�'1>ial.l•i�K
Q -_� v0.�ii p�O��S.
Select tren�h spacing, center ta center- feet ,r;o:�a.,;e..q Q.;ti0.e^o,
R. Multiply trenct�sp��cing by lineal feet R x Q=sqft of law»area �= ������4�'
�^',;�a�^"a.F_�o:t4:�4:
ft x lineal feet=----sqft as;`a;�;a� ^o'�:; 5-24���tock ---•
• " s/¢z�/z..
a�::4:�0;:;$� .,F.
;asa:e:_o;;s: �
:,t;Y;3aa6::.s�� 4E1��)v���
7. 1�,�YOLT�' �a�i•o 0 0 o:s�:= _.._ _
Include a drawul�with scale (one inch= ���_feet). Show pertinent property boundaries, rights-of-way,ease- �3�"r,
ments, location of house,gara�e, drivew�y,and all other improvements, existu�g or proposed soil h-eatment systexn,
well and diimensio�ls of all elevations,setUadcs and separation dista��ces.
I};ereby certi,fy.�,hat 1 have,completed this worlc in accordance with applicable ordinar►ces, rules and laws. �
Sep 14 07 09: 18a Entertainment Themes, Inc 6513061080 p. 5
� ��� T�S I /NV' �/Y�ro Steven B. Schirm�rs • MPCA Cert.Nn. 627
^ 951 K�tydid Lane NE • St. Michael, MN 55376 • (763) 497-3566
FAX • (763) 497-5011
State License #394
LQGS�?F S91L BORINGS
Greg O'Cannar
410 Big Island
Orono, Henr�. Co., MN
Borings completed on 8-3-07, with a hand bucket auger.
�3QRIN� NUMBER 1_ Elev.95.2 - NO MOTTLED SOIL PRESE�IT IN THE BORING.
0 - 1Z" Topsoil dark brown loam 10YR 3/2
12°' - 22" Gray brown loam 10YR 5/2
22°' - 42" Brown clay loam 10YR 5/3
�2°' - 78" Yellowish brown loam 10YR 5/6
�ORING NUMBER 2- Elev.95.9 - MOTTLED SOIL AT 66" - no standing water present
in the boring.
0 - 10" Topsoi! dark brown loam 10YR 3/2
10" - 16" Cray brown loam 10YR 5/Z
16" - 24" Brown cfay loam 10YR 5/3
24" - 34" Yellowish brown clay loam 10YR 5/4
34" - 66" Yellowish brown loam 10YR 5/6
G6" - 72" Rusty yellowish brown loam 10YR 5/6 - mottles 10YR 6/8
�ORIIVG NUMBE� Elev.96.3 - NO MOTTLEQ SOIL PRESEfVT IN THE BORING.
p - 8" Topsoil dark brvwn loam 10YR 3/2
8" - 12" Gray brown lo�m 10YR 5/2
�12" - 30" Brown clay loam 10YR 5/3
30" - 40" Yellowish brown clay loam 10YR 5/6
40°' - 72" Yellowish brown loam 10YR 5/6
Sep 14 07 09: 18a Entertainment Themes, Inc 6513061080 p. 6
CERTIFIrATI�N N0.627
STAT�LICENSE N0.394
PEI�CULATION �EST DATA SHE�T
Percolation test readings made by S-P Testen�►,Inc. on��_QZ starting at fl 0:45a�m.
Test hole location O'�on�or,410 Bi�Isla�.d Oroao
Test hole numberl- Date test hole was prepared�_z_o7•
Depth of hole bottom 24 inches. Diameter of hole�inches.
SOIL DATA FROM TEST HOLE
DEPTH,INCH�S SOIL TEXTURE
0 - 12" _ Topsoil dark brown_loam_ __ ____
12" � 22" Gra�r brown foam
22" - 24" Brown clay_loam _ _
Method of scratching sidewall is �if�. Depth of gravel in bottom of hole is�inches. Date and hour of initial
water filling �-2-07� :OOnm. Depth of initial watcr lilling is inches above the hole bottom.
Method used to mauita�at least 12 inches of water depth in hole for at least 4 hours is�utoBnatic sinhou..
Maximum water depth above hole bottom during test is�inches.
-- __ ---------------- --_ _ ____ . __. ._.--- -- --
Measurement, Drop in water level, Percolafiion rate,
Time Time interval,min inches inches ______ _minu#e�er inch Remarks
10:35 refi I I 6
10:45 11:15 6 2-5/8 11.4 30 min
11:18 11:48 6 2-5/8 11.4 30 min
11:49 12:19 6 2-5/8 11.4 30 min
Yercolation rate= 11.4 muzutes per uich. �
Sep 14 07 09: 19a Entertainment Themes, Inc 6513061080 p. 7
. � �
CERTIFICATION N0.627
STAT�LICENSE N0.394
PERCOLATION TEST DATA SHEET
Percolation test readings made by S-P Testing, Inc. on 8-3-07 startuig at �0:46am�.
Test hote location O'Con�pr,4�.0 Big Island, Orono.
Test hole number�. Date test hole was preparcd 8-2-07.
Depth of hole bottom�inches. Diametcr of ho[e�inches.
SOIL DATA FR9M T�ST HOLE
DEPTH,INCHES S41L TEXTURE
0 - 10" Topsoil_dark brown loam
10" - 16" _ Gr�brown ioam
16" - 24" _ Brown clay foam
Method of scratching sidewall is�£e. Depth oPgravel in bottvm of hoie is�ine es. Date ar�d hour of irutial
�-2-07, 1:OOpm. Depth oi�initial water filling is 12 inches above the 11o1e bottom.
Method used to maintain at least 12 iuches of water d�pth in f�ole for at least 4 hours is�uto�dtic sinhon.
Maximum water depth above hole bottom durin�test is�inches.
_ __._ _ ______ -- --_.__._________�_ _ ....__. . . --------.---
Measurement, Drop in water level, Percolation rate,
�_ Time Time interval,min inches______ ___ _inches ____ _ _minutes per inch Remarks
10:35 prefifl 6
10:46 11:16 6 2-1/2 12 30 min
--- 11:17 _---___.. ._ 11:47 . _ --- 6 ---- 2-1/2__ �2 ___ 30 min--
11:50 12:20 6 2-7/2 12 30 min
Ferco(ation rate =1��Q_lcunutes per inch.
�� D E TIME "
CITY OF ORONO CALLED IN � �
INSPECTION NOT������ SCHEDULED � ��o�
PERMIT NO. fJ OMP�ETED
ADDRESS �O / �S I�
OWNER CONTR. /�G-G�e �X-� •
TELEPHONENO. 6/d a�a l�(P� Gl�Q.�-�.e-�
� DESCRIPTION �J7�7C- '' �«4-L
� ❑ FOOTING -��MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPEC710N
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FO�LOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �U11��`�7/� C�J��� '- �� S�'��S�C K .T1:���.5
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Q���ORKSATISFACTORY:PROCEED ❑ PROJECT OMPLET��$�vQr+
W ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL FETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. a ,
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