HomeMy WebLinkAbout2012-01101 - new septic CITY OF ORONO * z H 1 2 - 0 1 1 0 1 *
� ' 2750 KELLEY PARKWAY DATE ISSUED: 10/30/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4360 CHIPPEWA LA
PIN : 31-] 18-23-42-0015
LEGAL DESC : CHIPPEWA 3RD ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : SEPTIC
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : NEW
ACTIVITY : MOUND SYSTEM- SEPTIC
NO'1'I;: (4)PRECAS"C TANKS-(2)EXISTING 1000'S ARE OKAY-ADD(1) 1000 SGPTIC AND(1) 1�00 LIP"T
630 S.F. MOiJND TRF;ATMGNT SYSTEM
APPLICANT SEPTIC NEW 200.00
HAYES& SONS EXC. INC. STATE SURCHARGE SEPTIC 5.00
263 82ND STREET S.E.
MONTROSE, MN 55303- TOTAL 205.00
(763)479-1762 PAID W[TH CC# 5293
Minnesota State License#: L640
OWNER
LEMOINE, DANA B
4360 CHIPPEWA LA
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
l'hc�vork ibr���hich this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
Statc Building Code. This permit is for only the work described and does
not grant permission for additional or rclated work which requires separate
pennits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This pennit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in contormance with the State Building Code.This permit may be
revoked at any time f'or due cause.
_._..,_. � / �v/ /D i 'a'�i ��-
A ite � ig ature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
♦
+ , 0� Clty Of OCOIlO FOR CITY USE ONLY
P.O. Box 66
�� � 2750 Kelley Parkway Date Received:�a � /Y Permit# ��a—O/ 6�
� ��x� r. � C stal Ba MN 55323
y�rt � ry Y� Amount: $��,OZ�J
a� '.����.$o (952)249-4600
lvit�exoa
CITY OF ORONO - SEPTIC SYSTEM PERMIT APPLICATION
(All permits must be approved by the On-Site Septic Manager andlor Building O�cial)
�� �ob..S�ite /�Owner anformation ' � �� � �����
� ..�#�'�: .-�Yd�a..::
Site Address: �� J � U C� � p/(� �`�� 1— '4�`�
---. �I, c N �.
Owner: .�-�� �S O � S `J Mailing Address: S��
City: Zip:
Home Phone: Altemate Phone: -j� 3 � 5 �-- z'�� �
�Con#ractc�r�l�°� �;, ;�t�l nfo rmaf� � , ���F�.
r , �
Contractor/A .: �� �� �� 5'�5 Contact Person: l/ '`�'
NP
Address: 7� .S �7-� �'f' ��� L--� `-E C�
State License #:
City: �'1�•{�v s-e Zip: S�S �G� Expiration Date: ��� � � �`�L-
Phone: 7� 5 ' � 7�I- �7,� � Alternate Phone: �'�2 ^��� ��'d `"< <�
� a .�
,.,� ���,� $��1'�F������{���G�:1� �(��� �,� � ' � ��.�, ���� x. �
" �� ���� -.
Residential ❑ Commercial ❑ Other
� PE RM IT��TYP�E AN D F E�ES � � �� �� ���
� J
New or Replacement System $200.00 2-U v
Repair Existing System 100.00
(Tanks or Drainfield)
State Surcharge 5.00 5.00
�
Total $ Z-v � �
W:\(Permits)\Septic Permit Application-Updated Surcharge 07-28-11.doc
1 / 2
♦
♦
�`*ATTENTION APPLICANT ** �
� Fill in alf appropriate blanks and check all appro riate boxes.
I will be installing the following:
T s
Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other
Qist manufacturer)
Number of Tanks: 7 Z�;c�S�{�Jo� jo�s �v4 c�l,t,
�2�j 5�� S� /�GQ(X
Size of Tanks: l�C'J l��v /eo�,�Oc � 2X� ' �
Treatment System �`L����,..�
Trenches s.f. ��� �f� � 7
r�'`�' �`�
� Mound U �U s.f. ( � � � S 5or I ��`
� � � �� ^ ��
Gravelless s.f. .1- "`J ����.
�
�`r `'�-�J �-�'�"�� .-�
Chamber s.f. --�-�` ' �
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 rrect.
�—
` .-------.__ _ /� ��o — (�_
Signature of Applicant � Date:
MPCA License No.:
� � ��
Staff Review: ' Accept ❑ Denied
Reviewer: �" � Date:_ � � � :3G `� ��
Reason for Denial:
Comments (to be printed on inspection card):
W:\(Permits)\Septic Permit Application-Updated Surcharge 07-28-11.doc
2 � 2
CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION
�G`E't��L INS�'Rl��T31,fl`1a1S 3,., � ; .
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.
*** DO NOT MAIL PAYMENT WITH THIS APPLICATION ***
2. Permits will be only issued to contractors holding a Minnesota Pollution Control Agency
(MPCA) 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.
W:A(Permits)ASeptic Permit Application-Updated Surcharge 07-28-ll.doc
DESIGN FOR AN SUBSURFACE SEWAGE TREATMENT
SYSTEM {SSTS)
CITY O� nR0 O p�p�D BY:
SEPTIC PER IT P A I VIE
INSPFCT �----� �p�g SEPTIC SERVICE LLC.
DAT ' � 'RMIT NO.�_ pernel "Chi "Hent es
ArrRovrn ns s�,t3��iTTcn � b ����"'�,,� �-,U�'Y
C] nnrRovr:n�vtTH rc�riaECTIt3rS AS N�DTf:U 16762 Babcock Ave.
{� NOT APPROVEU-C.ORRECT&.R6Sl:H�1IT �ter Prairie,MN 55354
'fhcsc commcnts aro fnr your infonnution. All work shult bc dune g52-200.3176
in fi�ll campliun��e with ull applicuble septic unJ zoning cu�le.
ltcquiremcnts including items not spcciCically nuicd in thia rrview, chipseptic ,ennbarqnail.com
KLCP THtS PLAK SfT U1 SfiG AT ALt,7lML:S
Minnesota Pollution Control Agency Individual Sewage
Treatrnent System License No. 2464
For:
Location of proposed septic system site:
4360 Chippewa L�ne
�I:.oNO C�PY Orouo,MN 55359
This site will be designed for Above Grade Mound System
The site must remain protected until construction begins.
(This is the responsibility of the owner and or General Contr�ctor)
This site evaluation was completed on October 8, 2012. It is for a type one dwelling with
and estimated flow of'750 gallons per day. Soils information indicated a seasonat water
table at 24 inches. A Mound System will be required to meet the 3-foot sepazation from
the seasonal high watertable as required by MPCA Agency Rules and Standards, Chapter
748Q, 81. A water meter and or event counter must be installed to determine flows.
The Mound System design area is 46 feet wide with a Iength of 93 feet. Pin Flags and
lath have marked the loca.tion of the soil borings,plus the boundary of the systezn.
The proposed system will require{2) 1500-gallon septic tanks, and(1) 1500-gaIlon
dosing tanlc wi11 need to be instalted. The existing tanks will need to be pumped and
determined if they can be used as part of the new system. The pump will need to be sized
to deliver 36 gallons per minute with a lift af 16 feet of total head.
The setback for the weli from the septic system area must be a minimum of SQ feet for
both the septic tanks and the absorption area. The contractor must verify the location of
the well. The septic tanks will need to be at least 10 feet from the edge of the house and
the absorption field must be 14 feet away from properiy Iines. It is the responsibility of
�R4N0 C4PX �������
��$Et1R04�. ��l6REASE��
. � ��+E��M�i�l�t�I#i1S�F�
the owner to identify the property bouudaries for designing and instailing the septic
system.
The sept�c system if properly installed and maintained should have no problems treating
ef#luent in the matter that it was designed for. Nothing other than human waste,toilet
tissues, shower, sink, dishwasher and laundry water should be drained to the septic tanks
and treatment field. If you have water treatment systems other than water softeners,in ex.
iron filters,they should be diverted from entering the septic system.
Garbage disposais are not recommended,as they will add more solids to your septic tanks
and may allow fine particles to enter the treatment area and clog the system. Daily toilet
bowl cteaners, shower sprays (that are used af�er every shower),and excessive cleaning
agents may kill bacteria needed to treat septic effluent. Additives are not needed,and are
not recammended in properly maintained septic system.
You should have your septic tanks pumped and inspected for proper maintenance
by a certified pumper every 2 years.
General
The soil conditions have been estabiished at the test hole location only. There may be
variations in soil stratigraphy between and around the borings and interpolation and
extrapolatian of the results is not warranted.
References:
MPCA Website: http://www.pca.state.�nn.us/programs/ists/index.html
U of M Water Resources Center Website: htt�//sep#ic.umn.edu/index.htinl
If you should have any questions or need furthex information,you can contact staff at the
Local Unit of Government that is permitting this project, and or me at your convez�ience.
I hereby certi£y that T have completed this septic system design work in accordance with
MPCA's Rules and Standards Chapter 7080-81, local ordinances,rutes, and laws.
Pernel"Chip"Hentges Licenses#2064
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' Uh'IVERSITY
OF IVIINNESOTA OSTP Preliminary Evaluation Form
�
1.ConLactlnformallon v 11.05.31
PropeRy OwnsrKliant: Uient Phone Number:
MaillnQ Addrcss
Site Addrcss�360 Chippewa Lane,Orom,MN 55359
Parcel f.0. 71•118•3•�2•0015 Townshlp g� RanBe p W Sectim
Dste 70/8/11 Township neme Legal Desc or Lai/Long
Evaluatlon for system type ❑��onsvuttlon m Repinceme�t parcel dimensions
2. Plowlnformatlon
CtienaProvided 1 ormatlon
�ype(s)oi use tatt rnoc appfy) �R�sldentlsl O Commartlal ❑oU,er use lspearyl
No.oi bedrooms'(1f apyllcaWe) � 5 � Unflrdshed space (ft=�
No,of resldenK In Mme n2 Adults �5 Ghildren ❑Teenagers 0 Daycare
Extsting flow measuremenb ❑Yes(tf Yes,actach rcadtngs) ❑ryo
❑GarDaqe Disowal �Water Softensr' ❑Iron Flket'
Water•uslny devices(check afl tlwt �Dlshvsstxr ❑Sump Pump• Other(sptclfy)
�Y� m txQe Bathtub/Jacuai
�Hlgh£ttidency Furt�ece'
❑teundry/Large 7ub on 2nd Floor �Hot Tub' ����water source
Water use concerm(check alf that �Fauoet/Tolkt ❑MulUple Loads of Laundry/Oey ❑Long•7ertn PrestAptlon Meds
°�ry) ❑In-Home Bualneas �Mp Ltnt Saean ❑Use of Antl-8actertal Soap ❑Frequent Entertalning of Out•o/•Twm Gueses
My eddttianal currcnt or future usa on this parcd(speclJy) no
My nomsewaQe dixharges to system (rpeclJy) NO
Sewege ejectw or gr4rMer pump in home ❑Yes CY]No
I acknowledge the above Is complete and aaurate (t(fmt(s)sfgnotun anQ dote)
Deslyner-d�brmined Flow Infornatlon
A.Estlmaqd Ds�l{rt flow(pllom per day? 7�
Mtfcipated wute strcngth values: �ppmastic ❑Hlgh SVenqth �D:� �'� mg/L
CBOA:�mQ/L (T55): "� mg/l 0&G:�mq/L
7. ProliminuySlalnfwmatlon
B(t).Waur wpply w�lf(s)w1fl�in 100 ft of absorpdon ana ❑Y� [$ryo
Well(s}were lotated ����8��QrvB��a^ ❑County WeU 3�dcx Meps ❑Personal Comm�nfuiton 1M1 Unique Well Id 11: �
Depth ot well�:) Na ft wefl casinq depth{s)� NA �f[ Source ovrtxr
8(2).SiG within 206 fL of noncommunity transl�M supyly w�ll �Yes �No 5W�re p�.���
B(3).Sfb within a dNnklna watar suppry m�na;sm�nt ar�a �I Yes �No Sourcp owner
B(1).iocallon of al[ezhtln�aed proposed bulldinjs anA improwm�nts on bt(ue Slte Ewluotlon rtwp)
B(5).Burfed watar suppEy plpss withln 50 R ot proposad sysqm ❑Yes �No
C.LouHon af aU aawm�nts on(ot(set Slte fvaluat/on rr�) Source owner
D.Elev�tbn of ordin�ry hl�f water lawl(OWFiL)-MN DNR(ij adjacent to parc�f) �_-�
E.Floodplaln desl`natlon and Hood�levadon 5�r� ��
F.D�brmins propsrty Hnet(sse S/tt EwluoHon mcp) �SurveY �Vlet Map Q Other pN,�H
Site located In a shoreland dlsMct/area [j y� m�
G.DlsLna of setbacks ❑Woperty Ling ❑OHWL ❑Easements ❑Water Supply Plpes [']WeU�s)
❑Other Bulldings
H.SoIlSurv�y Inlormadon(from w�b uif survey) �MaD Mep Untts on Parcel Lester Kilkenrry
Llst landforms morolna SWpe Range�- 8•Jun
Perent materials•check a!1 that apply Landscape Potitfon(chKk al!thct opp(y)
p r�u p ouc�sn ❑�oess p eearock p auwsum ❑Summit �sna,mo� ❑eadcsbpe ❑Fooa�ooe t7 roesu�e
❑Cotlwlum ❑LaasMne ❑OrgaMc ❑Cut/flQ
j]Depresslon []Stream ❑7erreca []Menmsde Q Pleln
AGnimum bedrock depth:�inches Minimum bedrock depth:ainches
Maxlmum bedrock depth:ainches Meximum bedrak depth:❑inc�a
Map Unit �P��c Tank Absorption Fleld-TrencFi(MN}Umited
Ratings Septic Tenk Absorptlon Fleld•At•grade(MN)Limtted
Septic Tank Absorptfon Feld•Mound�MN)Limited
� UNIVERSxTY
OF MINNESOTA ��
OSTP Field Evaivation Form
t.Contact Intormadon ��
v 11.05.31
Property Ovmar/Clieni Cltent Phone Number.
Address 4360 CMppewa Lane,Orono,NJJ 55359
Date 10/8/2012 Weather Condttions sunny�soils dry
2. Uqllty and StntcWre lnformallon
Utllity locations Identifled �Gopher Stste One CaU p 7•800.252-1166 ❑�y P�ivate Utitltla
Property Lines ❑Decermined and Approved By CBeM ClknYs Approva!(inttial)
O Determined But Not Approved
�Approximate
❑Properlylines Surveyed
Locate and Verify�xe Sfte EvqluqHon map)
EI��sa�e„i��s ❑�m�w�„�u O Eas��,s� p s��xs
3. Stte fnformation
Percent Slope Stope Directfon
Landscape PositEon shoulder Slope Shape Linear
Veqetation tYPe(5) grass
Evldence of cut,ffll,compacted or dfsturbed areas ❑Y� �� ❑Locate Areas on Stte Evaluatfon Map
Dfscuss the ftooding or run-on potentfal of slte no flooding in proposed site location
Identify benchmarks and elevations(Site Ew(uation Mcp)top of concrete on sidewaik in front of house
Proposed soil tceatment area adequately protected 0 Yes CI No
4. Generai Soils tnfarmadon
Original sofls �Y� �No
Type of observatton ❑Sofi Probe QI Soil Borfng ❑Soil Pit
Number oi soil oburvatians ❑3
Soil observationa were conducted in the proposed system taation �Yes �No
A soii observatton was made withfn the most itmfting area of the proposed system �Y� ��
Soii boring log fortns completed and attached �Y� ❑�
Percolation tests perfortned,forms completed and attached ❑Yes �Nc
5. Phase I.Reporting Informatlon
Depth to standing water na fnches Anttcipated construction issues
Flood elevation rta feei
Depih to bedrock �a Snches
Depth to perfadicalty sawrated sofl 24 inches
Maximum depth of system tt inches of sand fncAes top of rakbed is 96.9
Elevatlon at system bottam 94.9 Eeet Differences between soil survey and Netd evaluation
Percolatfon ratc 30 min/inch
Loading rate 0.5 gpd/ftl
Contour loading rate 12 gpd/ft
Sfte evaluallon issues/camments
I hereby cetttty that I have completed this wwk in accordance with ' ble ordtnances,rules and laws.
2�'36`� �2.
(Design�r) (5ignaturc) (�icense x� (oate)
verslon Mound Design Trov.Johnson�co.Wriaht.mn.us
2�� for aueslions or co�,p�ents
Propetty Owner: pate: 10/8/2012
Site Address: 4360 Chfppewa tane p�p;
Camments:
instructions: � =reqd input � =input or default � =catcutated field "' g installer info
» �bedroom Type � Residential System
z} 750 GPD design flow
s> No Garbage disposal or pumped to septic
a� ••" 3000 Gatlon septic tank{minimurr►) Muttlp(e tanks or compartment req'd
s> 1.2 GPD/#t�mound sand loading rate
�> 10 ft �ockbed width 63.0 ft rockbed length
� "•' 3.0 ft tateral spacing 3.0 ft pertoration spacing (default 3, range 2-3, for both)
end feed manifold con�ection
8) '"'C]laterals 61 A feet tong Z1 perfs/lateral 63 perfs total
s> "'• 7/32 ir�ch perfs at �feet resfduai head gives 0.56 gpm flow rate per perforatlon
(3/t6"default) (2'head de#autt}
for this perf size&spacing, & pipe size on Iine 12, max perfs/laterat= 30 , line#8 must be less--> OK
�o) �doses per day (5 recommended, 4 minimum) {4 witt allow 2"laterats, 5 will allow 1.5")
i» 150 gatlons per dose (treatment volume)
i2> 1.50 inch diameter taterals (or smaller}will meet"5x pipe voiume"
'�*• 2.00 inch diameter(aterals (or smatier) must be used to meet"4x pipe votume"requirement
2.00 inch diameter laterals (or smaller)wllt meet"3x pipe volume"
�3} ""'�feet of 2.0 inch supply tine leads to 10 gallons of drainback voiume
("top feed"manifold to controt the drainback)
�4� 160 galtons TOTAL pump out voEume (treatment+drafnback)
is) 8 feet vertical lift from pump to dispet'sal area, leads to a:
�6� '"* 36 GPM� 16 feet of head, Pump requirement note: >50gpm may require an extra 3-5'of head
i�> """ '1500 ga!Dose tank{minimum) at approxfmatety 36.00 gpi
teads to a
�s� `"" 4.4 inch swing on Demand float, or timed dostng of 4.4 min ON (confirm pump rate with drawdown
{<f00%of destgn fiow requires a larger OFF tirne) 4.7 hrs OfF test and adjust as necessary)
i�� 12 inches from bottam of tank to"pump OFF"float, and/or to cover pump
20� �k� 16 inches from bottom of tank to"pump ON"float, or 15 inches to"timer ON"float
2t� ""* 19 inches from i�ottom of tank to"hEi Level"float (add 5-15 iaches if Time Dosed)
�22� 816 galions reserve capacity {after High level Alarm is activated) I
--�--.• ��.��� ����.�.���„_
�) 4•� gpd/ft� Absorption area Soil Loadinq Rate, which gives a mound ratfo of 2 (minimum)
(Lhis must match the soii boring iog) desired mound ratio 2.a
za� 10 percent site slope {0-12%range) 10 (%downsfope site slope, if different than upslope)
zs� 29 `inches, or 2.00 ft. to Redox or other timiting condition (This must match the sail boring log)
leads to a:
zb> '•• 12 inch,or 1.00 ft. Sand Lift Mound CRITICAL FOR FUTURE CERTIFICAT[ONSli!
2�) *"` 20.0 ft.Total ABSORP'Tt�N width
28> 0.0 ft. upslope and sidesEope (sand beyond rockbed)
10.0 ft. Downstope {sand beyond rockbed)
*•* 4:1 slope ratio, gives BERM widths(topsoil beyond rockbed)of:
29) 9 ft. upslope berm
30) 16 ft. sidesiope berms
3t� 27 ft. downstope berm
32� Overall Dimensions: 10 ft.wide by 63.0 ft. long Rock bed
46 ft.wide by 9S ft. tong Mound footprint
4" inspection pipe
18" cover on top
U slo e berm 0 Downsla e berm Z�
12" cover on sides
(6„Inamy cap&6"topsoil)
1.00 �t�`�r� sar�d tift
_ �2.00 DepCh to Lirnitinn
Limitir�n Conditior=- �`. _�----___-_----�,��___....
Absor tion Width 20.0 �`---`M._ --- --.__----___
Note:
For 0 to 1�slopes, Absorption W/dth is measured from the BPdequally in both directions.
For siopes >1�, Absorption Width is measured downhill from the upslope edge ot the BPd.
33) *" Rock Bed:
10 ft. by 63.0 ft. by �inches under pipe, pius 2096 gives 28 Ya'o�"'�•4a 39 ton
3a� •'" Mound Sand: (nate: volurrze is based on 3:1/4:1 slope from top of rockbed, Exchange sand for loamy cap if desired)
13.3 up + 70.0 downslope + 13.3 ends+ 35.0 under rotk= 158 yd'or'1.4= 22� ton
ptus 20%
as� *"" Loamy Cap:
42 ft. by 91 ft. 6"deep, plus 20%gives 85 yd'or"1.4= 11g ton
3b) '�'� TOPS0II:
46 ft. by 95 ft. b"deep, plus 20%gives 98 yd'or"9.4= 137 ton
certify that I have completed this work in accordance wtth all applicable ordinances, rules and taws.
Desi ner Sf nature `��' ��
S S Company License# Date
Installer Summary
3000 gallon Septic tank(minimum) Multipte tanks or compartment req'd
1500 gallon Dose tank(minimum) at approximateiy 36.00 gpi
36 GPM @ 16 ft. of head, Pump required
4.4 inch swing on Dernand ftoat or 4.4 minutes ON time& 4.7 hours OFF time
16 inches from bottom of tank to"pump ON"float, or 15 inches to"timer pN"float
19 inches from bottom of tank to"Hi Level Alarm"float
60 ft. of 2.0 inch suppEy line with end feed manifold connection
12 inch,or 1.00 f� Sanc!Lift Mound
10 ft.wide by 63.0 ft. tong Rock bed
3 laterals 2.00 inch diameter 61.0 ft. Eong 3.0 ft. laterai spacing
7/32 inch perfs 3.0 ft. pertoration spacing
yes EfRuent filter&alarm
n0 ctean out&valve box assembties
20.0 ft.Total sand ABSORPTION width (minfmum)
0.0 ft. upstope and sideslope (sand beyond rockbed)
'l0.0 ft. Downstope {sand beyond rockbed)
4:1 slope ratio, �ives BERM widths (topsoil beyond rockbed)of:
9 ft. upslope berm
16 ft. sideslope berms
27 ft. downslope berm
�4� 1f}S�eC�lOt1 �I�E'
1��� COVBf 011 t0�
U slo e berm 0 Dawnslo e berm 27
12" cover on sides
(6"loamy cap&6"topsoi�
1.00 Clean sar�d lift
r
_ T 2.00 De�ti� tca Lirliiting
Lirnitir�� Condition —`"_ .---——--_.___�
Absor tion Width 20.0- —_--___.-- —.�._�____.___,.
Note•
�or 0 to 1%slopes, Absorption W/d1h is measured from the Bedequalty in both directions.
For slapes >19b, Absorptton Wldth is m�asured downhilt from the upstnpe ed�e of the Bed.
Rock Bed: 28 yd'or`1.4= 39 Uon 9 inches under pipe
Mound Sand: 158 yd3 or"1.4� 221 ton calculation based an 3:1/4:1 slope from top of rockbe
Loamy Cap: 85 Yd3 or"1.4e f19 ton 6"deep
7opsoii: 98 Yd'or"1.4= 137 ton 6"deep
U of MN Onsite Sewage Treatment Program Soil Boring Log � .
ClientJ Address: Legal DescripHon/GPS: Date:
��'l00 Gh-l��e�.r�. L�c Q�a►�a Si�- ) /a/�'I�/Z.
Soi1 Parent Material{s): Outwash Lacustrine Allurvium Lo�ss Organic Matter Bedrock
(circle all that a 1
Landscape Position: Summit S er Bacic/Side Slope Foot Slape Tce Slope
(cude one) -
Vegetation: g��; S Soil Survey Map Unit(s): .. SIope(%)•
��� _ �,/,���r►� �,..�Z,
Weath�er oonditioas/Tinae of Day: Slope Shape;
Satnrated Soil
Depth(in) Texture �Matriac Mottle Redox Indicator(s) I----- .Sbru�e-- I
Colo s) CoIor(s Kind s see back Sha Grade Caaciste�ace
G�� Weak i.00se
Conce�ations �'�Y ���D ,��.�
Depletions � 5�8 F�
D-�`� ��"' ja�iG�'� ���'� s;�a�„ �� ���-,�
Massive �
Granular Wpj� I,ap�
Concentrations �ty � �
"Z.� Depletions B�- 5�' �F'rm -
��' Z� �/jy`� / Gleyed Single Grain I.00se Exmemety Fum
Massive Rigid
• Graziular yy� j,ppx
Coneentrations ��' S�e Friable
Depletions � D8
ZY-Z�5 �, e,- �/Y ���� S���� �� ����
tui�s;vc R'�a
rGd} c�� wes�c I,00se
OnCen �an' Moderate Frisble
$�����ac �S��'�
Z� ' � �1 � �/r Glryedo� S'u�ieGrazn oZ0°�- Extemely Firm
� Msssive Rigid
_ Granulnr Weak Loose
Concenuations �'�' Modera�e Friebte
Depletions p�,�� S�'0� ��"
Gieyed 5iagle Grnin Loose Extremely Firm
M�ssive Rigid
Granular Weaic I.00se
Concentrations B�� Moderate Frisble ,
Depletions �p� s�n& Fi:m
Gleyed singte Giain L°°gt ExVemely Firm
Massive Itigid
Comments: ��� �� -�
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� UN I V ER S ITY Septic System Management Plan �`
for Above Grade Systems r
QF MINNESOTA
Yaur Septic System `��`"�,,�'
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Septic System Specifics
�J System is subject to operating permit*
System Type:�i C31I O III�IV* (�V" o System uses UV disinfection unit*
(Based on MN Rules Chapter 7080.2200—240D) Type of advanced treatnaent unit
'�Additiona!Management Plan required
Dwelling T�pe Well Canstruction
Number of bedrooms: � Well depth(ft): '100
System capacity/design flow(gpd): ��� o Cased well Casing depth: unknown
Anticipated average daily flow(gpd): 3fl� o Other(specify):
Comments Distance from septic(ft):'100
In-home business?_What type? Is the weli on t12e design drawin�?�Y � N
Septic Tank
One tank Tank volume: gallons p Pump Tank(rf one) �50o gallons
Does tank have two compartmentsT�Y�N p Ef#luent Pump type:
• 'I�vo tanks Tank vol�me: 3000 gallons TDH �6 Feet of head
o Tank is constructed of �ncrete Pump capacity 36 GPM
o Effluent Screen type: o Alarm � visual � audible
Soil Treatment Area
Mound/At-Grade area(Iength x width):48 R x 93 ft R Cleanouts or Inspection Ports
Rock bed size(length x width): �o ft x s3 ft o Surface Water Diversions
-2-
�aos
CERTIFICA� OF INSPECTION
ACCORDING TO MPCA 7080
ORONO BUILDING & ZONING DEPARTMENT
2750 Kelley Parkway
P.O. Box 66
Crystal Bay, MN 55323
This certificate has been issued this 27`" day of November 2012, to certify compliance with
provisions of the Orono Municipal Code and Minnesota Rules Chapter 7080, regulating
installation of individual sewage treatment systems.
Owner: Dana Lemoine Site Address: 4360 Chippewa Lane
P.I.D.: 31-118-23-42-0015 Permit #: 2012-01101
Installer: Hayes & Sons Excavating
Compliance Officer:
^ �<��
data/fonns/hlank ccrt of inspection MPCA 7080
S� DATE TIME
CITY OF ORONO CALLED IN �d� 3 � �-�
INSPECTION OTI E SCHEDULED //-/-/Z /D 'DD
PERMIT NO. ��0 —D ��Q � COMPLETED
ADDRESS 3 d � �1`--
OWNER _ TELEPHONE NO. - -9550
CONTRACTOR �PS
�; DESCRIPTION �L�r'�S � �OC�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE,REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
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� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C; pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR -' CITATION ISSUED
❑ INSPECTfON REQUIRED.CALI TO ARRANGE ACCESS. �
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. � �
White Copyll�spector's File Ca�ary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN �� ��
INSPECTION NOTICE SCHEDULED �SL�� ��`
PERMIT NO. COMPLETED
ADDRESS L� � � � �'� : � ��,'�� L�� �P
OWNER �� � J �L ��TELEPHONE NO.
� , J
CONTRACTOR �--� � `� � � A - � ���/
� � ` 1 S (,J � �; �, C,,� �f��)�
�: DESCRIPTION � '
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
� ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
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� ❑WORKSATI FA TORY: ROCEED �� C ' ROJCEC CO l /�
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE F OC(�1P,�,�^
Q �Y�l
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORA �
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContractor on site•
Inspector. �� / ,
. •
White Copyllnspector's File Canary CopylSite Notice