HomeMy WebLinkAbout2015-00803 - septic __ CITY OF ORONO * z 0 1 5 - 0 0 8 0 3 *
• '� 2750 KELLEY PARKWAY DATE ISSUED: 07/07/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 50 CRISTOFORI C[R
PIN : 31-118-23-44-0004
LEGAL DESC : UNPLATTED 31 1 18 23
: LOT 000 BLOCK 000
PERMIT TYPE : SEPTIC
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : NEW OR REPLACEMENT(SEPTIC SYSTEM)
ACTIVITY : MOUND SYSTEM-SEPTIC
NOTE: NEW MOUND SYSTESM
(3)PRECAST CONCRETE TANKS EACH 1250 GALLONS
APPLICANT SEPT[C NEW OR REPLACEMENT 400.00
TOTAL 400.00
r'.RTHUR L JORDAN Payment(s)
P O BOX 1020 CHECK 4714 400.00
HOWARD LAKE, MN 55347-
(320)543-1120
Minnesota State License#: sept-399
OWNER
HANSEN,ANDREW&ALEX
50 CRISTOFORI CIRCLE
WAYZATA, MN 55359-
AGREEMENT AND SWORN STATEMENT
T'hc 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. This permit is for only the work described and does
no[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 specified herein.This permit will
expire and become null and void if construction authorized is no[
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of l80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at�ny[ime for due cause.
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pplicant Permitee S' ature Date Issued By Signature Date
� \, City of Orono oR TY USE ONLY
�-��T�� P.o. aox ss v�� /.� 0�1J� ��J
� 2750 Keltey Parkway Date Recei —1� Permit#
� � Crystal Bay, MN 55323
� (952)249-4600 Amount: $� �
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CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION
(All permits must be approved by the On-Site Septic Manager and/or Building Official)
Jab Site / Owner Information:
Site Address: ��� C..���i S �;, � ��� / Ci%�C,,�� �,j���(/
�.�r�sr��
Owner: ��,4r.� �., ���Q� �tP S'ci.> Mailing Address: ���'�f�' �i�L � "
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c�ty: t�✓�4 Z �7�.� z�p: .�-� 3i, �
Home Phone: �7�� — ,j�1��} �- �1���.� Alternate Phone:
Contractor/Appiicant Information:
Contractor/App.: �,�T�u� �- Sd���i� Contact Person: %�
Address: ,� �� � � � /�2 Cd State License #: 3� �
City: /�r-�-'Ak'r,� �i5�7'j"� Zi -; ���� Ex iration Date: � �'
p: p' -' � / - � /�
Phone: 3�U �� ���� � ��o�U Alternate Phone: ��,,7- ��S - /��f
TYPES OF OCCUPANCY
� Residential ❑ Commercial ❑ Other
PERMIT TYPE AND FEES
, � �
New or Replacement System $400.00
Repair Existing System 100.00
(Tanks or Drainfield)
State Surcharge 5 0 �-�-�@-1
Total $ ��i"l� ��
1 / 2
** ATTENTION APPLICANT *'"
Fill in ail a ro riate bfanks and check all a ro riate boxes.
I will be installing the following:
Tanks
[] Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other
(list manufacturer)
Number of Tanks: �
Size of Tanks: ��� U � 5^� �'� 5 �
Treatment System
Trenches s.f.
� Mound �� s.f.
Gravel less s.f.
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, tru and correct.
Signature of Applicant - Date: � ,� � ����
MPCA License No.: _� � 1
Staff Review: Accept ❑ Denied
Reviewer: ��f " Date: �
Reason for Denial:
Comments (to be printed on inspection card):
2 / 2
Jun 24 15 09:39a Owner 320-286-2600 p.2
,' stergerson �n
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SP TFSTING!NC �Y
Steven B.Schirmers -951 Katydid Lane NE-St.Midiael,MN 55376
Cert.No 6Z7 - State License q394- Phone 763-497-35b6 - Fax 763-497-5011
www,sptestin�.wastewaterC�camcast net- schfrmQrswastewater.corn
April 13,20'i5
EH1S SYSTEM 1S OEStGNED FOR
,BEOROOMS. ANY 1NCREASE iN NUMBER
Shawn Bergerso� 4F BEDROOMS lNYAUDATES THIS DESIGN.
5a Cristafori CErcle
Oroeo,MN
A Compiiance inspection was compieted ior the existing on-site sewage treatment
system located on this property. The system consists of 1-1250& 7•100D gallon
septi�tanks, 1-4250 ga[!on pumping chamber& a pressurized mopnd system butlt in
1992. S8#9 iound mottled soil(redox features}aR 6'°into the origina)soil (less thart
't2"mottled aR the sarface). Boring#2 found mottfed soll al ihe original soit
(sur(ace). These sails are located in an area of a drafnage swale. SB#3 found the
orPginat soil at 24", clev. 95.5&the bottam af the rock bed at elev. 95.9 feaving .4'of
sand below fhe mound &a.4'separation from fhe bottom af Ehe system& redox
featurrs. SBft4 found the original soil at 24"}e[ev.95.4 &the bottom of the ro�k bed
elev.95.7 leaving.3'o(sand 8 a.3'separation. Tl�is system is classified as non-
compliant due to nat mee6ng!fie required separation from the bottom oF the rock
bed 8�redox features. The bench mark used for thc inspection was thc top of the
maintenance hole a!the pump tank,
A tank integrity repart was completed which Eeund the concrete to be cram6ling
above the watEr Iine & ground water entering 4he tanks affer the frast. These tanks
are classified as notttampliant 8.wui need fo be replaced. Causes tnr tke concrete
to crumble a�'e sY►ong disinfectants,antibacterial soaps,et.
This onsite sowage treatment system Is designed ior a Type 7 system,Type 7,five
bedroom hotne in accordance with the Minnesota Potlution Control Agency chapter
7080 S iocai ordinancas.
The west e�d of the rock bed wi11 be 1 O'from the toe of fhe mound to the property
line. The aborptFan area at the west end will be 25'(rortt the property line.
The west property line will need to be located prior to[nstallation.
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� C ITY nF ORONO
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.-.,�-i F ERMIT NO. l _OB �'J�.
� PPROV'GD AS Sl�ii�llTTT:D
� � APPROVLD NITH cc)RRF.C'TIOhS AS�nT�D
� T�OT APPROVEI)-���Kk�CT&.RF.SUA�r1l1'
a I�c;e comments are for your mformation. All work shall be don0
�n [u��cumpliancc with ull uppli�able scptic and zoning cudo•
I'.�quiremenls including items not speciFically no1eS(n thie rCrie�N. t
,;t.�P THIS PLAN SF."C Oir SITE AT ALG TIMGS :�
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' �� C`� � S-f-t'�-��2r �R.,
2 � r �- ooga �
� � A pumping chamber weii neeef to be instaHsd to tift the efHae�to the treafinent a�ea.
,• , ` The power supply 8. switches rnc�st be located outside#he man6ole �pn.s4ping
chan�ber in a weather pr�oof enclosu�. A warra� devicg niusf be ins�atted with �
liglft �sound device, this es in case o#a p�mp failure_
The t�anifoid 8� s�pply iine m�have back draei:ragc to the P�P�9 Char�tber. The
distribution pipes sha[t have�heir ends capped. Be sure the rock 8� sand fl11 matsria!
are ciean. The sod iayer below the e�ire �nouqded area mast be ttirned aver,just �
break up the sod.
lf the tanks have less i�han 2'of cover,the�ids, risers & maic�tertance hole�overs
m�st be insutated ta a dalue of R10.
Cleanouts for sach laterat �nast be insalat�d �be accessibte from flrtished grade i�
an irriga�ioa box with a bau valve. I
A1I neighba�ing wells are Iocated gr�at�r i�an 100� away fro�the pcopased
trea#me�#area,
Keep ai[ heavy equipment off of Nie proposed treah�nen#area before aad after
const�vction. The treatene�rt arga shoutd b� marlced aff b�for� coefstructior� This
ci�sign is�ot valid 8 the sys�m w�f1 ne�to be refocated i#fa[iur�to pro�ect�e
sites for new a�rsite sewage s�/stems.
MANAGEIi�NT PLAN�
Tlre tanks Keed to be �tt�htained at a min"e�nuzn of 1 tin�e every 2 years, check w�
you pumper to set ap a schedute_
Systeen inspected for areas by Q�er 8t ar ir�spector as determ�aed by tfie loca!unit
of C;overnment.
Ar�y other reqwire�nents as determined by ttte tocal �nit of Governtnent.
�tith prap�r instaltation& maintenance, this sys�ett�should hav�no problem in
tr�ating septic e�ffluent eff�ectiveiy.
NothiKg other than humari wast�, ��1et tissu�, �anndry, Shcmvers,ur�ter sofM�rs e�c.
st�esutd tre disposed af�nta�e system. Reeamm�d ir+un fiite�s b�,�vert�cf oat of�e
system. Garbage dispasa� ars�crt r+ecam�ended. Excessive arnaci�s af saaPs:
an�ebac#eteat soaps� clearti�tg agent.s,shower clea�ers ased every sho�rer � chlar�ne
agettts tnay ki11 the ha�ter�a ne�ded ta t�eat septic effi�e�. Additives a�e not
re�ommended. Recomn�ear3 lae�deriemg be Tmrited�a 3#0 4 loads per day. .
T�44l�Zf�h�(F . .. . .. . -
ShPrnarcnn
�°»���� MouRd Design
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Praperty Owner. Shawn Bergerson Date: 4/13/2Q15
Site Ad�ess: 50 Cristafori Cxcle p�
Commecrts:
s�t�tio�: 0-�sa�t`x�,c �=aai.ac�r ae��ea �=s�-mt�a�oo r�o r awusr�
i1 �bedrnom Type � Residential Syst�m
) �GPD design fiow
3) No Garbage disposal or purnped to septic 2-125[T gal3oru
a) 2500 Gat SeQtic targc(code mittancmti) �Gat Septfc t�k{design s�I LUG teQ�dl
TaNc option� �one
� 1.2 GPD/ftZ mamd sarsd load'ing rabe
s> 10 ft rocicbed width 6Z5 ft rockbed length
� 3.0 ft[aYera(spa�g 3_0 ft perfocation spacirw (ma�dmum of 3 tor both)
ena feea rnanifola ca�eccia,
s) �taterals 60.5 feet lax3 21_0 perfs/tate[aE �perfs tota!
(1f2 a perf means ti�e Krst perf starts at Yhe midd�e feed mMtifold}
9> 1/4' inch perfs at �feet nesidiraE head gives 0,74 gEun ftow rate per pertoration
tor this perf sae Ft spacing.&pipe srze on t�e 12,m�c perts!laterat= �.tirre&8 must be les—> OK
lo} 4.0 doses per day (4 miniman)
i tl 188 gaLEons per dos� (treaFment voitar�e}
tz� Z00 inch d�ameter late215 f�mratlerj vn'tl meet"5x pipe vdune'
2.00 ;ncn diameter�acerats(or smaueh musc be u�d w meet 4x Pipe votume"rewiremer[t
2.00 inch diarteter iaLerals(or smalter)vnit meet'3x pq�e whaae'
t3� 55 feet of 2.4 'urch suppty l�e leads to�9 gat(ons o#�au�back vol�ne
(T'ip:'top feed"mani�old to mntrol the draiiback)
�a} 197 gattoris TOTAL pump out volwne(Veatment+drainback)
is) 15 fee[vertica[lift from�to dispersa(area,teads to a:
�b� 47 GPM e 24 feet of head. Pump re�rirement irmtP:>S�pm may require an exzra 3-6'of irad)
i� 125o gat nose wnk(coae min;rtum) 12sa gat nose tardc(desi�t sime�uKi reqil) ac 20_00
ieads to a
is/ 9.9 inch swing on Demarid float, or tirtied dosing of 4_2 min OFI (confirtn pu�ra[e with drawdown
(to deliver Avera�e flow, 66%o+`Peak des�fiow}ehrs OFF tesi and adiust as neceuary)
t9� 12 inches from bottom of tas�c tu'Punp OFP float
zo� 22 incfies from bottom of tardc to'Piar�p ON"float,or 12 ind�es to Timer ON'#laeL if time dosed
Zr) ZS irx.i�es from b�tnm of tanlc tn'Hi Levet"fta�t,or 35 mc�es Lo'Hi leve["float if ticsie dosed
) 750 gallor�s reserve capacry (after HFgh Levet Alarm is activated)
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_) Q.45 gpdift= Absorpi9on ar2a So1 i.oadu�g Rate. wfiich gives a maaid ratio of 27 (minirtxxn)
ma �
(this must maich the sod borinS togl desired�d ratio 2.7
�t �9 percent stce sape (azo�rar�ge� ��!%tbw[�lope site stope,ff diiferer�t than upslope)
'12 inches, or 1.0 ft_to Redox or other lSmiting cpt�dition (need at lea��2-to be a Type{j
Treatment zone contains�"urJies of 0%sod credit,and �inches ot 50��1 aediG Giri�a:
z� 24 inch,or 2.0 ft Sarid Lift AA;xatd QtRfCAL FOA FlfTURE CfKi'[FlUTt�ISfii
27A ft.Total ABSORPTION width {sand bEyand rpCkbedj
> 0_0 t�siope ared sideslope
f7.0 f[.Dowtuiope
individual stope ratios give BEJtM widths(topsoii beyix�d�odcbed)of_
) 4:S upslope ratio 12 ft_upslope berm
) 3:1 sideslope SS ft sidestope berms
sq 3:t dotvnslqpe 23 ft.do�vru(�e 6erm
3z� aeratt Dirrcensionr to ft.wide by 6z.s tt. ta�g aacx bed
45 ft wicie by 43 ft la�g Ab�aid fooEprrnt
4'inspection pepe
3$"cov2r prt top
U siape berm t2 Domn[ berm t � i
12"cover oe�sities
�6�bmnp e�a�6�top�
2.0 Clean sand tifC
_ 1.0_ �ep�to ti�nitin�
��tlll[ltly COIIC�lf10(7 — �—`—'—^.--__—._
abs cia,watt� i�.o ------ --------- _
Note:
For 4 to 1%slopes,d6sorptian iJ�idth is meawred from the Be+dequatly in both directions.
�'er stopes>7�,Al�so�ptfon bvfdth ts measured clownhil!From the t�psiope ecige of the 8ed.
3s) Rock Bed:
10 ft.try 62.5 ft_by�inchesis�dert�ipe,Pi�a2Q%gives �Z8 yd'or'1.4= ��ton
x� nround sa�a: (note:wtem�is nased un s:1/4:�slo�trom cop of rockbea,E�ocr�a�e saria for�omny cap if desired)
4�_4 � + 100.t dowaslnpe : 16.4 ends+ Sb.� Aimder�=�yd'ar'1.4- 36i
3s� Lnamy[ap:
41 f[.by�fL 6"deeP,Pltrs ZU%gives 81 or`7.4= 113 ton
36) TopsoiL-
45 f�by 93 fG b"deeP,P�20%gives 93�yd'or•1.4- 130 ton
�herebY�ertifY fhat t hzve cornpleted tf�is weork in accordar�ce with al!app(icable ord+nances,rut�and laws.
6�" `""` • �r�-�-- 5�'��'s�itl � }i�LL 4/13R0t5
Designer Signature Company Lice �Ye
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lnsta[ler Summary
2500 gallnn Septic tank(minimum) Tank options: rwne
7250 gatlai Dose tanic{rni�imu�n) af 2U.W gpi
47 GPM @ 24 ft af head, P�p�q��
9.9 inch swing on Demar�d itoai or 4_2 mi[wtes ON Cune& C�haas OFF time
22 i�xhes fran bottorrt of tank to ptenp ON'fioat,or 72 inches to�ner ON"fioai
25 inches fran bottom of tartk to'Hi Level Alarm'float
55 ft. of 2.0 inch suppty t3t►� with end feed manifold�ctio�
R'�-ZoP fee�masritotd to cantrd dra3�bnckj
24 irxh.or 2.0 ft S�d Lift Nlound
10 ft_wide by 62.5 ft. Ipng RociC b�
3 iaterals 2.00 aicfi dfamecer 60.5 ft. long 3_Q fL fateral spacir�
t/4' inch perfs 3.0 ft. perforation spacing
�Effluern filter&atarm
3 clean out 8 vaNe bwc a4emtriies
27.0 ft.Total sand ABSORPTION width (sand Geyond rodcbed}(minimum)
0.0 fL t�slope and sideS�ppe
17.0 ft.Downsb�
Specffic slope ratios give BERAh widths(Lopsoil beyond rock[red)of:
4:1 ups(ope ratio 12 ft.upslope bem�
3:1 sidestape ]5 ft.sidestope bernu
3:1 downslope 23 ft.downstc>pe berm
�-4'1115�72C[i0(1 E?!F?E+
18"cover oR top
U sto�+berm �Z berm 1 � !
t2'cover on sides
(6'�p�p���
2.0 Qean sand tift
_ 1`0 Depth to L�miting
Limiting Condition — -'------�---_�—
Width z7.o —__ ----- -----------
Note:
For 0 to��stapes,,�buarption�s'�dth is meau8�ed from the Bedeq�atty ir,both directions_
For Sfopes>1%,,qb.so�ption td�frlth is measured�rnhill from tf�e+�Slope edge of tl�e Bea!
Rock Bed: 28 Y�or'1.� 34 ton 9 ���
Mound Sand: 258 ydz or'1_4- 367 bon ca(cutatbn b��3.1l4:t stope from top o{rodC�
LoamY�A= 8i yd3 cr'1_4= 113 tan 6-��p
ToPsoii: 93 Yd'or•1_� 1� ton (,��
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lNSPECfOR CHECKLiST - mound
50 Cr�stofori tircle
QwFi,L secbacks 20'to preswre tested sewer line {5 psi tor 15 min)
5(Y ro evervthinQ 1fNY to dkoPrsal area v.�ith shallrnv wPll
PROPERTY LiNFS setback: 1Q'to everything
Road sabac6= outer ditch,or 33'fran center ai tnrnsship�oad,ar GS'from ceMer of a�ty road
LAKE!Bf,UFF sabadc: 20'for bluff. lakes GD_,RD_,PIE_ Protecte�wetland_.
Build��sabacic� 1P t�every[hir�, ZO'for disper�t area.
WA1'ER LII��E u�er p�cn,ae sc 10'to bed,tank�sevves line_(else sewer line>1Y below)
� Se�2r L'me Ez Caffle corxiection (no 96s, 3 becween 45s, �Ope�►s'in S,m�c T�8�
(no depth req's, Uean out every 100', Sch 40 02665 or F891)
� Septic tank a�d risers (water tighi,inwlated,proper depth,exist4ng verified by pumpi�}
mf�._ 2500 gatloru rrooe
Riser over ouilet, �iser over inlet, 6`+inspection pfpe ov�er any remaining baffles.
No effluent filter&alarm
Dose tardc risers and Piping iwater tlgt�t,imufated,Rroper depth.drafnback?
mfs 1250 eattorts
� dose pianp 47 gpm 24 head YERIFY PUMP WRVE 4.2 min ON 9 hr OFF
(� float seiting dmp 9.9 fnches
!/s8E1 pisnp requirements and dravvdaum on riser a panel
' Cam tock, weep ho[e, stipply liae access ([w hard 9Q,pipes reaChable ftacn grade-307
�r r�stopea t rs--, x�pportea by scn4o steeve, ar►d b�f 6�+_
sp(ice bax/cantrot P��/e{eciricai caxrcti�s
flow meaSurertlent:CT,EfM,time dosed,hot[ie water meter
8 rrmutd rock dimemions 1U X bZ5
Sand lift depth 24 'v�ches. iJar test:2"sand teaaes<1/8's�1t after 30 min)
� Absorption Sand beyond rock 0.0 upslope 17.0 dovmslope
. � 8emred topsoil beyortd rockbed 12 upstope 15 sidestope 23 dowruWpe
� caver depth of 12-7%'+ VERiFY
3 tatera[s (t-Z'from edge of mck)
2.OD inch pipe size
3.0 ft lateralspacing
(� S/4' ir�ch perfor�iorts {strta9er�ok)
�_� 3.0 ft perforatian s�aacHg
Air 3nlet at end of laterals, and at top ieed manifold VERIFY
Uean outs (no fiard 90'S1
4'in5pec ii0n pipe to bottom Of rack.atxt�ored VERIF!
Abandon e�dsting sys[em ff necessary �Re-iae e�Fardc certlflotion
� monitoring p4�n and type
we[t abandonment fortn if�ry
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UNIVERSITY OSTP Soii Observation Lo� �
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OF MINNESOTA Project ID: v tz.o�.z4 �:;,ti,,�--
Cllent/Address; Shawn Bergerson, BO Crfstofori Circle,Orono Legal Description/GPS;
Soll parenC materfal(9); (Chcck att that apply) ❑ o�as�+ ❑ �+�� ❑ � l� n�� p a�w�um ❑ eedrock ❑ oryenk rtaner
Lendscape Position; (check one) ❑� Swnrt�it ❑ Shoulda ❑ 9acW�da Slopo ❑ Poot Slope ❑ Toe Slope 5lope shape
VegeWdon waoded Soll survey map units ErC Slope� Elevation; 91.4
Weather Conditions/Time of pay: Ctear 2.30pm Date 04/13/15
Observatton�/Location: �ttA Observation 1ype: Auger
Depth(in) Texture ROCk Matrix Color(s) MoUte Color(s) Rednx Kind(s) Indlcator(s) �""'""Structure-••�•••�••I
Frag.9d Shape Grede Canaistenco
0•10 loam 1DYR 3/2 Granular Weak Frtable
1U�16 loam 10YR S/2 Granular Weak Friable
1G•18 loam 10YR 5/2 10YR 6/8 Concentratlons Si Granular Weak Firm
18•30 clay loam tOYR 5/3 tOYR 6/8, 10YR 7/1 �oncentretlons, S� phsmatic Moderate Ftrm
deplrtlons
30•48 clay loam tOYR 6/3 10YR6/8, tOYR 7it �oncentrattons, 51 Prfsmatic Moderate Ftrm
I
depletlons
I ._..._� .----- --
� _ _ _ - - _ ____----_____..
Comments
1 hereby ce�lty that I have completed this work In accoMance with all appliceble ordinances,rules and laws.
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CUent/Address: Shawn Bergerson,90 Crtitofori Circle,Orono Legal DescrlpNon/GPS;
Sotl parent mateMal�s):(Check att chat apply) ❑ ou�wesn ❑ �easa�ne ❑ i.oQss [] rm ❑ a�wium ❑ eadrodc ❑ or9an�c Mouer
Landscape posftlon: (theck one) 0 SumrWt ❑ Shoulder ❑ 8ack/Slde Slope Q rroot Slope ❑ Toe Slope Slope shape
Vegetatton wwoded 5011 survey mep units ErC SlopeX Elevatlon: 69,1
Weathertonditlons/7lmeaf pay: 2:30pm clear Date 04/13/13
Observation#/Locatlon: �2A Observation Type: Auger
••--•--•Structure-•-�--•-••-I
Depth(In) Texture F�pg� Matrlx Color(s) Mottle Color(s) Redox K1nd(s) IndicaCor(s) Sha e Grade Consistence
U-8 loam 10YR 3/2 Granuler Weak Frlable
8-16 loam 10YR 9/2 Granuler Weak Frieble
16•20 loqm 10YR 9/2 10YR 6/8 Concentratlons 51 PNsmatic Weak Frlable
20•30 clay loem 10YR S/3 1pYR 6/8, tOYR 7!1 oncentrat ons, 51 Prismatic Moderate Firm
Concentrat ons,
30•36 clay loam tOYR 9/3 10YR 6l8, 10YR 7/1 � � 51 prlsmatic Moderate Firm
Comments
Observetion N/Locatlon: #3A•elev.92.6 06servstton Type: Auger
pepth(1n) Texture R�k Metrlx Color(s) Mottle Color(s) Radox Kind�s) Indicator(s) �""•••'Structure•••-•••••••I
Frag,;G Sha e Grade Consistence
0•8 loam 10YR 3/2 Granular Weak Friable
6•16 loern tOYRSl2 Grenular Weak FMable
16•20 clay loam tOYR 5/3 10YR b/8, 10YR 7/1 oncentrat ons, 51 PNsmatic Weak Friable
20• 36 clay loam 10YR 6/3 tOYR 6/B, 10YR 7/1 oncentra�ti �ns, S1 Prismatic Moderat� Firm
Comments
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UNIVERSTTY OSTP Soit Observa��on Lo
OF MINI�ESOTA � � ;�'��
Project ID; v 12.07.24 �„�,�.-
Client/Address: Shewn Bergerson, 90 Crlstofort Circlo,Orono legat Description/GPS:
So1l parent meterial(s�; (Check el!that appty) ❑ outwash ❑ tacux�na � �oess � tm [) aiwium ❑ sedroac [] Orpanic Metter
Landscape Positton:(check one) � �m�� ❑ stauldar ❑ BaelySlde slope ❑ p��slope ❑ roe Slopo Slope ahape
Vegetetlon wooded Soil survey map units Ert Slope� Elevation: 91,q
Weather Candttions/Time of Day: Clear 2:30pm Date OA/13/15
Observation ll/Location: �'IA Obscrvation Type: Auger
Depth(in) Texture R�k Matrlx Color(s) Mottle Color(s) Redox Klnd(s) Inditator(s) �""'-'•Structure--•--••.��•I
Frag.% Shape Grnde Consistence
I
0•10 laam 10YR 3/2 Grenular Weak Friable
10•16 loam tOYR 5/2 Granular Weak Frlable
16•18 loAm 10YR 5/2 10YR 6/a Cancentrattons S1 Granular Weak F1rm�
18•30 clny lo�m 10YR 5/3 10YR 6/8, 10YR 7/1 �oncentretlons, 51 prismatic Moderete rtrm �
depktions
. _ I --_ __.__— _...�--
30-48 ctay loam 10YR 6!3 10YR6l6, 10YR 7/1 Concentrations, S� p�smaHc ModerAte Ffrm
deptetions
�' � _... - - _- - _ __ _ ___ .
Comments
1 hereby ceriify that I have compieted ihis work In accordance with all applicable ordinances,rules and lews,
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Project iD: P�toc;r�piA J�`y
Client/Address; Shewn Oerger�on,�0 Crtstotori Circle,Orono Legal Description/GPS:
So11 parent materlal(s);(Check all that apply) ❑ outwas�� ❑�acuevine ❑ �oess � nu ❑ aiuvium ❑ eedrocje [� Orpenlc Matter
Landscape PosiNon; (ChCCk OItQ) 0 Summlt ❑ Shouider ❑ BatW51Ge Sbpe � Foot Slope ❑ To151ope $l0 @ 5hd 0
P P
VeQetatlon wooded Soll survey rnap untts EK Stope% Elevation; 69
Weather Condltions/T1me of Day: ctear 1:30pm Date 04/13/15
Observatlon N/Location; #4A Observdtbn Type: Auger
Depth(in) Texture ROCk Matrix Cotor(s) Mottle Color(s) Redox Kind(s} Indicator(s) �"'••��'Strudure••••••••-••I
��8.% Sha e Grade Consistence
0-8 loam tOYR 3/2 Granutar Weak frtable
8•14 loam tOYR 9!2 Granular Wcak Friable
1A-26 cley loem 10YR 5/3 tOYR 6/8, tOYR 7/1 oneeitrat ons, S� prismatic Moderate Firm
28•36 clay(oam 10YR 6/3 10YR 6/8, 10YR 7/t oncentrat ons, 51 P�ismaCic Moderate Firm
Lomments
Observation N/LocAtlon: N5A 88.1 Observation Type; Auger
�epth(1n) Texture Rock Mat�ix Color(s) Mottle Cotor�s) Redox Kind(s) Indicator(s) I•••••��-Structure••••-•-••••I
Frag.% Sha e Grade Consistence
0•10 loam 1DYR 3/2 Granular Weak I Friabte
_. _. .._._ __�� �
�10•12 loam tOYR 5/2 Granular Weak Friable
12•20 clay toam 10YR 5/3 tOYR 6/8, 10YR 7/1 oncentrat ons, S1 Prismatfc I Moderate Firm
_ ,�._ -...--- -- -- _.-- - --
__. __ _..
oncentrat ons
20•36 clay loam tOYR 6/3 tOYR 6/8,10YR 7/1 letfons , 51 Prismakfc � Moderate Firm
— -- —�----
Comments
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� PaFc�t number: �� ' �/� -- 0�3 ' �7� ` C C�' � System status: ❑ Compliant �Noncompliant
(as determined by this form)
Certificate of Abandonment
Date of observation: � -- —/5 Reason for obsenration: ,���/�C� �GJ ,��j ✓� ��f,�
Compiiance quesxionslcriteria: (Check the appropriate box)
To be in compliance,syst�ms with no future intended use for sewage or clean water discharge must be abandoned in accordance
Minn. R.7080.2500 as determined below:
Were aii the solids and liquids removed fcom the system? ,�]]Yes ❑ No
Were all electrical devices and devices containing mercury removed? ,�Yes ❑ No
Were all underground tanks removed or tanks crushed and filled with soil or rock material? �'Yes ❑ No
Were all underground cavities removed or filled with soil or rock material? �'�Yes ❑ No
*Any"no"answers indicates the system is failing to protect ground water
Property owner name(s): �]/�✓�,�E �% /�JC,�tis'� v'�.��
Property address: � � C��,��'� ���j �,`� ��G'�%G�
Property owner's address('rf different): S .�-� Q
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County: ��t1Nj.Q�2 N Phone: �i�,� � ' � � — �S �,�
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Certification
This form is to be completed and attached to the Summary Forrn of the Minnesota Pollution Control Agency's(MPCA)Compliance
Inspection Fortn for Existing Subsurface Sewage Treatrnent Systems(SSTS).This form does not have to be completed by a
certfied SSTS practitioner, but must be completed by the individual who has knowledge of how the system was abandon.
Completed form must be submitted to the tocal unit of govemment within 90.days.
I hereby certify the sysfem was abandoned in accorda�ce with Minn. R. 7080.2500 and any local requirements.
Name: ,//,R T�C�,,i(� � ; ��'e���i--' Certification number: � ����
Business license name and n ber: �u�Q � . ��%��/`�r✓ ,j�
Business addres � ��� u / '��} ���J `�t, ,� �j� �'S�� '
Signature: Date of abandonment: ,� -� �`�
wq-wwists4-31 Comp(ronce Inspection Form for Existing SSl'S
4/1/08
�3- �,�- �"
T TIME
CITY O ORONO CALLED IN
INSPECTION NO ,ICE SCHEDULED - � /�:Ua
PERMIT NO. �v�s� �� COMPL ED , �
ADDRESS �� �5��1 (�C r�-1 e
OWNER ELE HONE NO�� lo gs �d'Z�
CONTRACTOR C (��
� DESCRIPTION � � �
lL ❑ FOOTING ❑ MO-FINAL ❑ SEPT F�NAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME TS:
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W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL REfURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlCon or on site:
Inspector.�
White Copyllnspector's File Canary CopylSite Notice
�j' c���-- '�-'-- — � �
� � TE � TIME
CITY OF ORONO CALLED IN ��
INSPECTION NOTI �����SCHEDULED � /G/ __��
PERMIT NO. ' COMPLETE �
ADDRESS �� L-'��STG'�r j_�'i f^[�x
OWNER TEL PHON NO����'"3 ���
� ' ZG�G��� �Y'
CONTRACTOR y
� DESCRIPTION
, � �
ly ❑ FOOTING ❑ DE O-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
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2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContra r on site:
Inspector.
White Copyllnspector's File Canary CopylSfte Notice
�- 1�10f� ,,�
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DATE TIME
CiITf�E ORONO CALLED IN �"
INSPECTION NOTICE SCHEDULED S � �:3�
PERMIT NO.r�D/S- �g� COMPLETED /� � �
ADDRESS �'S� [�il-� S�tDY f�r��
OWNER TELE NE NO�I�-6�S�d�
CONTRACTOR ���� ��U
� DESCRIPTION � � �� '�J y �'"UC._�
W ❑ FOOTING ❑ DEMO- INAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUiLT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
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� OWNERICONTHACTOR TO MEEi�_YES_NO
��., COMMENTS:
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❑ ECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerfContra�or on site:
Inspector. � -
White Copyllnspector's File Canary CopylSlte Notice
DATE TIME �
� OF ORONO CALLED IN
- INSPECTION NOTICE SCHEDULED �-`�
PERMIT NO. �/�✓�'-��d17' COMPLETED l
ADDRESS �� G�''1s"�0`��' � �<v^e ��P
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI �SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE EPTIC INSTALL ❑ FOUNDATION/REMOVAI
2 OWNERICONTRACTOR TO ME U:_YES_NO
� COMMENTS:��d G l S �l�l�GGL�/�L/
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
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V BEFORECOVERING PERMANENT
❑COHRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerfContrac n site:
Inspector.
White Copyllnspector's File Canary CopylSite Notiee