HomeMy WebLinkAbout2016-00424 - septic CITY OF ORONO * z 0 1 6 - 0 0 4 2 4 *
, 2750 KELLEY PARKWAY DATE ISSUED: 06/07/2016
� ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2265 DEVIN LA
PIN : 03-117-23-22-0018
LEGAL DESC : THE NURSERY
: LOT 008 BLOCK 001
PERMIT TYPE : SEPTIC
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT)
ACTIVITY : SEPTIC(MOUND)
NOTE: (3)EXISTING PRECAST CONCRETE 1'ANKS-EACH 1000 GALLON
MOUND SYSTEM-500 S.F.
APPLICANT SEPTIC NEW OR REPLACEMENT 400.00
TOTAL 400.00
HAYES&SONS EXC. [NC. Payment(s)
263 82ND STREET S.E. CREDIT CARD 5293 400.00
MONTROSE, MN 55303-
(763)479-1762
Minnesota State License#: sept-L640
OWNER
KOKAL, BRUCE&UTANE
2265 DEVIN LA
LONG LAKE,I�4N 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This 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 specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construc[ion is
suspended for a period of I80 days at any time after work has commenced.
"I'he applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be l
revoked at any time for due cause. � �( !?
� � �
- ' -- rv � �f �L,�,� � ��,< ��� I,- � �1 � /�,
Appl ant Pe i S' nature Date Issued By Signature Date
��� City of Orono �R TY USE ONLY �
P.O.Box 66 � _ >h// ^ �
� 2750 Kelley Parkway DatE Receive • � perrnit#OlY/�K�
Crystal Bay,MN 553 D�
(952)249-4600 1v Amount: $
� � ��
F G�
lq'�ES H�4'�C
CITY OF ORONO - SEPTIC SYSTEM PERMIT APPLICATION
(All permits must be approved by the On-Site Septic Manager and/or Building Official)
,��rb������'�l��rrrr�ion: a,� �,_.:`;:
Site Address Z�L`� �-� � ��+^ �- `� '�-�
Owner: �� � � �L' �``� ( Mailing Address: � z�"S ���,� �s�--z
City: �; ��v� i� Zip:
Home Phone: Alternate Phone:
Co���ctc�r�;}���t l�formati�n:
Contractor/App.: �. �s t S--L. s" Contact Person: ��2-�-1�
Address Z� 3 ���-`� 5� ��` State License #: �-- � '� �
City: /`��h�`''�, ��'�- Zip: S�3�� �� Expiration Date: � Y /�
Phone: (�. �2 � � �7S�Z Alternate Phone: �k� "`�7y� � �� �
TYPES OF OCCUPANCY
,
Residential ❑ Commercial ❑ Other
PERMIT ?`YPE AND F��S
� s6
New Replacement,�System $400.00 ���'�
���---
Repair Existing System 100.00
(Tanks or Drainfield)
i-
Total
ECEIVED
AP� 2 5 2016
� � 2 CITY OF ORONO
*�` ATTENTION APPLICANT""�
Fill in all a ro ria#e blanlcs and check a!1 a ro ria�e boxes.
r r - �5 � ,� i ,t� ;�, �� c�.
i will be i�Fling the following:
a ks
' Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other
(list manufacturer)
Number of Tanks: � � £� K` 5`�`'":°�
Size of Tanks: /��'� /� � �� /��`-'�
Treatment System
Trenches s.f.
� Mound L'�� 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, true and correct.
�� , _
Signature of Applicant Date: `r Z � ��
MPCA License No.: �-- �`� U
Staff Review: cept Denied
Reviewer: � Date:
Reason for Denial:
Comments (to be printed on inspection card):
2 / 2
CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION
: C�N��4� 1�15'TRt1�CT1��V� , :
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 systern design.
4. The following inspections will be required for all septic systems:
A. Tank installation prior to covering.
6. 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.
3 / 2
� '
�/ � � ����� ����
I k, T�ltS SYSTEM IS DESfGNEO FOR
�_, � ,JvV � � �BEDROOMS. ANY IRICREASE IN fVUMBER
�_--
Joseph Olson D.B.A. OF BEDROCMS INVALIOAIfS THIS DESIGN.
n ��
f V l�="�`' Rusty Olson's--Soil and Percolation Testing
Z� � ��� Joseph J. Olson--:VIPCA License#810
//� • 11�81 Ri��en�iew Rd. �iE, Hano�•er,M� SS3-�1
�� �- �- lr�C/ ��•�
(763)-198-8779 Fax (763)�t98-8240
April�,2016
Bruce Kokat
?26� De�in Lane
Orono. Hennepin Count�
This on-sice Sew�age Treatment S�stem is desi�ned for a T�pe 1 four-bedroom home in accordance«ith the
Minnesota Pollution Controi Aaene} Chapter 7080 and loca(ordinances.
The periodicall� saturated soils�.�ere located at l2 inches(mottled soil). Due to the periodically saturated
soils.a pressurized mound s}�stem�vith 6 inches of rock u ili need to be installed to treat the septic effluent.
The bottom of the treatment area must be located at least:� abore the saturated soils.This svstem is
designed with 6 inches of rock
The existing septic s�-stem does not conforni to the state eocie chapter 7080
All nei�hborin�icells are�reater than 100' from proposed treatment areas. ,,, , � , , - ^
�' ., � , y%� v ��� "��9''`?`,/^�j?
The soils at a depth of 13"have a percolation ratr a�eragin_9.8�iPl. ,'� J�' '�2 � �'
�
The existin�tanks ma� be used upon approval of the locat inspect�`If the tanks need ro be abandoned a ne«•
1'_�0 and 1000�allon septic tanks must be installed. _ J
The existing 1U00 eallon lift statiun ma� be used upon appro�al afthe local inspector
A draina�;e s��ale nzeds to be cut throuQh the existing mound system to allo��•runoffto go around the ne�s
s��stem.
All ne���tanks need to be insulated if there is less than t��o feet of co��er over the top of the tanks.Clean outs
must be installed on the end�f the laterals for maintenance.
�iothin�other than era��water,(laundr�.showers.etc.)Human water and toilet tissue shoald be
disqosed of into the seotic tanls.Garbaee disposals are not recommended.Additives must not be
used; thev mav cause harmful damaae to�•our sentic s�stem. It is recommended that<<oa aumo the
tank even�two��ears for two septic ta�ks.
5 mcerel�.
'`� ^ CITY 4F ORONO
,
loseph J.Olson SEPTIC P�y MIT PL R VIEW
INSP�CT R / -
DATE !` PERMIT NO. 7�r(o— ?Jo tf-2�--
� A P t'Gp AS SL;A�tITTED
'" � APPROVF:D WITH CORRFCTIOTS AS�'OTfD
NOT APPROVE[)-CORRF.CT&K6S1;ft�41T
Thcse comments are fot your inform.Uion. All work sh�ill hc done
in full compliance with afl applicublc scptic�nd ronin�_cudc.
Requirements including itcros not spccifical�y nuted in thi�rcview.
KE:GP THIS PLA\SF"T ON S1TF AT ALL 71:�1[.S
,, �
:�:
,.,�,
h. ._., ..
,�.;. ,_
�� _
;' *,... _
.;� �, ,
; , �
�,- ;,� � ,.
�
� � f
C," �
l: , ' ;
�..... ,
3�.. {'„'"' , � s
T ..'
, .. � �'� . _. . .
P..' uw� ,� ._ --' � .
t - � _y _
; 3
�.., . t = .
�.� ' � �
s.�" • - ��� . ,
3'
'S;.=� i��;.
�,,.. c'a?
i c yY
�� s�
�'�
� 1
�.. '"N
y�
F ;
1. .,
".�'t
�
,� _ ��� , ��
�
t� �
. �� : ^ � �
1 ::f_ . �-
� `��°`� -' L
i �` - x �
,} � _ �,
�
'�i y� '�- � _ So i�..
�� ity r�r-c�� ��`��---�.� �
� � �j
'� n ��" �°--� -- __ _ " . ;` � : � � ���
.
.
, 4 : �
.. , � ---� I �:,
�,
_ � �
, __
, � �-_ -�-;--�. .--' _- - ' ; � � � �
t
.. : -= c
� ; �� ;� � ' � �����,
i - - _ � � �Q g
-� �3
�� ___ �
`" `-`--__ ` � �
� � -�`'' �'� � Q��
, � s- , � _ -
�- -_ :. ` .Fa -
�f __ - - - �'\ -
t ` �. �� ��.� �+ `'� �
i 1 � - Q
'' - � - � � ��
. ���✓` � � �t
� �—^y T. ��O
t � r� --•.: O $ Rj
, �"; :, � � v
� _� � �v Q
� � _, -- � � ,�
; �I�'
�'' � os`�,
�i ' r o�o
� ` 00
( v, ' � � o r
.:; ' °� � .� � k
�{ i _� � � ` � � � �o �
t . _� �� o^� ��
-� ' ��3 � �-' , ��� � U
, y , �a� $
!
! i
' � i� ,,,�,n f
i !
� t
t
� 1
t 1
� j � �
�- �.�._._._��_�. ' , � '-•' ' '
: � - ���
� L s .
f
.
,
; __-------- ----_��.___._�
� _,.___�.___.
�
1
i � ,.
1 � 1
—�__._�._._._....._.-._,_.._-..___._..__.�.___a_.___�.._.`._...._.__._..--------
. ----`j � -���
�y _..�-� '}'....._.__��---_' _�'.�; __�'— '��_
� � Je, ' '��. .
,� t�'' . 1 rj���.i.: NOPklS[D .__._'•"? � ~ � �_._ _�/O�L4�'C
_� � ,<'
"' _'_----�.� _P
-,..�_.,.. -- _.
• , ,�, x4a
.._. .._ ...,. k..._.._.._.._....._.......��.��..:. � .�.
t�au�'. �.�.4..�.�,�t�,�..r._..�-....-,----- .,C.e�f.'..s�w.ca,aa..._1�r�.__�.._..�.�._,.
�....Y .. , .�„�:tr...�._._..........r.�e...� .
�i..�
t_'L.�..w..` � ��rqfl`y�Y.{'A�V/��(� •
�V�. _.�. ,Y�I[1T�xAM�T •
r� ,��
'�j. _ � .�r`..".y'.....0.
�._-.,. .._ v.....-. ..,...,........w...... .�>....,...�,Au1G,..,�.........._..� ; ~� � �...«.#i � `�.`......_�4ofG,
,..�..�.�,.........,...,. . ."�-�+...,.....�.......,+.,,, �'" u
•.�..r...M........ -.r�►-..,......-.......... _ . • -•--. p �p . .
t R.a,�.4.,, �=?ic`�.c�, r m.:..��WA 1CYM�.Y h.S�, �� �
��� "�""",,......
.�NIG :idUlC > -',' � • � � �
. �� � �,,��atecY Ar�nsrcr sc t.��a !a ^. _
. ' �1,t;-.:.` � '(KMC StiEJC dW+�'JI.K Ctp Ota4R
4•J(j,� �..1'l.: . .
G�n'is !. r..
. ._ _ .... ..�.,.._.w ".�._ R':� �C►fL �Q�ING E1.�1tA�T1qlV�
MOUND SYS tFllrl 1)I SIGN � ;��- ,
7N.*�EL.�_a.:w`�
�Yf't' � _• �"� Isedri�orn,Aver�gr�perccilatic»�i�t� i,. � TN.�$�[..-�,,,�N
_. ��Ai� rH,�a��;- -�
w�.r> ga!/r1.�Y 5°"Uv sq.ft.uFtreatmrnt urei��a $Y��mll�ftOS T�'�.��1..��..�.
- _.. . (/10(t. wrdtf� :�_� ft. length nf tx�d atea ����i,.,,,,,,;'�mP�+rt�P tlnas N���••-;.,�.�
SidE:sl�►pe run_�} to 1 x_� itc�i�ht- `I3 fi.x "'a ft. I awn��rc�a. ��'�"",fi��� '���"`.
_.__. ..lst.'�it1 bidy�. ..M�
Clean rr�ck�ier.tleclpfuti 2UY 'i�� cu.yds.Ciaarsc��,v�shrrlsand.J"_� cu. Yds.Averagesanddepth;� �,. T�N�fi01lf��,,,��i'101ti�liR,,,�„�#�t�'�'.�
`�<. Tra�tm�nt�roa,�,�y„ from prop�rty Itna�
Sandy taam.!:� cu.yds.,lapsoil 6" -' ^__�u.yds.pius�0'7£�,,'�i'�_ cu. Yds. _ ' -�p a�J�Ottt W�C�!
,�,'t�am d0�
, nbcr of tar�ks ' 1."tank.. _,_ .gais..2"�tank_,i gals.,Purnp chamber c�� ac�
ur
_----�� p nY.__�_ �ak- P�ON�fi'1'Y�1F�. `��.�. _ k,'r�}��.,n C.
...,�:.:.�....�....,..._...._...._...._......_,
_.; �'.�;ak./1UU linea{fc��of '�Y"dia. SupptY P�!►�,lineal feet need�d �7 ( ;'; � ,�,�.;;; ' ' �'` '
..........._-r......,
—�--- _. _ �,�?..}��.�-�..��.,�:�::«.� A,d '_��..r..,_..�,r_,.,..,,..,..,,
n�s''�t,uc�o���,�n�= ,='_ _,•dia. `;__( finF:ai feet ___� dia.Periorations 1:_`;�' •'a��art —_..... , .....___.�...___ .
Ftoat set at i�^'
- _ '__ _�als.,___!� times per day I�ump r_urve r_" J min._,'-__feet he�d��ressu�e. �
U8f@::1_./`....�f'zi nh. 763�448-8774
_ Rue�ty Olavr�'���c[ Pa�rcvtat�an`�"sst�r��
� _r
' OSTP Design Summary Worksheet urr��ERs,T,r X���t '
Mi��esota Poilutio�
ControlAgency OFMINNESOTA ��.�,.
Property OwnerKlient; Bruce Kokat Project ID:C--�v 07.14.15
Site Address: 2265 Devin Lane,Orono,Hennepin County Date: 4!4/16
1. DESIGN FLOW AND TANKS
A. Desiqn Flow: �Gatlons Per Day(GPD1 Note: The estimated desiqn J(ow is considered a peak f(ow rote
inrtuding a sofery Jactor.For tonq term perjormonce, the overage
B. Septic Tanks: daily flow is recommended to be<60°.�of this va►ue.
Minimum Code Required Septic Tank Capadty: 2250 Galtons,in C�Tanks or Compartments
Recommendea Septic 7ank Capacity: 2250 GaUons,in � 2 �Tanks or tompartments
u
Efftuent Screem�� Alarm:�
C. Holding Tonks Only:
Minimum Code Required Capacity:C�Gattons,in �Tania
Designer Recommended Capaciry:�_�Gatlons.in ��Tanks
Type of High Level Alami:�
D. Pump Tank 1 Capacity 1Code Minimum�:C�Gattons Pump Tank 1 Capacity(Code Minimum): ��Galtons
Pump Tank i Capacity(Designer Rec): �Galtons Pump Tank Z Capacity(Designer Rec�: ��Gailons
Pump 1 29_0 GPM Totat Head i3.2 ft Pump 2��GPM Totat Head �ft
Supply Pipe Oia. 2.00 in Dose Votume:�gat Supply Pipe Dta.��n Dose Volume:�gal
2. SYSTEM TYPE
�" T'end' l�Bed Q Maud �At-c,rade `^,�G�av�ry thso:buoon � .r,
v PreSAue Dismbufim-le�p1 "Pressure D�str�bu�on-U�k�e�
v onv (�`Hoidu,y ra�c Q ome� �� *5e��;Qn Required Benchmark Etevation: 100.00 ft
Benchmarfc Location: Basement Door threshotd
System Type Type of Distribution Media:
�;T e i , ;'�Dran,r�ew Rouc —'Ft atered rmatrrent t�ffia:
YD '�Type 11 `TvPe III j�Type I V t.:Type V .—� �
3. SITE EVALUATION:
A. Depth to Limiting Layer: 12 in 1.0 ft B. Measured iend Slope o: 4.0 �;
C. Elevatton of Limiting Layer: 94.4 D. Soit Texture: Ciay Loam
E. Loc.of Restricive Etevation:��- F. Soii Hyd.Loading Rate: 0.45 GPD/ft�
G. Minimum Required Separation: 36 in 3.d ft H. Perc Rate: 9.8 MPI
1. Code Maximum Depth of System: Mound in Comments:
4. DESIGN SUNIAIARY
Trench Design Summary
Dupersat AreaC�ft2 Sidewal!Depth�-�]�� Trench widthC�ft
i--__!
To[al Lineat Feet�ft Number of Trenches�� Code Maximum Trenth Depih���
Contour Loading Rate��{� Oesigner's N1ax Trench Depth���
Bed Design Summary
Absorption Area��ft� Depth of sidewalt���� Code neaximum Bed Depth���
Bed Width�{t Bed Length��ft Designer's Max Bed Depth����
� OSTP Design Summary Worksheet UNIVERSITY
Mlnnesota Pollution � ` -
ControlAgency OFiVIINNESOI'A ���.,;,
A4ound Desiqn Summary
Absorption Bed Area 50Q.0 ft2 Bed Length 50,p fi Bed Wid[h 10.0 ft
Absorption Width 26.0 ft Ciean Sand lift Z,p ft Berrn Width 10-191�ft
UpSlope Berm Wtdth 13.0 ft Downsiope Berm Width Zp,p ft Endslope Berm Width �Z,p ft
Total System Length 74.0 ft Totat System Width 43A ft Contour Loading Rate 12.0 gaVft
At-Grade Design Summary
Absorptton Bed Wldth�ft Absorption Bed Length��ft System Height��ft
Contour Loading Rate��gaVft Upslope Berm WidthC�ft Downslope Berm Width��ft
Endslope Berm W9dth�ft System LengthC�ft System width��ft
Levei&Equal Pressure Distribution Summary
No.of Perforated Laterals�� Perforation Spacing��ft Perforetion Diameter 7/32 in
lateral Diameter 2.00 in Min.Detivered Votume��gai Maximum DeGvered Volume t50 gal
Non-Level and Unequal Pressure Qistributio�Summary
Etevation Pipe Votume Pipe Length Perforation Size
Ift► Pipe Size Iin� �gal/ft� (ft1 lin) Spacing(ftl Spaci�g�in►
Lateral 1 Minimum Detivered Votume
lateral 2
Lateral 3 gal
la[2rdl 4 Ma�amum Detivered Yolume
Wteral 5
Lateral 6 gat
5, Additional Info for Type IV/Pretreatment Design
A. tafculate the organic loading
1. Orgonic Looding to Pretreotment Unit =Design ftow X Es[imated BOD in mg/L in the efftuen[X 8.35=1.�0,000
4Pd X �mg/L X 8.35:7,000,000= ��lbs BOD/day
2. Type ot Pretreatment Unit Being Installed:
3. Calwlate Soil TreaLment System Organic Looding: BOD concentration aJter prerreatment=Botiom Aree =ibsldaytft2
mg/L X 8.35 e 1,000,000 = �ft2= �(bslday/ftz
Comments/Special Design Considera[ions:
I hereby certify that I have comple[ed this work in accgrdance with al!appticable ordinances,rutes and laws.
�r
�r
Joseph J OLson `-�' '`���_� 87d 04/04/76
(Designer) �,,. �Signature� (License�1 (Date)
� OSTP Mound Design
UNIVERSITY
Mj��ro�a9e���y� Worksheet > 1% Stope OF MINNESOTA ,,���
.,.
1. SYSTEM SiZING: Project ID: v 07.14.15
a. Design Flow: 600 �Po TABLE !Xa
B. Soil Loading Rate: 0.45 GPD/ft2 �L�A A�����������'�P�COLATION TE5T5 �
C. DepthtoLimitingCondition: 1.0 ft ' T`�`�``"`"` �"�"`"�`�'",�•I,°'
.°`°`�e'°� �n'°'pn°" �,e
D. Percent Land Slope: 4.0 � ; ��� �"�� � "'°'Lodin: �e,a�uo„
�k �
� t�'� "'�° ��'► x'°.�
E. Design Media Loading Rate: 1.2 GPD/ft� �-,
i � , ,
F. Mound Absorption Ratio: 2.60 ="°� +•� + �.s ,
-.•to 5;ru,e sa:c o.e z t
Tabfe I lardroam,�,•vr,,,�, t.c
MOUNO CtNITOUR LOADF►�i RATES: ��;co" 0.79 1.5 1 1.6
M���� � TRxtUfO-d011"�
CIXILOUt 1�6�0� 0.6 2 0.78 2
vorc Rata � mow�d absorptio�ratio loadrng ;"�� 0.5 t.a o.za 2
Rato: '�ta e,� o.4a 2.s o.s 2.8
=50rAD' l.ti. 1.3. 2.0, 2.�i.1,h _12 �6s:o t`` . i 5 0.3 6.3
' 1"� - • - .
61•120mpi �1R s.� ,�2
. 'Systems with these vatues are not Type I systems.
: �zo���o;� .5.�, _�. Contour Loading Rate (linear loading rate) is a
recommended value.
2. DISPERSAL MEDIA SIZiNG
A• Catcutate Dispersal Bed Area: Design Ftow=Design Media Loading Rate=ft`
600 GPO = 1.2 GPD/ftz = 500 ft�
If a larger dispersal media area is desired, enter size:�ftZ
B. Enter Dispersal Bed Width: 10.0 ft Can not exceed f0 feet
C. Calcutate Contour Loading Rate: Bed Width X Design Media Loading Rate
�� ftZ X 1•2 GPD/ft' = 12.0 gal/ft Can not exceed Table 1
D. Catculate Minimum Dispersat Bed Length: Dispersal Bed Area =Bed Width = Bed Length
5� ftZ = 10_0 ft = 50.0 ft
3. ABSORPTION AREA SIZING
A. Calcutate Absorption Width: Bed Width X Mound Absorption Ratio =Absorption Width
10.0 ft X 2.6 = 26.0 ft
B. For SlOpes>1%, the Absorption Width is measured downhill from the upslope edge of the Bed_
Calcutate Downslope Absorption Width: Absorption Width - Bed Width
26.0 ft - 10.0 fi = 16.0 ft
4. DISTRIBUTION MEDIA: RQCK
A. Media Volume:Media Depth X Length X Width
0.50 ft X 50.0 ft X 10.0 ft= 250 ft' = 27 = �yd3
5. DISTRIBUTION MEDIA: REGISTERED TREATMENT PRODUCTS: CHAMBERS ANO EZFLOW
' A. Enter Dispersal Media:
B. Enter the Component: Length: �ft Width:�ft Depth:��ft
C. Number of Components per Row=Bed Length divided by Component Length fRound up)
�� ft : �j 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 = U ft = C� rowS Adjust width so this is nn whote number.
F. Total Number of Components= Number of Components per Row X Number of Rows
� X � = C�components
6. MOUND SIZING
A. Calculate Minimum Ctean Sand Lift: 3 feet minus Depth to Limiting Condition =Ctean Sand Lift
3.0 ft - 1.0 ft = 2.0 ft Design Sand Lift (optional): �f[
B. Calculate Upslope Height: Ctean Sand Lift +media depth +cover(1 ft.) = Upstope Height
2.0 ft + 0.5 ft t 1.0 ft= 3.5 ft
C. Setect Upslope Berm Multiplier(based on land stope): 3.57
Land Slope g'o 0 1 2 3 4 S 6 7 8 9 10 11 12
Upslope Berm 3:1 3.00 2.91 2.83 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 Upstope Berm Width: Muttiplier X Upslope Mound Height =Upslope Berm Width
3.57 ft X 3.5 ft = 13.0 ft
E. Calcutate Drap in Elevation Under Bed: Bed Width X Land Stope: 100=Drop (ft)
10.0 ft X 4.0 � = 100= 0.40 ft
F. Catculate Downslope Mound Height: Upslope Height + Drop in Elevation = Downslope Height
3.5 ft + 0.40 ft = 3.4 ft
G. Setect Downslope Berm Multiplier(based on land stope): 4.76
land Slope g'a 0 1 Z 3 4 5 6 7 8 9 10 11 12
Downsiope 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.� 5.26 5.56 5.88 6.25 6.67 7.14 7.69
H. Ca[Culate Downslope Berm Width: Multiplier X Downslope Height =Downslope Berm Width
4.76 x 3.9 ft = 18.6 ft
1. Calculate Minimum Berm to Cover Absorption Area: Downstope Absorption Width +4 feet
i6.0 ft +�ft = 20.0 ft
�
J. Design Downstope Berm=greater of 4H and dl: 20.0 ft
K. Setect Endslope Berm Muttiplier: 3.00 (usuolty 3.0 or 4.0)
L. Calcutate Endslope Berm X Downslope Mound Height =Endslope Berm Width
3-� ft X 3.9 ft = 12.0 ft
M. Ca(cutate Mound Width: Upslope Berm Width + ged Width + Downstope Berm Width
13.Q ft + 10.0 ft t 20.0 ft = 43.0 fi
N. Catcutate Mound Length: Endslope Berm Width + Bed Length + Endslope Berm Width
12.0 ft + 50.0 ft + 12.0 ft = 74.0 ft
7. MOUND DIMENSIONS
- -----------------------
Upstope (4.D► �3.0 -- ----------
,
� —� ,
' ` - � �
� � �
� Endsto 14.1.)� �%is�et s��l B�d. �2.� r 2.1:t � �
� o � Endsto �4.L)
t v �2.0 ' '°
{
� � � i0.0 k 50.0 � ` 12.a
•-- � ' � �
� �- __..._.__. _.._.____.__. ..
' — �, _--�� �
� ,
C ' U �
� �
� ` za o '
� Downsto e 4.J i -
.., P 1 )
'o ------------------------------------�—------- -
Total Mound Len th (4.N► 74��
4" inspection pipe
18" cover on top � 20.0
U sto e berm 14.D1 �
Downslo e berm 4.J)
13.0
12"cover on sides
i6" topsoit)
Cteai� sand (ift �4.A) 2,0
's_. . 1.O
Absor tion Width �3.A) _
Note� 26.0
For 0 to 1� slopes, Absor,vtion W�dth is measured fram the Bedequalfy in both directions.
For slopes >1�, Abso�ption Width is measured downhilt from the upstope edge of the Bed.
Comments:
OSTP Mound Materiats Worksheet LNIVERSiTY
Minnesow Poilution OF iV11NNES0'I'A
Controi Ayen�y ,�\4
PrajectlD:
A.Calculate Bed (rock)Vo(ume:Bed tength Q.0 X Bed Width 2.0)X Oepth =Yolume If[''i �07•14•�5
�-� ft X 10.0 �ft X 0.8 = 400.0 ft'
Drv�de ft�by 27 fY/yd'to caicutate cubic ards:
400.0 ft' a 27 = 14.8 yd�
Add 20%for cons[ructabiGty: 14 8 , _
yd'X 1.2 17.8 yd�
B. Calcukate Cieon Sond Vo(ume:
Vofume Under Rock bed:Averoge Sand pcpth x Medio Width x Medio Length =cuDic feet
21 ft X 10.0 ft X 50.0 ft = 1100.0 3
ft
For a Mound on a slope from 0-1%
Volume from Length=(�Upslope Mound Height-7►X Absorption Width Beyond eed X naedia Bed L
ength)
fc -�} x �� x �_-�tc =
Volume from Wtdth=(�Upslope hWund Height-t)X�..,,,,�d�h g�o��X Media Bed Width) _
. �
ft -i) X � x �ft
Total Cleon$nnd Volume: Volume/rom Lenqth t Volume from Width-Vo(ume Under Medio
ft� � '
ft� - ft' = ft'
For a Mound on a slope greater ihan t%
Upsfope Volume:�(Upslope�Heigh�x 3 x Bed Lenyth��2=cubic feet
tf 3.5 ft •1) X 3A ft X 50.0 j-2= 187.5 ft3
Downslope Volume:��Downslope Height• 1/ x Downslope Absorption Width x Medio Leogth)�2=tubic feet
11 3.9 ft-1i X ibA ft X 50.0 }-2= 1760.0 ft�
fndslope Volume:(Downslope Mound Height- l) x 3 x Media Width =cubu feet
1 3.9 ft-1 � X 3.0 ft X 10A ft = 87.0 3
f[
Tota(Qean Sond Volume:Upslope Volume -Downslope Vofume -Endslope Votume -Yolume Under Media
787.5 fc' : 1760•0 fi' • 87.0
fY - 7100.0 fC= 2534.5 ftj
Divide ft'by 27 ft'/yd3 to calwta[e cubic yards: C2534.5 ft3 r 27 = 93.9
��yd�
Add 20%for cornvuctability: 93.9
G. Calcula[e Yd'X �.2 = �t2.6 yd3
Sandy Berm Volume:
Tota!Berm Vo(ume Icpproxl:1(Avg.Mourb Height-0.5 ft topsoil►x Mound Width x Mound Length)-2=cubic feec
� 3•?] - 0.5 �ft X a3.0 ft X 7q,p
)-2= 5041.2 ft�
Torot Mou,rd Votume-Ctean Sond votume-Rock Volume=cublc Jeet
��•Z ft' - 2534.5 � .
ft 400.0 ft' = 215(s.7 f�i
Divide ft'by 27 h'/yd'to catcutate cub�c yards: 2t56J ft' : 27 = 79.9
yd'
Add 20`K for constructabilicy: 79 9 _
yd} x 1.2 95.9 �3
D. Calculate Topsoit Moteriol Volume:Tota(Mound W�d[h X Totvf hbund Leng[h X.5 JI
� a3.0 rc x 7a.o �fc x 0.5 ft = 7597.0 ft>
Divide ft'by 27 f['/yd'to calcutate cubic yards: 7591 A
fY = 27 = 5g_q yd�
Add ZO%for consVuciabiliry: 58.9 '
yd' x 1.2 = 70.7 yd3
. � OSTP Pressure Distribution
k."'fi, .
Min�esotaPollution Design Worksheet UNIVERSITY
Control Agenc OF MINNESOTA � - �\'".-
ProjectlD: v 07.14.15
1. Media Bed Width: �0 ft
2. Minimum Number of laterals in system/zone= Rounded up number of[(Media Bed Width - 4) : 3] + 1.
� �� � 4 � + � - � 3 �laterals Does no[npply to at-grades
L--�-----�
3. Designer Setected Number of l.acerals: ��laterals
Cannot be less than line 2 /occeAt in Qt-Qradesl
4. Select Perforation Spaciny: 3.0 ft
�� ��- . _ ...... -
_. ....
�__�-,f`=,=�-,_,�.�`�'�_�.
5. Select Perforation Diameter Size: 7/32 �� � .--___+..,., .-4:_._..._.___�_ ' 'f
6. lengch of Locerats =Media Bed Length - 2 Feet.
50 - 2ft = 48 ft PerforQtion can not be doser then 1 foot from edge.
� Determine the Number o�Perforation Spoces. Divide the Lengrh of Laterols by the Perforation Spating
and round down to the nearest whote number.
Number of Perforation Spaces 48 ft .- �]ft = 16 Spdces
N�mber of Perforotions per Lcrteral is equat to 1.0 p(us the Number of Perforofian Spaces. Check table
8. below to verify the number of perforations per tateral guarantees less than a 10�discharge variation. The
value is double with a center manifold.
Perforoiions Per Laterot = 16 Spates + 1 = 17 Perfs. Per Lateral
M�xirtrMt�Nembcr of Parfaratic�rs Per L�tera�ta Guir�nte�e<t0l1 Disclrv�e Vartation
�fnc P ara�ni 7r32 k�ca Perforatior�s
Perforadon$pacu�q IFeet► �P�Dumeter(Mthes? Rerfor�tion Spaci�M PiPe Q�ameter Itn[1�es)
t t�a ir, 2 3 t�eeti i t� t�: t 3
7 10 13 1!t � bQ 2 i t 16 2 t 34 b�
��" 8 12 16 28 54 2v: 1p 14 24 32 6�
3 a 12 16 25 52 3 9 i4 19 �(► 60
3'i6 hicle Perforanons t 8 Inch Pe�orations
Perforat�on Sp�Ceng IFeet) P'Ae Diart�e�ter tMchesJ Perfaation Spacir�J Pipe Dsarrktet(k�tFresl
I i+� 1w 2 3 I�eet) 1 1�4 tt: z 3
2 12 IS 16 46 6'7 2 2t 33 44 7� t�4
2�` 12 11 2�t �0 aq 2�: IO 30 41 b9 135
3 t2 i6 22 31 15 3 18 29 3$ N 128
9• TotQt Number of Pe�forotions equals the Number of Perforvtions per Lotero( multiptied by the Number of
Perfor4ted Laterals.
17 Perf. Per Lat. X �Number of Perf. Lat. = 51 Totat Number of Perf.
L__----�
10. Select Type of Manifotd Connection (End or Center}: '�; End r^
�; Center
11. Selecr Lateral Diameter(See Table): Z.pp ��
OSTP Pressure Distribution
UNIVERSITY �'��� �
Minnesota Pollution Design Worksheet
ControlAgency OF MINNESOTA �- 'L\`�-
12. Ca(culate the Square Feet per Perforotion. Recommended vo(ue is 4-11 ft Z per perforation. �
Does not apply to At-Grades
a. 8ed Area = Bed Width (ft)X Bed Length �ft)
10 ft X 50 ft = 500 ft2
b. Square Foot per Perforotion = Bed Area divided by the Tota1 Number of Aerfo�otions.
5� ftZ - 51 perforations = 9.8 ftZ/perforations
13. Select Minimum Avervge Head: 1.0 ft
14. Select Perforation Discharge {GPM) based on Table: 0.56 GPM per Perforation
�5• Determine required Flow Rnte by multiptying the TotQl Number of Perfs. by the Perforotion Discharge.
51 Perfs X 0.56 GPM per Pertoration = 29 GPM
16. Volume of Liquid Per Foot of Distribution Piping (Tnbte Il): 0.170 Gallons/ft
17. Volume oj Distribution Piping =
--� Tabie U ---�-
_ [Number of Perforoted Laterots X Length of Latercrts X (Volume of Volume of Liquid in
Liquid Per Foot of Distribution Piping] pi�
�p� Liquid
C� X 48 ft X 0.170 gaUft = 24.5 Gallons Diameter Per Foot
' (inches) (Gallons)
18. Minimum Detivered Votume= Votume of Distnbutian Piping X 4 � o.o.ts
24.5 gals X 4 = 97.9 Gatton5 �•25 0.078
1.5 0.110
2 0.170
mam p�pe` 3 0.380
�
� 4 0.661
� _ . . _ _ --
P��P�mP -tkanoua - - -- -
leaft outS Marotok p�Pe.
•
f �.
�
alternate lo;ation .-- �-
ot � irqn `�����
d PP�►rom pw�p
from
Comments/Special Design Considerations:
� OSTP Basic Pump Setection Desi�n �
:��
M�nnesoW Pollutfon Worksheet Uy I VERSITY
ControlAgenc OF MINNESOTA '=��'
1. PUMP CAPACITY Pro�ect ID:
Pumping to Gravtty or Pressure Oistribution: ^ c,a�ri �o,�e�e 5e�ection required
1. If p�mping to gravity enter the gatton per mi�ute oi the pump: �GPM !10-45 3Pm1
2. If pumpi�g to a pressurized distnbutton system: 29.0 GPM
3. Enter pump descrip[ion:
2. HEAD REQUIREMENTS a�".,`��d�`��
A. Elevation Difference ��n �
becween pump and pomt of discharge: '�"�
� ,o't'--- e,�.e.x,;:-
B. Distribution Head Loss: �. 5 �ft �� a.n.��� �
,' . ` : �
�_J , ;
_ j �
C. Addi[ional Head Loss: ��ft Idue co special equipmmc.etcJ �--�-�---------------^---�--- --.--.--..-.-
Table I.Friction Loss in Plastic Pipe per 1pp(t
Distribution Head t.oss __. _ . ___ ___ .___ __
Gravity Distribution = Oft Ftov�Rate P�pe Diameter ttnchesl
iGPMi 1 t.25 : t.5 2
Pressure Oistribut9on based on nAinlmum Average Head 10 9.1 . 3.i + t.3 � 0.3
Vatue on Preswre pistribution Worksheet:
12 : t2.8 4.3 � 1.8 0.4
Minimum Avera e Head DistNbutbn Head Loss �q �7,0 5.7 2.4 O.b
7ft 5ft 1b 21.$ ' 7.3 ! 3.0 0.7
2ft bft
Sft �pft �$ 9.i • 3.8 d.9
20 � � tt.1 i 4.6 �- 1.1
C� Z5 16.8 6.9 1 J
D. t.Suppty Rpe Diameter. 2.Q in 30 i 23.5 1 9.7 2.4
2.Supply Pipe Length: �ft 35 ; 12.9 3.2
'--•--� � + 76.5 �i.t
E. Friction Loss in Ptastic Pipe per t00ft from Table I: '�5 ' 2US ' S.0
50 ' ` 6.t
I
Fnction Loss= Z.23 ft per t0pft of pipe 55 ` 7,3
� ' � 8.6
F. �termirte Equiva(ent Pipe Lenqth from pump discharge to soit dtspersal area dtscharge 65 � � 10.0
potnt. EsUmate by addtng 25X to supply pipe tength for fitting loss. Suppfy Pipe tength 7O � � 1 1.4
(D.21 X�.25=Equivalent Pipe Leng[h 75 f
' 13.0
� tt X t.25 = 55A ft 85 � 16.�1
95 ; 20.7
G. Calcutate Supply FriCtion toss by muttiptying Fric[ion Loss Per f�ft (Line Ei by the Equivalent Pipe Length (Line F)and divide by 100.
Supply Fnttio�Loss=
2.23 ft per t00ft X 55.0 ft + 100 - 1.2 ft
H• To[al Nevd requirement is[he sum of the Elevation Diffe�ence iline A�,the Disiribution Head�oss�Line B),Additional Head Loss(line C�,and
the Suppty Fnction Loss(Line G)
7.0 ft - 5.0 ft - �ft - 1.2 ft = t3_2 ft
3, PUMP SELECTION
A pump must be selected to deliver at teast 29,Q GPM(Lure t or Line 2►vnth at teast �3.2 feet of totat head.
Comments:
, Soil Observation Log
������.��piicRcsource.com�ers I?.�l
O�r•ner Infarmation
" " Proper-q 0�4ner projecr. BruCe Kokal Date 3l311?016
"'° Property Address PID: 3?65 De��in Lane
Soil Sun�ev Information ❑ refer to attached soil survey
Parent ma[t's: � Till � putwash I-'' Lac�strine J q��uvium �! Organic [j Bedrodc
landscape position: � Summit C Shoulder ` 5;�� �' Toe stope
soil surve� map units: L�6A slope 3--1 "o direction- Litlear
Soil Lo #1
C 8on"`� � �'t Elevation 9�.-� Depth to SH��'T 12'�
Depth(in) Te�ture fra�ment°o matrix color redox color consistence srade shape
�-2_' Topsoil <;5 2.jy�,�'� Loose Loose Singleerain
'--'--1'- Clay Loam <3i '_.5)'�.�.1 Firnt Stron� Pri�ntatiC
�t2-38 Cla� Loam <;j 3.:�J I t0�d:8,1-6 10� Firm Srron� Pr�Smac�c
��� loose loose � ,
sin�lc grdm
��-�0 fi-iable �veak aranular blcx;k�
>iQ t�� mOderate prismazic plat�
ri�id stron�, n»-s�i��c
�;� loose loose
singl�,ram
3�-50 friable �veak granular blu,:k�
=50 t�nn moderate prismatie plat�
rigid stron� ma,si�e
Comments:
226� De�i� Lane Soil Lo #2
�`�� BO�� � F''t Elevation 9�.-} Depth to SHV4'T 12'�
Depth(in) Texwre ti-agtnent"o matrix cotor redo�color consistence �rade shape
0-33 Topsoii f35 ?.5y? ; � Loose Loose sin�lc,rain
-"-4, Cla� Loam <;; �,,�.,.;,�
- - F�nn Stron� Prismatic
-i2-d8 Cla� Loam <3� 2.�}-3 � i0��i 8,l_6 IOv Firm SironE Prisma�ic
<35
��-�� F�t►11 Stron_ Prismah�
>>0
��� lOose IoUse ��n�le�rain
;;_�p friable ��eak �ranu�ar Mock�
>ip f� moderate pnsmatic plat}'
n��� Stron� macsnr
?26� Devin Lane Soil Lo #3
'� B0"� � �'t Ele��ation 94.6 Depth to SH�I'T 1?"
Depth(in} Tetture fra�men[°o matri�color redo�color consistence �rade shape
U-23 Topsoil <3� Z.;r2,5 � Loose Loose sinele�rain
��--�� Cla�•Loam <3� ?.:t?.j ► Firni Stron, Pr;,maiic
-�'---}8 Cla� Loam <3� ?,iti•.} � IU���3.8.1-6 10� Firnl Strons Prismui�
<,,j toose luose
sin�le grain
�q_;� friable ��eak _ranular b1oc�.�
>jQ ri� moderate prismatic plat�
ri�id Sirong matisiee
�;5 luose loose
singlc erain
3i_5p friable �reak granular bloci.�
>jp r�� model'8[e p��smatic plah
rigid strons "'�"'�
/herehr cenifi•�his tirnrk tirus conrp/e�ed in accorda�tce�rith.41.!`-08ti u�rd unt•luca/rey's.
,-`� _.�..--
,�,,..-•.�-----�- ` _
'�"� Rustj�Olson`s Soil &: Perc g I p
Designer Si�nature Compam License=
Percolation Test Data Sheet
Lic.#810
Percolating test readings made by: Rusty Oison's Pe�c. starting at 11:24 A.M. On 4/01/16
Location: 2285 Devin Lane
Hole number: 1
Date hole was prepared: 3/31116
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 2.5y2.5N
Method of scratching side wall: Knife
Depth of gravel in bottom of hole 2 inches:
Date of initial water frlling 3/31/16 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 hote bottom during tests 6 inches
Time Time Depth Drop in H20 Perc Rate
11:34 12:04 6" 2.1 14.3
12:07 12:37 6" 2-1 14.3
12:38 1:Q8 6" 2.1 14.3
AVERAGE PERC. RATE 14.3 Mp1
V
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE I � SCHEDULED l��
PERMIT NO.��� `��/' COMPLETED ' �
ADDRESS Z-� ��� : � �-U���l�'L.� Pi
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION Ou1� tJ� � /�p��i �jC�
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE SEPTIC INSTALL
? OWNERICOI�fTRACTOR TO ME =YES_NO
v�i CO MENTS:
4- � �
o �� �� �
�.
�
° dC ,�
W
� �,- �/
Q
� �� �
� — � �� '� t/ 2 `
W
�
_
�
a
W WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pHOTO TAKEN
INSPECTOR WFLL REfIJRN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (g52) 249-46�0
OwnerlCa�tra on site:
Inspector:
White CopyAnspector's FHe Gnary CopylSite Notice
� L� ��—�J� "
C�;
------ E TIME
CITY F ORONO , CALLED IN " -�1--/.�
INSPECTION N TIC � giCHEDULED �;.3C:
PERMIT NO. = �� �� �� �'`'�connP��E� �,��, r
v J, L:,
ADDRESS � ��1 cL� _,/ .��[.;' L� � __�i{yt,��
OWNER � T�L,EPHONE NO. =`� -" �5' 1��5C
CONTRACTOR - �G(-�..' v �C y (--' � j/,(�
�
� DESCRIPTION �I -�'Z��
ly ❑ 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 ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNERlFIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTFiACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
�
W
a
o �. S�l� '� �'�� � ���
�.
�
° � a��� ������r � ��� ' �oa�,��
W
�
Q
�
2
W
�
W
�
�
d��
W IAf9RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� � O COR�ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
�V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 2a hours in advance. (g52) 249-460�
OwnerlContrar�r on site: %
.
� !/�
Inspector." "��� �'.,:�'� -
White Copyflnspector's File Canary CopylSite Notice