HomeMy WebLinkAbout2014-01087 - septic �� ' �. ' � CITY OF ORONO * 2 0 1 4 - PJ 1 0 8 7 *
2750 KELLEY PARKWAY DATE ISSUED: 10/07/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3535 CHRISTINE DR
PIN : OS-117-23-12-0019 �
LEGAL DESC : BETZ ADDN
: LOT 002 BLOCK OOl
PERMIT TYPE : SEPTIC
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : NEW
ACTIVITY : MOUND SYSTEM - SEPTIC
APPLICANT SEPTIC NEW 200.00
STATE SURCHARGE SEPTIC 5.00
HAYES& SONS EXC. INC. TOTAL 205.00
263 82ND STREET S.E. Payment(s)
MONTROSE, MN 55303-
(763)479-1762 CREDIT CARD 5293 205.00
Minnesota 5tate License#: sept-L640
OWNF,R
NELSON, ERIC&NICOLE
3535 CHRISTINE DR
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
Thc work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. 'I�his permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein."Chis permit will
espire and become null and void if construction authorized is not
commenced within 180 days of thc date of issuance,or if construction is
suspended for a period of l80 days at any time after work has commeneed.
l he applicant is responsible for assuring all required inspections are
requested in conforniance with the State E3uilding Code.This pemiit may be �
revoked at any time tor due cause. �
J
� 4 ���� � '� �� � � .���--- ��/ �/ �
Appli • t Perni ature Date � Issu By Signa e Date
, . �p „/ D /0�7 �:�°�_�vE�
, . vY,�
- - � O J.�. � �;:': ;' � ?n 14
/�o,r, , o�
� C.1TY C��= C�RON��;.��::. ���►�o
,.; �` ,� � Str�et At3tlrexs: i 11Ra���Rg Addruss: 7g(e�phone(952�I 2Q9-riGQO
\%, ��/ 2754 Kelley Parkway i P.p_Bax bb Fax (952)249-461b
�,�� `Rt. ; Oronu N'N 55354 Crystal Bay, MN 55323 www.ci.�.vnv.rrrr�.u5
�,til{�- r
Septic System Permit Application
Please complete this applicaton completely. Failure to fill in all of the required information may
result in a delay of processing your application. Submit this application, a complete copy of the
site evaluation and the design at least 3 working days prior to the projected installation date.
Pro Owner: ��=L�� �l��-�3�w:J Email:
Mailin Address: �j� �� ��,r�`��,�.�,:� � • v►"�%'r�c<
Phone: Cell:'3)�✓ �`'��� -��'` �work: `�= ;,..-r Home:
��
Desi ner: v.� �i'��'`r� License# �jl� Email: ; Z- ''�`�(��1' Phone: T��'��'�':�"� �
Installer/Contractor.�rq= .��, ��''�License#�-4:��"��mail: Phone:)ba �?�--%7� '
Date to be Installed: ' '� � �o/�- � 85- S
Pro Address: �� �'� �--i^:�'�--> {-�`�-=t �!t- , U�.::i-:�
Existin Se tic S stem E es: Yes� No Com liance Ins ction Date: �,�i �� � r,¢�:
Parcel:(r�no address)
��
L� �' :,��.�
General Lot Dimensions: Width: De th: Total Area: (Acres or sQ tt)
Home T e: � � � #of Bedrooms: S Clothes Washer: x Water Cond: �'
Garba e Dis sal: � Hot Tub/Whir I: Dishwasher:
Well:- E�� New to be instaHed Size of Casin : ���De th of Casin :
PROPOSED SEPTIC INFORMATION
Soil Types: j�e:►i^��'w� Sizing Factor: ►,, 2� ,
Septic: New Replacement_�� Addition Other
Tanks: Qty: _ ew Existing Total 3�
Tank Type c-.�„�.:.�¢�- Capacity 2-�3::� Manufacturer �k�,.,,;,�
Pump Station: Tank Type Capacity i 3�:.� Manufacturer 'UrT,��L%�z^ �
(if applicable) Pump Size '/, A�: Type �����,:J F'���`� Failure Alarm Type �2��t.�l�* �
Drainfield Total Length Total Width Maximum Depth �,
Trenches w/rock Trench w//chambers �
Rock below pipe �" in K
U.
Pressure Bed Mound � Other(explain) �
Mound Dimensions: Rock Bed i� x 6� ft Absorption Area 7,c; x b 3 ft �
Clean Fill below rock bed "�inches,/r; g�'%-�°-- 3;� �c �:%"
Filter: Type Manufacfurer -- Alarm Type: --
New designs shall adhere to 2008 MPCA standards.
OFFICE USE ONLY
Permit# •`? �/U ��' ��� Payment Rec'd Zoning District
Field Checked o 1. Date Inspected New/Replace
SKETCH: Submit licensed site evaluation, design, sketch and management plan with
application. If substantial changes are made to the design during installation, a new design
must be submitted with the date and designer's signature prior to installation and inspection.
Completed Site Evaluation ,�es ❑No Date �~�� -l�
Completed Design Worksheets �Yes ❑No Date ( ����� �
.T �.,•,�/� a� 3,r�� —
Compliance Inspection ❑Yes �iVo Date ��"�'^Xlr /,�k )�-ti' ,�-�"'-`�t
�Ly,L G¢���'J.�.t.w ��Cµ� y�,S'�t'bso
Management/Monitor Plan �es ❑No Date Approved'��_ -�
AGREEMENT: I/We the undersigned, hereby make application for work described and located
as shown herein. I/We certify that the information contained herein is correct and agree to do
the work in accordance with the provisions of the Orono City Code and the State of Minnesota
MPCA R 7080 7084. I/We further agree that any plans, specifications, or drawings
subm' ed h r are accurate and shall become part of the application.
�'z� /
Signature omeowner or Agent Date
PERMIT: Permission is hereby granted to the above named applicant(s)to perform the work
described in the above application. Any and all changes to the approved design shall be
reported to the designer and to the permitting agency prior to the completion of the work. This
permit is granted upon the express condition that the person to whom it is granted, and his/her
agent, employees and workers shall conform in all respects to the Orono City Code and the
State of Minnesota 7080—7084 Rules. This permit may be revoked at any time upon violation
of said ordinances and codes. This permit expires on December 31 of the year in which it is
issued. This permit, with all supporting documents, will become a permanent part of the
property records on file at the Orono Ciry Hall.
Communi Developme �ir ctor or Designee Date
Return this Application to:
Physical Address: Mailin_q Address:
City of Orono City of Orono
2750 Kelley Parkway P O Box 66
Orono, MN 55356 Crystal Bay, MN 55323
Phone :952-249-4600 www.ci.orono.mn.us
Fax: 952-249-4616 amack ci.orono.mn.us
Septic Permit-Revised 7/8/2014 Page 2 of 3
Joseph Olson D.B.A.
Rusty Olson's--Soil and Percolation Testing
Joseph J. Olson--MPCA License#810
11481 Riverview Rd. NE,Hanover,MN 55341
(763)498-8779 Fax(763)498-8290
September 18,2014
Eric Nelson
3535 Christine Drive
Orono,Hennepin County
This on-site Sewage Treatment System is designed for a Type lfive-bedroom home in accordance with the
Minnesota Pollution Control Agency Chapter 7080 and local ordinances.
The periodically saturated soils were located at 20-28 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.
T`he existing septic system dces not conform to the state code chapter 7080
All neighboring wells are greater than 100' from proposed treatment areas.
The soils at a depth of 12"have a percolation rate averaging 2.7 MPI.
The existing septic tanks must be abandoned and two new 1300 gallon septic tanks need to be installed.
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.
A new 1300 gallon lift station must be installed to lift the eftluent to the 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.
Not6ing other than grav water (laundrv showers etc 1 Human water and toilet tissue should be
d�saosed of mto the seotic tanks.Garbage disposals are not recommended Additives must not be
used:thev mav cause harmful damage to vour se�tic svstem It is recommended that vou auma the
tank everv two vears for two se�tic tanks.
Sincerely,
Joseph J.Olson
� '
, ,�
��-�T�L�.-�� — 1
" • 5 85� o• l7G.7/ I n t� ---� ----........_.__.._._....._..._.._�..-•-•• - •- —'-----
- 1�- / �
.` . .`
- ` � ��� '� � �`f j-.� �r•s`�. ;��, .�°- 'I;( 1
. I` �; . � � :_: : � . °,'S ���- . .,:. •.
�' 1 � �'� j'_.�11`�. �,'.f`� -��i
' � ' r(S�SS.O� � • -' "_' "' .� �- -- '=' �_-.i��l� _
' �%7'y7'� . .
Q=/.S I �� . '�-:,�:; 1 -. � `
� ( .. � � IL , ' ` - -
L= �/2.SO' I r- 'i -rr.<.----�•r--
� � �i'�t3rit i'�w"-1 i.�i•t.j � '�-,� -IL
Q . � . ) /�i1J
�f`
E � Ut�`./J � �ra:��QJ�_. _ _ � I i �����;)j•�'I�il..• �t
( ,t__'__._._ '_ '_'���_ _
t,� ,`�Ea s c M��''f S + � [..►c�
� ���- ,.
! � , � ll,u�c�--e P�A-� �F I ( C)A-I�k=�... _-s�?�'_-i�'_______�.
. � P e ' - - -----�
, I .
' � (�(Z�UL'c.�r� �5 �
1� � � I �� !�
. �.
���u� i ��� �� �����
� ,� �_,.� ' I I .1�. SIT� ?LAiv ,_ t;�A�IN�; Pf„AN
( � �;F�'';i,Jb1f_I.� - AL1OlrIa/lI
� 3r.o - J,�.s� � I ❑ f��r�v'l�i� �"�i�Ff �C���C���S
�� o t�
� p o �u.33 ( L..! ���J�t�� _Lf
r L� ^� o-. n p
v ~ 8.a � �IS•1i ... S3',L�•�I L7Y n
� P�.pos�.0 �/..,,c a• .�.0 �� ���E _ (0 �3� fo
, �.�T �Pr�. � (� �°�
� M1 ( �
� ;4i�1
a �i
O g.o 13t1 �R `�
- - z_.3--_- �=s.,� � o �;__ ,; - � ��.4•, � I hereby cert i fy that thi s
- ���''' � i:rue and correci: representa�
a; � ,� .�=�'° ;� �~�
a survey of tl�e boundaries c
� �—��'�� ? 2 , [31ock 1 , L3ETZ ADD1T10N , �
�i �
, I as��-:� `�' � '' � the proposecl location of a �
�I \ �� (j'. ''` ' Q� ; s' � building the►-eon . It does nc
t �'�`. ��°��
`��
�'�;�;�r�� �j �cw �$ ,� f por1: to show ��ny other imprc
p `'�1�^"` �''�.�r�'�3��s ` I � ments or enc� c��climcn�:s _
-� � �nNr<s :J�� � �
� ' I L I� .
L L
,
� �, �:
z
s �'4 (
cr�
_� �
'� s� COFFI �! E� GROI�I�ERG , 1NC ,
,
� I
, �y,.c� �J
� ,S G. . �+'t �/ / ��-t
_ .. . ..---O�a:� '. � ;-a�t �
t ��.�.,_ � � � � �lark . ron[�erg i . � o .
S 9
�r;i:a��,�^t `;, �- �;�_ '�� � Engineers , L�,r�d Surveyors a
, � •• ;G°f � �� --?C ss - ( Lon� LaE:e , �1i nnesota
,' •, 17�v?.�c� � t�. g �� / .
. ��'-�Srl��� � � � {y n.� '�J.i _
\ • c'nr�r n f � /S'
Q`��z:.r� J�..�___ .,` qo'.
,P, y �tNL I
, �� , ' ��1�� . I
�Y � .`�� �
. .�,� `�'%� '�� ,
\ .�s � �. � .
�.���, 8 . - - : _
� � _ ,' Scale 1 " 50 '
�y.�s Dai:e 5-� -�38
N s 9".tu ta
�T o . lron marker
. /�t�
\
\
- �
��_���,_�� ����� � � o �
G� ��o��� -� �
� .� �� �- �� � : � .�
�� �� � � � � �t-- �
�, .._ � �QO��� � �� � �}} �
Y�`¢S �� ^ � � ty
� � �� C � !
�� ����� � 1 s i
� ,�-�~i 3 a �i a a 1
w+ /
�� �����a���x � � � � t
w �
o'� x ��'������5��'� � � /
� � � �- ��
p� ��£ x������ �
�� ��� �
�.`� e�a"��aaca � w� �
�� ���Jlr�p � <i � J^
�'fc C=^�S��G �� �� � � .
� � � � � x .
- �� ���ax��
Q r �a��
".� �.� �� • ��� ; � _ -,� . j *
Q'� W O 7t � v v
A � (� G JC C �S+ Q g,
� g �'� 3 ' �' v �.�
�� �' a�� :' �� � v ' ✓' ��
�� � � � �i
�����3 �� �, � w � -�. ��� ��
� �����lp� � � � � J-
r „�
H
� td A �
Y � A.�
r
� � �- � �� � � , �
� r �
-r t� � � a w�ti � �"� �� ' _ �
���� � � � �� c c � � 1 w �
e_ Q w�1 .:: T�; �3
� ., 3g�,�� �� � �
�a��ie� ` �� !�
� � 1�' �"�� �
��n a� �+�..� � o t � a �
���� '� �� ��" �� � � a
I '--�i � '+ L+ �� �
���} -°� �o$c ; � � � � -
m ,�n o '� n z � '
!r r�-{ O rC �.Nr -��i�* i~ S i � `
� -C ��II7 * � �� R 9 . W � �t 1 �
z � �� � �
� �i�' ' � ��� � �� ��
�?����' -p�p �S g
4 J n � � O� �� - ��
(���` _t « � �^
t� �, �'a �a � ��� -
-c ���'. �'g o�« n �°
�v 3ao =� � Ro
�L Q ����0 g }
a ar Q -'� 3. (;'n
� _� aa �� � � "'
� � i�v' � o�'r w
! ! 4 � � p�Os � - y,
�� � . 1� � I V,-
�s %�1 m,�', �'°,�g— a g _ `i
�::M�� � �" ��'c��� � '1� �;
W
� � y
�- I � a .,.:� � � ' [ �iN ;
a O�� a
`.�.��'' � -a�� � � �
�����.; ~ �� � � �
� " a �
� ? �� s s C'�O ` � �
� '�,\� � �w *�x �� � � � _ .
� 1 ^
w � {�
�t �y �' a _. 3 .
i a a 7� R � C�
° � ��° 1����!!
" M LT)
� �� 'o� O
- '� � � ��� _ ��� � ��
i �� �`t�i��w�'�a .�. 47
� �'o +a��« �.'�'i�'i'm"t�'i' 4m' tm-
f �
t ���.� w
� �� a �` � �o:�$- �'
� �. �w � � �„ � N
e m�7 M � (� �
� � � � ��
� y � �
' � OSTP Design Summary Worksheet UNIVERSITY � 3 ?°��
Minnesota Pollution �f.��s -_
Control Agency OF MINNESOTA ��,�;
Property Owner/Client: Eric Nelson Project ID:�v 06.12.13
Site Address: 3535 Christine Drive,Orono,Hennepin County Date: 9/17/14
1. DESIGN FLOW AND TANKS
A. Design F(ow: 750 Gallons Per Day(GPD) Note: The estimated design flow is considered a peak flow rnte
including a safety factor.For long term performance,the average
B. Septic Tanks: daity jlow is recommended to be<60%of this value.
Minimum Code Required Septic Tank Capacity: 2250 Gallons,in ��Tanks or Compartments
Recommended Septic Tank Capacity: 2250 Gallons,in ��Tanks or Compartments
Effluent Screen: No p�a�; No
C. Hotding Tnnks Only:
Minimum Code Required Capacity:��Gallons,in ��Tanks
Designer Recommended Capaciry:��Gallons,in �Tanks
Type of High Level Atarm:
D. Pump Tank 1 Capacity(Code Minimum):��Galtons Pump Tank 2 Capacity(Code Minimum): ��Gallons
Pump Tank 1 Capacity(Designer Rec): ��Gatlons Pump Tank 2 Capacity(Designer Rec): �_]Gallons
Pump 1 36.0 GPM Total Head 13.0 ft Pump 2C�GPM Total Head ��ft
Supply Pipe Dia. 2.00 in Dose Volume:��gat Supply Pipe Dia.�in Dose Votume:�ga�
2. SYSTEM TYPE
Type of Sofl Treahne�lt etW Di5per581 Area' r
Q T�mch ��d �Mand Q Gravity Distrbutlon Q R�mre DIStrQxrtbn-tevel Q Reswre Dlstrb�Rbn�Jnlevel
Q Drip Q Hddmq rarnc O At-�a� `Selection Required Benchmark Elevation: 100.0 ft
Benchmark Location: Garage stab
System Type T
ype of Distribution Media:
�''Type I �Type I I ❑Type I I I ��Type 1 V �Type V 0��D�� ❑Registered Treatrnent Media:
3. SITE EVALUATION:
A. Depth to Limiting Layer: 22 in 1.8 ft B. Measured Land Stope%: 3.0 %
C. Elevation of Limiting Layer: 89,5 D. Soit Texture: Loam
E. Loc.of Restricive Elevation: -� F. Soit Hyd.Loading Rate: 0.60 GPD/ft2
G. Minimum Required Separation: 363 in 30.3 ft H. Perc Rate: 2.7 MPI
i. Code Maximum Depth of System: Mou�d in Comments:
4. DESIGN SUAAMARY
Trench Design Summary
Dispersal Area�ftz Sidewatl Depth��n Trench Width�in
Total Lineal Feet�ft Number of Trenches�� Code Maximum Trench Depth�in
Contour Loading Rate��ft Designers Max Trench DepthC�in
8ed Design Summary
Absorption Area�ftz Media Below Pipe���n Code Maximum Bed Depth��9n
Bed Width�ft Bed Length�ft Designer's Max Bed Depth�in
Minnesota Pollution OSTP Design Summary Worksheet uN�vERs�TY : : ��=
Control A9ency OF MINNESOTA , ,,��
Mound Design Summary
Absorption Area 625.0 ft� Bed Length 63.0 ft Bed Width 10.0 ft
Absorption Width �2.Q ft Clean Sand Lift �,2 ft Berm Width (0-1%)C�ft
Upstope Berm Width ��,0 ft Downstope Berm Width 16.0 ft Endslope Berm Width >>.p ft
Total System Length 85.0 ft TotalSystem Width 37.� ft Contour Loading Rate 12.0 gat/ft
At-Grade Design Summary
Absorption Bed Width��ft Absorption Bed Length�ft System Height��ft
Contour loading Rate��gal/ft Upstope Berm Width��ft Downslope Berm Width�_�ft
Endslope Berm Width�ft System Length��ft System Width��{t
Level&Equai Pressure Distribution Summary
No.of Perforated Laterals� Perforation Spacing��ft Perforation Diameter 7/32 in
Laterat Diameter 2.00 in Min.Detivered Votume��gal Maximum Delivered Votume 188 gat
Non-Level and Unequa!Pressure Distribution Summary
Elevation Pipe Volume Pipe Length Perforation Size
(ft) Pipe Size(in) (gal/ft) (ft) (in) Spacing(ft) Spacing(in)
Lateral 1 Minimum Detivered Volume
Lateral 2
�gal
Lateral 3
Lateral 4 Maximum Delivered Votume
lateral 5
�gal
Lateral 6
5. Additional lnfo for Type IV/Pretreatment Design
A. Ca(culate the organic loading usinq option 1 or 2
1. Organic Loading =Pounds of BOD X Units
lbs/day X C� _ �lbs BOD/day
2. Organic Loading to Pretreotment Unit =Design Flow X Estimated BOD in mg/L in the effluent X 8.35=1,0OO,OW
8Pd X ��mg/L X 8.35:1,000,�_ ��lbs BOD/day
B. Type of Pretreatment Unit Being Installed:
C. Catcutate Soil Treotment System Organic Loading: Ibs.BOD/day=Bottom Area =lbs/day/ftZ
lbs/day= ��ftz= ��lbs/day/ftZ
Comments/Special Design Considerations:
I hereby certify that I have compteted this work in accordance with atl applicable ordinances,rutes and laws.
Joseph J Olson 810 09/17/14
{Designer) {Signature) (License It) (Date)
� � � OSTP Mound Design
UNIVERSITY
Minnesota Pollution �yorksheet > 1 % Stope OF MINNESOTA � `-��;
Control Agency �'�� -
1. SYSTEM SIZING: Project ID: v 06.12.13
a. Design Flow: 750 GPD TABLE IXa
B. Soil Loading Rate: 0.60 GPD/ft2 LOADING RATES FOR DETERMINING BOTTOM ABSORPTION AREA
AND ABSORPTION RATIOS USING PERCOLATION TEST'S
Treatment Level C TreatmeM Level A,A-2,8,
C. Depth to Limiting Condition: 1.8 ft
Percolation Rate Absorption Absorption
Area Loading M°und prea Loading ���
�. Percent Land Slope: 3.0 % ���� eace �SOfPt1O" Rate ��rption
(9A4/k=) Ratio (�ki� Ratio
E. Design Media Loading Rate: 1.2 GPD/ftZ _ _
<0 1 1 1
F, Mound Absorption Ratio: 2,00 o't°5 ,.2 , ,.e ,
0'.0 5(fine sand 0.6 2 � 1.6
Tab1e I antl loam hne sand
MUUNU C��NTOUR LOAUfNG RATES: 'iO�5 o.�e �.s i �.s
�.�eawred ' Texture-dazivod
Cor,tour ���o'o o.s z o.7s 2
�erc Rato `�R ;�iound absorption ratio Loading si�o�s o.5 z.a o.�s 2
. RdtP: :y;�o gp 0.45 2.6 0.6 2.6
=hOrnG' I.0. I.3. 2.0. 2.-i. 2.6 _�z si to i=0 _ 5 0.3 5.3
, >�Zo - - - -
51-12Gmpi �:R 5.0 c12
. *Systems with these values are not Type I systems.
. 11i,,;,�:. ,s.�. _6. Contour Loading Rate (linear loading rate) is a
recommended value.
2. DISPERSAL MEDIA SIZING
A• Calculate Dispersal Bed Area: Design Flow: Design Media Loading Rate=ftZ
750 GPD : 1.2 GPD/ftz = 625 ftz
If a targer dispersal media area is desired, enter size: 630 ftz
B. Enter Dispersal Bed Width: 10.0 ft Can not exceed 10 feet
C. Catculate Contour Loading Rate: Bed Width X Design Media loading Rate
10 ftZ X 1•2 GPD/ftZ = 12.0 gal/ft Can not exceed Tab(e i
D. Calculate Minimum Dispersal Bed Length: Dispersal Bed Area = Bed Width = Bed Length
630 ftz : 10.0 ft = 63.0 ft
3. ABSORPTION AREA SIZiNG
A. Calcutate Absorption Width: Bed Width X Mound Absorption Ratio =Absorption Width
10.0 ft X 2.0 = 20.0 ft
B. For slopes>1%, the Absorption Width is measured downhill from the upstope edge of the Bed.
Calculate Downslope Absorption Width: Absorption Width - Bed Width
20.0 ft - 10.0 ft = 10.0 ft
4. DISTRIBUTION MEDIA: ROCK
A. Media Volume: Media Depth X Length X Width
1.00 ft X 63.0 ft X 10.0 ft= 630 ft3 : 27 = 23 yd3
5. DISTRIBUTION MEDIA: REGISTERED TREATMENT PRODUCTS: CHAMBERS AND EZFLOW
A. Enter Dispersal Media:
B. Enter the Component Length: ��ft Enter the Component Width: ��ft
C. Number of Components per Row= Bed Length divided by Component Length (Round up)
� ft ' C� ft= ��components/row
D. Actual Bed Length = Number of Components/row X Component Length:
�]components X ��ft = �ft
E. Number of Rows=Bed Width divided by Component Width (Round up)
�� ft . � ft- �� rows Adjust width so this is on who(e number.
F. Total Number of Components= Number of Components per Row X Number of Rows
� X �� - ��components
6. MOUND SIZING
A. Calculate Minimum Clean Sand Lift: 3 feet minus Depth to Limiting Condition =Clean Sand Lift
3.0 ft - 1.8 ft = 1.2 ft Desi�n Sand Lift (optional): ��ft
B. Calculate Upslope Height: Clean Sand Lift + media depth +cover(1 ft.) = Upslope Height
1-2 ft + 1.0 ft + 1.0 ft= 3.2 ft
C. Select Upslope Berm Multiplier(based on tand slope): 3.57
Land Slope% 0 1 2 3 4 5 6 7 8 9 10 11 12
Upslope Berm 3:1 3.00 2.91 2.33 2.75 2.68 2.61 2.54 2.48 2.42 2.36 2.31 2.26 2.21
Ratio 4:1 4.00 3.85 3.70 3.57 3.45 3.33 3.23 3.12 3.03 2.94 2.86 2.78 2.70
D. Calculate Upslope Berm Width: Multiplier X Upslope Mound Height =Upslope Berm Width
3.57 ft X 3.2 ft = 11.0 ft
E. Caltulate Drop in Elevation Under Bed: Bed Width X Land Slope: 100= Drop (ft)
10.0 ft X 3.0 % : 100= 0.30 ft
F. Calculate Downslope Mound Height: Upslope Height+ Drop in Elevation = Downslope Height
3.2 ft + 0.30 ft = 3.5 ft
G. Select Downslope Berm Multiplier(based on land slope): 4.54
land Slope% 0 1 2 3 4 5 6 7 8 9 10 11 12
Downsfope 3:1 3.00 3.09 3.19 3.30 3.41 3.53 3.66 3.80 3.95 4.11 4.29 4.48 4.69
Berm Ratio 4:1 4.00 4.17 4.35 4.54 4.76 5.00 5.26 5.56 5.88 6.25 6.67 7.24 7.69
H. Calculate Downslope Berm Width: Multiplier X Downslope Height = Downslope Berm Width
4.54 x 3.5 ft = 16.0 ft
I. Calculate Minimum Berm to Cover Absorption Area: Downslope Absorption Width +4 feet
10.0 ft +�4�ft = 14.0 ft
L__
J. Design Downslope Berm =greater of 4H and 41: 16.0 ft
K. Select Endslope Berm Multiplier: 3.00 (usunlly 3.0 or 4.0)
L. Calculate Endslope Berm X Downslope Mound Height =Endslope Berm Width
3.00 ft X 3.5 ft = 11.0 ft
M. Calculate Mound Width: Upstope Berm Width + Bed Width + Downslope Berm Width
11.0 ft + 10.0 ft + 16.0 ft = 37.0 ft
N. Calculate Mound Length: Endstope Berm Width + Bed Length + Endslope Berm Width
11.0 ft + 63.0 ft + 11.0 ft = 85.0 ft
7. MOUND DIMENSIONS
,
,�
Upslope (4.D�---- ��.o ------ --------- \,
� ',
� ,
� - �
� ,
� ,
� p Endslo e (4.L), Dispers��t 6ed: (2.B x 2.C) � Endslo e 14.L) ,
� M �1.a 10.0 X 63.0 � 11.0;
� � �
3 � - � �
� �
� ' U i
C ' i
� �
� � 160 '
� '
,
� Downslope (4.J)
� ------------------------------------- —--------�
Total Mound Lenoth {4.N} 85.0
4" inspection pipe
18" cover on top 16.0
Upslope berm �4.D) Downsto e berm (4.J)
11.0
12" cover on sides
(6" topsoit)
Clean sand lift (4.A) �.2
� i� _ '_ � ,��'_� i . . ,
.; ..;
- .� _ -- - ; i �.8
� +. . ,, _ _ _ _ ------- -
- _
_ _ _ __ _.. _._
Absor tion Width (3.A) --- � --- - _
Note_ 20.0
For 0 to 1% slopes, Absorption Width is measured from the 8edequally in both directions.
For slopes >1°0, Absorption Width is measured downhill from the upstope ed�e of the Bed.
Comments:
f
OSTP Mound Materiats Worksheet UNIVERSITY �d
Minnesota Pollution OF MINNESOTA `�
Control Agency -���'
ProjectlD: v 06.12.13
A.Calcutate Bed (rock)Volume:Bed Length (2.0 X Bed Width 2.6)X Depth =Vo(�me ft3
63.0 ft X 10.0 ft X 1.0 = 630.0 ft'
Divide ft'by 27 ft'/yd;to catculate cubic ards:
630.0 ft' � 27 = 23.3 yd'
Add 20%for constructability: 23.3 yd'X 1.2 = 28.0 d�
Y
B. Calculate Clean Sond Volume:
Volume Under Rock bed:Average Sand Depth x Media Width x Medio Length =cubic feet
13 ft X 10.0 ft X 63.0 ft = 829.5 ft3
For a Mound on a slope from 0-1%
Volume from Length=((Upstope Mound Height-1)X Absorption Width Beyond Bed X Media Bed Length)
ft -1) X X ft =
Volume from Width=((Upslope Mound Height-1)X Absorption Width Beyond Bed X Media Bed Width)
ft -1) X X ft _
Total Clean Sand Volume:Votume from Length+Volume jrom Width+Volume Under Media
. ft3 + ft' + fts = ft3
For a Mound on a slope greater than 1%
Upslope Volume:((Upslope Mound Height - 1)x 3 x Bed Length)-�2=cubic feet
(( 3.2 ft -1) X 3.0 ft X 63.0 )*Z= 204,8 ft'
Downs(ope Volume:((Downs(ope Height-1) x Downstope Absorption Width x Medie Length)�2=cubic feet
(( 3.5 ft-1) X 10.0 ft X 63.0 )+2= 777.p ft'
Endslope Volume:(Downslope Mound iierght- 1)x 3 x Media Width =cubic feet
( 3.5 ft-1 ) X 3.0 ft X 10.0 ft = 74.0 ft;
Tota!Clean Sand Vo(ume:Ups(ope Votume +Downslope Volume +Endsfope Volume +Volume Under Media
204.8 ft' + 777A ft' , 74.0 ft' + 829.5 ft'= 1885.3 ft'
Divide ft'by 27 ft1/yd'to calcutate cubic yards: 1885.3 ft3 ; Z7 - bg.g yd;
Add 20%for constructability: 69.8 yd'X 1.2 = g3,g yd3
C. Calculate Sandy Berm Vo(ume:
Totat Berm Volume(approx):((Avg.Mound Height-0.5 ft topwit)x Mound Width x Mound Length)�2=cubic feet
( 3.3 _ 0.5 )ft X 37.0 ft X 85.0 )+2= 4429.2 ft'
Total Mound Vo(ume-Clean Swd volume-Rock Volume=cubic feet
4429.2 ft' _ 1885.3 ft' _ 630.0 ft' - 1914.0 ft;
Divide ft'by 27 ft3/yd'to catculate cubic yards: 1914.0 ft; = 27 - 70,9 yd3
Add 20%for constructability: 70.9 yd3 x 1.2 = g5,1 yd3
D. Calculate Topsoi!Alaterial Volume:Total Mound Width X Total Mound Length X.5 ft
37.0 ft X 85.0 ft X 0.5 ft = 1572.5 ft3
Divide ft'by 27 ft'/yd3 to calculate cubic yards: 1572.5 ft3 : 27 = 58,2 yd3
Add 20%for constructability: 58.2 yd3 x 1.2 = 6g,g yd'
� � OSTP Pressure Distribution
Minnesota Pollution Design Worksheet UNIVERSITY . --� � , ;
C o n t r o i A g e n c y O F M I N N E S O T A "�--1\_'
Project ID: v 06.12.13
1. Media Bed Width: �0 ft
2. Minimum Number of Laterats in system/zone = Rouded up number of [(Media Bed Width - 4) = 3] + 1.
( 10 - 4 ) + � _ � 3�laterals Does not apply to at-grodes
�—
3. Designer Setected Number of Latero(s: C�taterats
Cannot be(ess than line 2 (accept in at-Qrades) - _
4. Select Perforotion Spacing: . . , '
3.0 ft
5. Select Perfororion Diameter Size: 7/32 in - ' _ 44 ;_--
�,.ak
6. Length of Latera(s =Media Bed Length - 2 Feet.
63 - 2ft = 61 ft Perforation can not be closer then 1 foot from edge.
� Determine the Number of Perforation Spaces. Divide the Length of Laterals by the Perforation Spacing
and round down to the nearest whole number.
Number of Perforotion Spoces 61 ft = �3 �ft = 20 Spaces
Number of Perforotions per Laterol is equal to 1.0 plus the Number of Perforotion Spaces. Check table
8. betow to verify the number of perforations per lateral guarantees less than a 10�discharge variation. The
value is doubte with a center manifold.
Perforations Per Lotera( = 20 Spaces + 1 = 21 Perfs. Per Lateral
Maxim�Number of Perforations Per latc�ral to Guarantee<1(H6 piuharge Variatian
�'+Inc. Pertorat�ons 7i321�c�Perforations
Perforat�on Spacing IFeek) �Pe Diameter(Irxhes) Fe+foratian Spacir� Pipe D+ameter(fnct�es!
! iV� 1t2 2 3 (feet► t tti: iv� 2 3
2 10 13 18 30 b0 2 11 16 21 34 6$
Z�� 8 12 16 28 54 2:`: tp 14 20 32 64
3 8 t2 16 25 52 3 9 14 19 30 b4
3%16 inch Perarations 1,'S(rxh Perforations
Pipe Diameter{Irxhes) Perfaration Spacir� Pipe Diameter�Inches)
Perforation Spa�ng(Feet)
t 1y: 1i: 2 3 (I�eet) 1 1Y.� f�`: 2 3
2 11 18 26 4b B7 2 2i 33 44 74 ia9
7i� 12 17 24 40 84 2<< 20 3Q 4t 69 135
3 12 16 21 31 75 3 2Q 29 38 6d 128
9• Total Number of Perfororions equals the Number of Perforations per Lvtero( multiplied by the Number of
Perforated Laterols.
21 Perf. Per Lat. X �Number of Perf. Lat. = 63 Totat Number of Perf.
10. Select Type of Manifold Connection (End or Center): � End ❑ center
11. Select Latera( Diometer(See Table): 2.00 in
,
� � OSTP Pressure Distribution
MinnesotaPoRution Design Worksheet UNIVERSITY � J.
Control Agency OF MI NNESOTA � ����V�'�
�
12. Calculate the Square Feet per Perforotion. Recommended vafue is 4-11 ftz per perforation.
Does not apply to At-Grades
a. Bed Area = Bed Width (ft) X Bed Length (ft)
10 ft X 63 ft = 630 ftZ
b. Squore Foot per Perforotion = Bed Area divided by the Tota(Number of Perforations.
630 ft2 .- 63 perforations = 10.0 ftZ/perforations
13. Select Minimum Average Heod: 1.0 ft
14. Select Perfororion Discharge (GPM) based on Table: 0.56 GPM per Perforation
15. Determine required Flow Rate by multiplying the Toral Number of Perfs. by the Perforation Discharge.
63 Perfs X 0.56 GPM per Perforation = 36 GPM
16. Volume of Liquid Per Foot of Distribution Piping (Tob(e ll): 0.170 Gallons/ft
17. Volume of Distribution Piping = � Table 11
I
_ [Number of Perforated Loterols X Length of Laterals X (Volume of voiume of Liquid in
Liquid Per Foot of Distribution Piping] pipe
I Pipe Liquid
�� X 61 ft X 0.170 gal/ft = 31.1 Gallons ! Diameter Per Foot
(inches) (Gallons}
18. Minimum Delivered Volume = Volume of Distribution Piping X 4 1 0.045
; 1.25 0.078
31.1 gats X 4 = 124.4 Gallons 7.5 0.110
2 0.170
mam o pipe` 3 0.380
� 4 0.661
i _---- —-- ---
� .-Cleanouts ------ ------
pipe from pump � '
i Manifoid pipe�
lean outs ; �
� � �
• �� � i
�
aiternate location ----- �
of i e from um 'Altemate location
of pipe from pump
Pi e fmm um
Comments/Special Design Considerations:
�� � OSTP Basic Pump Selection Desi�n
UNIVERSITY �
Minnesota Pollution Worksheet OF MINNESOTA � "
Control Agency �,,����„
1. PUMP CAPACITY Project ID: v 06.12.13
Pumping to Gravity or Pressure Distribution: Q craviry �Ressve Selection required
1. If pumping to gravity enter the gallon per minute of the pump: ��GPM (f0-45 SPm)
2. If pumping to a pressurized distribution system: 36.0 GPM
3. Enter pump description:
2. HEAD REQUIREMENT$ o��reatmmtsystem
8 point af d�fcharge
A. Etevation Difference ��ft �
th
between pump and point of discharge: S°pP�����\�9
nlecP�Pe Eleva[ion;•'' '
B. Distribution Head Loss: C�ft __ {! mne����
,m� _-- l _,
C. Additional Head Loss: ��ft(eue to special equipment,ecc.� f , � --------------------------- -------------.
Table I.Friction Loss in Plastic Pipe per 100ft
Distribution Head Loss - ----
Gravity Distribution = oft Flow Ra[e ,_ P�'pe Diameter linches�
- -r---
IGPM) '; t ; 1.25 ' 1.5 2
�__ - -.. 1--
Pressure Distribution based on Minimum Average Head 10 � 9.1 � 3.1 i 1.3 , 0.3
Value on Pressure Distribution Worksheet: i
12 12.8 ; 4.3 1.8 ( 0.4
Minimum Avera e Head Distribution Head Loss 14 17.0 I 5.7 2.4 0.6
lft Sft 16 21.8 i 7.3 3.0 � 0.7
2ft 6ft �g � i q.1 � 3.8 ! 0.9
5ft �Oft 20 I 11.1 4.6 I 1.t
25 ! � 16.8 6.9 1 J
D. 1.Supply Pipe Diameter: 2.0 in 30 � ; 23.5 � 9.7 � 2.4
35 i � ; 12.9 i 3.2
2.Supply Pipe Length: 23 ft qp � ( 16.5 � 4.1
E. Fridion Loss in Plastic Pipe per 100ft from Table i: 45 20.5 i 5.0
50 � � 6.1
Friction Loss= 3.32 ft per 100ft of pipe 55 ; � � 7.3
60 � � 8.6
F, Determine Equivalent Fipe Length from pump discharge to soil dispersat area discharge 65 I 10.0
point. Estimate by adding 25%to supply pipe length for fitting loss. Supply Pipe Length �p I I 11.4
(0.2) X 1.25=Equivalent Pipe Length ; ;
75 ! ; 13.0
85 � � � 16.4
23 ft X 1.25 = 28.8 ft 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=
3.32 ft per 100ft X 28.8 ft - 100 = 1.0 ft
H• Total Head requirement is the sum of the Elevation Dijference (Line A),the Distribution Head Loss(Line B),Additional Head Loss(Line C),and the
Supply Friction Loss(Line G )
7.0 ft + 5.0 ft + ��ft + 1.0 ft = 13.0 ft
3. PUMP SELECTION
A pump must be selected to deliver at least 36.� GPM(Line 1 or Line 2)with at least 13.Q feet of total head.
Comments:
Loqs of Soil Borinqs
License#890
Location or Project: 3535 Christine �rii=�
Borings made by: Rusty Olson's Soil and Perc testing 9/8/2014
Ctassification System: AASHO ; USDS•USDS-SCS X ; Unified ; Other
Auger used (check two): Hand_X_, or Power , Flight, Bucket or Probe X
Boring Number_1_Surface elevation 91.3_ Mottled Soil at 1.8 feet
0"-16" Dark brown loam 10yr3/2 H20 present at_X_
16"-22" Brown loam 10yr4/3
22"-30" Rusty brown loam 2.5y5/3
Boring Number_2_Surtace elevation 91.3_ Mottled Soil at 2.2 feet
0"-24" Dark brown loam 10yr3/2 H20 present at_X_
24"-28" Brown loam 10yr4/3
28"-36" Rusty brown loam 2.5y5/3
Boring Number_3_Surface Elevation_90.7 Mottled Soil at 1.7 feet
0"-12" Dark brown loam 10yr3/2 H20 present at_X_
12"-20" Brown loam 10yr4/3
20"-30" Rusty brown loam 2.Sy5/3
�
Percolation Test Data Sheet
Lic.#810
Percolating test readings made by: Rusty Olson's Perc. starting at 9:40 A.M. On 9/09/14
Location: 3535 Christine Drive
Hole number: 1
Date hole was prepared: 9/08/14
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 9/08/14 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
Time Time Depth Drop in H20 Perc Rate
10:00 10:15 6" 5.5 2.7
10:18 10:33 6" 5.5 2.7
10:34 10:49 6" 5.5 2.7
AVERAGE PERC. RATE 2.7 MPI
Percolation Test Data Sheet
Lic.#810
Percolating test readings made by: Rusty Olson's Perc. starting at 9:40 A.M. On 9/09/14
Location: 3535 Christine Drive
Hole number: 2
Date hole was prepared: 9/08/14
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 9/08/14 depth of initial water filling 12 inches above the hole bottom
Method used to maintain at least 1 Z inches of water depth in hole for at least 4 hours Automatic Siphon
Maximum water depth above hole bottom during tests 6 inches
Time Time Depth Drop in H20 Perc Rate
10:01 10:16 6" 5.5 2.7
10:17 10:32 6" 5.5 2,7
10:35 10:50 6" 5.5 2,7
AVERAGE PERC. RATE 2.7 MPI
, ' � , �
, �
�, ` �
�w_�� �� � ���c,� � �
� � � � �� �
s ,�'� '"� : D
S
� � ,�� ��.�- i '; � f
� � ��, � � � � � �` �
�'"'': �� ,�� � �3 � �
�'�i:�- .� � �. f
��� .�' ��� � ��� � l
--� � s� a �s' � a °
��� �,� � ��� � �
�' ���-�a� N
f,�.� ��, _ „ a.� � �
-<-�� ���� , � ,���_.. ,.�
�"g �,����;�, t�- ��''
gw3 � �� � x�� �� �
�
� � ��� �� t
�i.� n�-���' �'�,�• ��r,';
�� ,�_. �.� .� � � �
�,� �,�s.����' 's' � .
� � �� � � �� � � �
�.
a � � � � ^�4�
�-� � . � �
" � � � � �� .r`�
� � � � ��'� 3 � - ��,` � � � �
E�? � � Clae'�•��„� � � c�- � z a �' ��
�" � �.:� 1 u' U '� n 1 j�+.
� � �, a� r �� � �, �� �Q
����,t �� � . s
� � �
*� ! � .'�'�� � "` � � t� �,_. � —°' �• C:�
� ��� ����� _ .� � ; � � -'-
� +� o �
' ` � �� �� ��
�r � ~
.n�e
*� a s+ �_ ' --� � � � 1 c �
"� � �1 � a w�� �Si �
�� 'r `` `'
� � �.... � �^ �/� � H �
�a�1� �1��� �� ��`' � � �
� � ���:� . � �
�� � , r �
�� ��� - � ��, }4� '�'� � �
o�-a'f �� �r.�.s� � v � � �
O ���;,� �
' ���..� � .� „4,R�i-�� �� �. t�
� �� ` � {3 � q� A �` " _
�` g . � �
�_E,, �s � ... p C � �� s
' � METRO WEST INSPECTION SERVICES, INC. • 763-479-1720
,
'' ' BOX 248 • LORETTO, MN 55357
CITY OF � �Y'`CJ Vl C,�
WORKSHEET FOR SEWAGE DISPOSAL WORK
Date /C,� �- �- f `�
InsNector�i� v� � '� �� Building Permit No. Z.c1 ! �/ " %U �� i
Owner_ � ✓i C.. 'i- �v�Z.t:.�t.e �-�� 5�v�
Property Address � � �� (:!-��t `��_�+�-e � (Z-.
Kind of Building � � ��
SSTS Installer ��-,��, .�S t-- 5� n S ��ZJ�8�Q��OLicense# �-�O `-1 G
Septic Tanks
Material C Uv�Cv �'-� ,7�}rw�►1 NumberofTanks �
Size { 3 uo 3 c�l� /3 c�0 i F�
Drain Field: �
Total length of lines Gr7 I Number of lines ,�
Type of soil ���,:.�� Percolation Test �Z v>�!-�, Ut$� `J�/g,/`�
Width of trench � " Type of filter material ��� �y}�:-+Z
Size of Rock Bed�D � � � Size of Absorption Area $,5 X �"`� v;.c�� ��
Draw detailed diagram with measu�ements indicating distances to septic tank risers from a
permanent structure. ;,,U-t (�
�1',.
���� � _� ^ �� ,
��, � � ��,
�..�,�,S�' �'1 1
� z � lzrf
� 3 � � 7�,
f I �3 � � : �� '
l 1 ' �° `� ,
� �Z = r�s-
�, l � � 3 = rd b ,
� � G1��Y
�� � �
1 �- � .— ,.,, ._.-. !
���
i � c�� (���1 �
� 3(� C��F''`
�3 , r��w:�
� ��.��
��
� %'
o �3Z {��s
�
r �
� 3�,dN �.��, ✓
INSPECTION NOTICE
�r DATE TIME
CITY OF C..1�F?�L) CALLED-IN
` 3> SCHEDULED �
PERMIT NO.�a/y' ��087 COMPLETED �� : O
ADDRESS 3✓`J3..S ��i��t 7'�w.�-
OWNER/CONTR.
❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION
❑CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP
❑ FOOTING ❑INSULATION �COMPLAINT
❑ POURED WALL ❑ RATED ASSEMBLY ❑ FIREPLACE
❑ FOUND. DRAINAGE ❑ BUILDING FINAL ❑SP INKLER SYST M
❑ FRAMING �CSEPTIC INSTALL ❑�
� O SHEATHING ❑SEPTIC FINAL .v�{�'
❑PLUMBING RI ❑S&W HOOKUP ❑
� ❑PLUMBING FINAL ❑GAS LINE MANOMETER ❑
o COMMENTS: ��r- °�{ �° 7 �c
Z '� ,(�cv — cSi'�rv � � G ..r,
Q
iZ- S ��L. �
J
W �' _�.�
_
J
OQ Q �t �( /�
f��- �V�d g✓'`/j �C i] / I C. JI�'R,'�/iJ
�
�
�
� /- �3 0 o s�r l. �v�..�-� �,�,�/c,
�
O
� - �/Q �.: �� ,�.0���
0
w
�
Q
�
Z
W
�
W
�
�
d
� FURTHER CORRECTIONS MAY BE REQUIRED ❑ PERMIT FINALED
W �WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN
O CORRECT WORK& PROCEED
U ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION IMMEDIATELY.
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION RECIUIRED. CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 479-1720
Metro West Inspection Services inc.
Owner/Contr. on site:
Inspector:
� - INSPECTION NOTICE
QeO�� DATE TIME
��ITY �F �� CALLED-IN
SCHEDULED �
PERMIT NO.��� "�/�� COMPLETED D:BD �,N(,�
ADDRESS ��dS' ���-�s C��''
OWNER/CONTR.
❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION
❑CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP
❑FOOTING ❑iNSULATION ❑COMPLAINT
❑POURED WALL ❑ RATED ASSEMBLY � FIREPLACE
❑FOUND. DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM
❑ FRAMING ❑SEPTIC INSTALL ❑
� ❑SHEATHING ❑SEPTIC FINAL ❑
❑PLUMBING RI ❑S&W HOOKUP ❑
� ❑PLUMBING FINAL ❑GAS LINE MANOMETER ❑
o COMMENTS:
Z Se tic s stem located at:
Q
� 3s'�S' � �a.� s ���
W complies with MPCA Rules 7080,81,82, 83 and
¢ is a compliant system. l
z
0
W �S � .Ov.w.O `� /4 /4 RI�'j i¢/ Cc�m/�, �Rs q
� �r�,�'.
�
�
0
�
. o �Z � ..
w •
�
Q
�
Z
W
W
�
�
C3
� FURTHER CORRECTIONS MAY BE REQUIRED �PERMIT FINALED
W ❑ WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN
p ❑ CORRECT WORK&PROCEED
U ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION IMMEDIATELY.
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 479-1720
Metro West Inspection Services Inc.
Owner/Contr. on sit :
Inspector: ���
,� 7 INSPECTION NOTICE
DATE TIME
CITY OF ��D�a CALLED-IN
SCHEDULED ?
PERMIT NO. COMPLETED •'Q�
ADDRESS , .�.�,7' C3°�i�f s����c: (�t�
OWNER/CONTR.
❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION
❑CONC SLABS ❑MECHANICAL FINAL ❑ FOLLOW-UP
❑ FOOTING ❑ INSULATION ❑COMPLAINT
❑ POURED WALL ❑ RATED ASSEMBLY ❑ FIREPLACE
❑ FOUND. DRAINAGE ❑BUILDING FINAL �SPRINKLER SYSTEM
❑ FRAMING �'SEPTIC INSTALL���v�
� ❑SHEATHING ❑SEPTIC FINAL O
❑ PLUMBING RI ❑S&W HOOKUP ❑
� ❑PLUMBING F�NAL ❑GAS LINE MANOMETER ❑
o COMMENTS:
Z
Q
� ti — d S •t.
J
W
_
J
0 0 ll d� ��..� o � ��
w ����
�
�
�
O
�
O
�
W
�
Q
ti
W
�
W
�
�
C7
� FURTHER CORRECTIONS MAY BE REQUIRED ❑ PERMIT FINALED
W J�WORK SATISFACTORY: PROCEED ❑ PHOTO TAKEN
O L�1 CORRECT WORK& PROCEED
U ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION IMMEDIATELY.
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 479-1720
Metro West Inspection Services Inc.
Owner/Contr. on si :
Inspector: