HomeMy WebLinkAbout2010-00542 - new mound septic �! �
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� CITY OF ORONO PERMIT NO.: 2010-00542
� � 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 06/30/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 515 FERNDALE RD N
PIN : 36-118-23-14-0006
LEGAL DESC : UNPLATTED 36 1 18 23
: LOT 000 BLOCK 000
PERMIT TYPE : SEPTIC
PROPF,RTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : NEW
ACTIVITY : MOUND SYSTEM- SEPTIC
NOTE:
(3)PRECAST CONCRETE 1,500 GALLON TANKS
MOUND SYSTEM -630 S.F.
APPLICANT SEPTIC NEW 200.00
KLINGBERG EXCAVATING STATE SURCHARGE SEPTIC 0.50
P O BOX 6 TOTAL 200.50
PRIOR LAKE, MN 55372-
(952)447-2557
Minnesota State License#: L49
OWNER
GRIFFIN, ROBERT
125 CHEVY CHASE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work tor which this permit is issued shall be performed according to
the approved plans and specitications,applicable City 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 specitied 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 construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoke��t any tim or caus
,.� � � C / " � / ; ���� ��
`Applicant ermitee Signature Date Is ed By Signature Date
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE.
� - �
. ,�0� City of Orono O CI USE ONLY
P.O.Box 66
' ��.t.,��, � I 2750 Kelley Parkway Date Received: � U Permit# � Q — �/Z""'
�`\� ���yZfi,,-,r�. �.� Crystal Bay, MN 55323 —�
�� '.i������$o (952)249-4600 Amount: $ �- �J
����HO�
CITY OF ORONO - SEPTIC SYSTEM PERMIT APPLICATION
(All permits must be approved by the On-Site Septic Manager and/or Building Official)
Job Site / Owner.lnforrnation:
Site Address: - � ��j��vy,��-'f��� j�o,�,�� �� ��
Owner: ����6 G � . ����i� Mailing Address:
City: �N�; ��i c•, Zip:
Home Phone: Alternate Phone:
Contractor/ Applicant Information:
.
Contractor/A �
pp�� , �-���,����-`�,��_ Contact Person: ' �
l �
Address: �� ,go� � State License #: 4��
�
City: j�h� c� i4 �, Zip: �-; ` Expiration Date: �j�N�h ���;/�
Phone: �S� `�y�-� 5�5'� Alternate Phone: ���� c, ,� y ��J�
TYPES OF OCCUPANCY �
� Residential ❑ Commercial ❑ Other
PERMIT TYPE AND FEES
��;�,�.�
New or Replacement System $200.00 ,:�L�C� .G7C
Repair Existing System 100.00
(Tanks or Drainfield)
State Surcharge .50 .50
Total �
V:\(Permits)\Septic Permit Application-New Permit Fees 2009.doc
1 / 2
, • ,
** ATTENTION APPLICANT ** •
Fill in all a ro riate blanks and check all a ro riate boxes. �
I will be installing the following:
Tan s
Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other
(list manufacturer)
Number of Tanks: .�
Size of Tanks: �S � Ci � ��
/� f.� � / Sl;
Treatment System
Trenches s.f.
J� 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, true and correct.
1
Si nature of A licant ��- � Date:
9 P P ;� ���l� `��.. �C�
\
MPCA License No.: �
Staff Review: ❑ Accept ❑ Denied
Reviewer: Date:
Reason for Denial:
Comments (to be printed on inspection card):
V:\(Permits)\Septic Permit Application-New Permit Fees 2009.doc
2 / 2
�t
Rusty Olson's--Soil and Percolation Testing
Joseph J. Olson—MPCA License#S10
11481 Riverview Rd.NE,Hanover,MN 55341
(763)498-8779 Faz(763)49&8290
October 29,2008
t3�?,i�`:�� CC)�'Y
Bob Griffin
S l 5 Femdale Road North
Orono,Hennepin County
This on-site Sewage Treatment System is designed for a Type 1 five-bedroom home in accordance with the
Minnesota Pollution Control Agency Chapter 7080 and local ordinances.
The existing house is to be removed.A new five bedroom house is going to be built
The periodically saturated soils were located at 18"-32"(mottled soil).Due to the seasonally saturated soils,
a pressurized mound system will need to be installed to treat the septic effluenL The bottom of the treatiment
azea must be located at least 3'above the saturated soils.
All neighboring wells are greater than 100 feet from proposed treatment areas.
The soils at a depth of 12"have a percolation rate averaging 4 MPI.
, ,. .'. � .'�,.
The e�cisting septic system needs to be removed.
T'he proposed septic sites must be fenced off and protecte�
A pumping chamber will need to be installed to lift the effluent to the treatment area The power suppiy and
switches must be located outside the manhole and pumping chamber in a weatherproof enclosure. A
warning device must be installed witi�light and sound devices;this is in case of a pump failure.'The
manifold and supply line must have back drainage to the pump chamber.The rock and fill materisis must
be clean.The sod layer below the entire mounded area must be tumed over.Just break up the sod and be
sure not to over work
Nothing other t6an grav water.(laandrv showers etc.) Human water and toilet tissue s6ould be
disoosed of into the seotic tanks. Garbaee disaosais are not recommended Additives must not be
used:thev mav cause hsrmful damaee to vour seatic svstem It is recommended that vou numa the
tank everv vear for 1 tank.everv two vears for two tanks
Sinc�rely,
/ �'` ,� -
Joseph J.Olson +CJRONO COPY
CtTY OF ORONO
l�EPTIC P RMiT N RE i �
�._.. �TU�
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� Design Flow and Soil Worksheet ••��j,�u ,.,�,.�.
1. AVERAGE D61GN t10W: ��—\1
a �snmacea�+�cro/: �so
_ or Memvred Raw(GPO):riow tlmes safety factar ��� X � _ ��
�.1
Deslqn Flaw: 750 Gallau Ver Day(GPO)
e.Seprrc rmdc capaciry: zzso GaUms
'No[e:H a garbage dispa.ml�nit or other applia�ce with garbage grfnding abilities
Number of Septic Tmd3 or Carq�artmeMs: �� (i.e.di5hwasAers)is antldpated or iru�lted,or if sevrage is punped W the sepUc
tank,tfie sepdc tank mpacity rtnat be incrcased by 50.5 and multlple tanla or
oomparUnents rtwst be used,plus an e(fluen[scmr�wtth an alarm.
E/jluen[SQeen&Alarm 1 Yes
Table I-De�gn Flow(Gallonz Per Day) Table II-Septic Tank Capacky
Clu�ficatim d DwelHng Septic Tank Liquid M(nimum Capacitles Capacity with Garbage Disposal and/or
Humber of Bedrooms ' ') m N N��B�� (Gailoas) Sewage Pumped to Tank'
2 or lezz 300 225 180 ' 3 or tess 1,000 1,500
3 450 300 278 ' �or 5 1,500 2,750
d 600 375 256 ' 6a7 2,000 3.�
5 750 450 294 ' 8 or 9 2,500 3.750
6 900 525 332 '
•Flows fa Classification IV dwellings are 60 pe�unt of the vaWes as deOertfined for Classffimtlan I,II ar III sys[ems.
2. SRE EVALUATiOl1:
p,Depth to Llmlting lnycr: �inches 1.7 (t Table III
1.�
B.Mmdmum Depth o(rystem: -16 ��{� -1.3 K Treadnent Levels of BOD BOD(mglLl
(a negaWe msnber meafa a mamd system is required) Level C 125
�,Type oj SoH Treatment md Di�erml Mea: Mound ��ve{B 25
D.Type oi Dlstribution: level Preswre DlsMbutlon Lerel A 15
E Lm�dsrcpe Rusitlon: on contour
F. Soi(TexWre Group Number: i � 1 (�� �
L_J
G.Percent Lmd Slope: ��� 120 % S(ppe = � s � x 100= �
!. SOtL IOADMG RATES:Use either A or B.below
A 7080 Table IX B• ��T�� Texture Grouip
UETALLED SOIL DESCRWTIOHS(SOR PfT REQUIRm)
� PERCOLATIUN TES�SQING IOADING RATE(GPD/'ft�) Soil Texture �OUp�
ncave Medtum Sandy Loam
oarse n i
aster um 2
�re�� 6 0.1[0 5' 1.20 Fne Sand 3
0.1 M 5(sdl texLue gro�3&5) 0.60 Coarse Loamy 4
tan oamy 4
Structiwa �Granular 6 to 15 0.78 Fne Loamy Sand 5
16 to 30 0.60 Very Ft�e Loartry Sand 5
t to 45 0. oarse oam 6
Gnde � Weak ��O� 0.45 Medium Sandy Loam 6
61-1 0 0.2� Rra Sandy Loam 7
ower 1 ery me San Loam
Cornistence Loaae 'Rapidy pem�eable sotis see�80.2260 Loam 8
S t Loam 9
5loweK m�sred percolatlaa 2te_ Y 1
���l 0.76 Si ty C y Loam 70
Loadim}Rate: Sandy C y oam 10
Select Soil Loading Rate: � tY Y 11
y 11
G Design Lnadtng itate: 0.78 Y 71
1. ORGANIC LOADING(H pretreatineM is being irsed)
Oryanic Load"mg=Design F/ow X Estlmated BDD in mg/L in the efHueM%8_35+1,000,000(See Tabie�II)
��d 1( �mglL % 835 + 1.000.000 > �Ibs80D
1 f�ereby certify that i have completed th(s wotk in aomrdance with a11 appUmWe ord�.rules and laws.
�
Jpggpry Qtgpn f;-/R/ 810 10/29R008
- qxe terae te
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� � Mound Design Worksheet - ,__
_ -_ __
1. SYSTEM SIZING:
��- : ;
A. Design F(ow: 750 GPD
B. Soil Loading Rate: 0.78 ft2/GPD
Table I
C. Depth to Limiting Layer: 1.7 ft MOUND CONTOUR LOADING RATES:
E. Percent Lnnd Slope: �2•� Measured Texture - derived Contour
Perc Rate mound absorption ratio Loading
F. Design Media Loading Rate: 1.2 GPD/ftZ Rate:
G. Mound Absorption Ratio (1.F:1.6): 1.54 <i20 mpi . 1.0, 1.3, 2.0> 2.4, 2.6 si2
OR
H. Design Contourlooding Rate: 12.0 GPD/ft �120 mpi � 5.0 s6
(From table i)
2. DISPERSAL MEDIA SIZING
A. Calculate Required Dispersa(Media Area: Design F(ow (1.A):Design Media Loading Rate (1.F) = ftZ
750 GPD : 1.20 GPD/ft2= 625.0 ftz
If a targer dispersal media
area is desired, enter size: ftz
B. Calculate Media Width: Contour Loading Rate (1.H)=Design Media Loading Rate (1.F) =Media Width
12.0 ft - 1.2 gpd/ftZ = 10.0 ft
C. Calculate Medio Length: Dispersal Media Area (2.A):Media Width (2.6)=Media Length
625.0 ftZ : C 10.0 ft = 62.5 ft
D. Select Dispersat Media: �Rock ❑Chambers
❑Other Approved Media
3• ABSORPTtON AREA SIZING
Note:Mound setbacks are measured from the Absorption Area.
A. Calcutate Absorption Width:Media Width (2.B)X Mound Absorption Ratio (1.D) =Absorption Width
10.0 ft X 1.5 = 15.4 ft
B. For stopes from 0 to 1%, the Absorption Width is measured from the media equally in both directions.
Calculate Absorption Width Beyond the Media:Absorption Width -Medin Width =2= Width beyond Media
( ft - ft) T� = ft
C. For slopes>1%, the Absorption Width is measured downhill from the upstope edge of the Media.
Calculate Downs(ope Absorption Width: Absorption Width (3.A) -Media Width {2.6)=ft
15.4 ft - 10.0 ft = 5.4 ft
4. MOUND SIZING
� ' � �»!btI*r � JI 1'--
----------------------------•---
--------------- ;
U slo e 4.D) 9•0 '
^ P P ( ;
�
_ _ __ ; _
� Endslope (4.L)�, � � - - _ �Endstope (4.L)
�r
14.0 � � 14.0
� 10.0 b2.5 'j �
+� - ,
. .
� .
..-. _
� . _ _ _ ,, � -.. _ .
� �
� �
:_% I
� �
� �
�
� �
� Downslope (4.J) 28•0
� _ _---------------------------- ;
� --------,---------
Total Mound Len th (4.N) 91•0
4" inspection pipe
18" cover on top
U slo e berm (4.D Downslo e berm (4.J) 28'0
9.0
__.. .._ ____._-_--_ 12" cover on sides
_,,- o 0 0 �-�
'" ; - _ __ ' . ---___ --------_.____ ���_,.\ (6,. topsoil)
��3 ; - - - �� • ^''��,
% "-C:.I�? �G ii Q !.�1�l (-...'-+,� �
''�
�.7 '
Absor tion Width 3.A
15.4
Note:
For 0 to 1% slopes, Abso�pt�on Width is measured from the Media equally in both directions.
For slopes =1�, ,4bsorption Width is measured downhill from the upstope ed�e of the Media.
-- - - - - - --,- --, - - - - ,- ----- ---- - -- ---- ------ - -- -- - - ---- --- --- - -.--- � � - - - -- -- - ------
For slopes >1%, Abso�ption Width is measured downhill from the upslope edge of the Medio
Comments:
Divert surface water away from mound.
APPROXIMATE MOUND MATERIAL CALCULATIONS:
� A. Calculate Media (rock) Vo(ume: Media Length (2.C)X Media Width (2.6)X Depth = Vo(ume (ft3)
' 62.5 ft X 10.0 ft X 1.0 = 625.0 ft3
Divide ft3 by 27 ft3/yd3 to calculate cubic yards:
625.0 ft3 = 27 = 23.1 yd3
Add 20%for constructabitity: 23•� yd3 X 1•2 = 2�•8 Yd3
B. Calcutate Clean Sand Vofume:
Upslope Volume: ((Ups(ope Mound Height- 1)x 3 x Media Length)=2=cubic feet
(( 3.3 ft - 1) X 3.0 ft X 62.5 )=2 - 215.6 ft3
Downstope Volume: ((Downslope Height- 1) x Downslope Absorption Width x Media Length)=2 =cubic feet
(( 4.5 ft- 1) X 5.4 ft X 62.5 )=2 - 328.1 ft3
Ends(ope Vo(ume: (Downslope Mound Height- 1) x 3 x Media Width =cubic feet
( 4.5 ft- 1 ) X 3.0 ft X 10.0 ft = 105.0 ft3
Volume Under Rockbed: Average Sand Depth x Media Width x Media Length =cubic feet
1.9 ft X 10.0 ft X 62.5 ft = 1187.5 ft3
Total Clenn Sand Volume: Upslope Volume +Downs(ope Volume +Ends(ope Volume + Yolume Under Media
215.6 ft3 + 328.1 ft3 + 105.0 ft3 + 1187.5 ft3 = 1836.3 ft3
Divide ft3 by 27 ft3/yd3 to catcutate cubic yards: 1836.3 ft3 = 27 = 68.0 yd3
Add 20%for constructability: 68.0 yd3 X 1.2 = 81•6 yd3
G. Calcutate Sandy Berm Volume:
Tota[Berm Voiume (approximnte): Average Mound Height x Mound Width x Mound Length T 2 =cubic feet
( 3.9 ft X 47.0 ft X 91.0 )=2 - 8340.2 ft3
Total Mound Volume- C[ean.Sand vo(ume=cubic feet
8340.2 ft3 - 1836.3 ft3 = 6503.9 ft3
Divide ft3 by 27 ft3/yd3 to calcutate cubic yards: 6503.9 ft3 = 27 = 240.9 yd3
Add 20%for constructability: 240.9 yd3 x 1.2 = 289•1 yd3
D. Catcutate Topsoii Materia( Vo(ume: Tota(Mound Width X Tota(Mound Length X.5 ft
47.0 ft X 91.0 ft X 0.5 ft = 2138.5 ft3
Divide ft3 by 27 ft3/yd3 to calcutate cubic yards: 2138.5 ft3 = 27 = 79•2 yd3
Add 20%for constructabitity: �9•2 yd3 x 1.2 = 95•� yd3
I hereby certify that I have completed this woric in accordance with ali applicable ordinances, rules and laws.
�_
Joseph Oison 810 10/29/2008
(Designer) � (Signature) {License#) (Date)
' A. Catculate Clean Sand Lift: 3 feet minus Depth to Limiting Layer (1.C) = Clean Sand Lift (1 ft minimum)
� 3.0 ft - 1.7 ft= 1.3 ft
B. Calcutate Upslope Height: C(eQn Sand Lift(4.A) + media depth (1 ft.)+ cover (1 ft.) = Upslope Height
1.3 ft+ 1.0 ft+ 1.0 ft= 3.3 ft
�. Select Ups(ope Berm Multip(ier
(based on tand slope): 2-�0 (figure D-34)
D. Calculate Ups(ope 8erm Width: Mu(tiptier (4.C)X Upslope Mound Height (4.6) = Ups(ope Berm Width
2.70 x 3.3 ft= 9.0 ft
E. Calculate Drop in Elevation Under Media:Media Width (2.8) X Land 5(ope(1.E) : 100=Drop (ft)
10.0 x 12.0 %: 100= 1.2 ft
F. Calculate Downslope Mound Height: Upstope Height (4.6) + Drop in Elevation (4.E)= Downslope Height
3.3 ft+ 1.2 ft= 4.5 ft
Setect Downs(ope Berm Multiplier
G' (based on land slope): 6.25 (figure D-34)
H. Calcutate Downsiope Berm Width: Mu(tip(ier (4.G)X Downslope Height(4.F) = Downslope Berm Width
6.25 x 4.5 ft= 28.0 ft
i. Calculate Minimum Berm to Cover Absorption Area: Downs(ope Absorption Width (3.B or 3.Cj +4 ft. = ft
5.4 ft+ 4 ft= 9.4 ft
J. Design Downstope 8erm =greater of 4H and 41: 28.0 ft
K. Setect Endslope Berm Mu(tip(ier: 3.00 (usualty 3.Q or 4.0)
L. Calculate Ends(ope Berm (4.K)X Downs[ope Mound Height (4.F) =Endsfope Berm Width
- 3.00 x 4.5 ft= 14.0 ft
M. Calcutate Mound Width: Upslope Berm Width(4.D)+Media Width (2.B)+Downslope Berm Width (4.J) =ft
9.0 ft+ 10.0 ft+ 28.0 ft= 47.0 ft
N. Calculate Mound Length: Endslope Berm Width (4.L) +MediQ length (2.C)+Ends(ope Berm Width (4.L) =ft
14.0 ft + 63.0 ft+ 14.0 ft= 91.0 ft
D-34:Siopc R1ultipNer Table
Land Slope� 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
UpslOpe 3:t 3.00 2.91 2.83 2.75 2.68 Z.61 2.Sa 2.-18 Z.a2 2.36 2.31 216 2.21 2.17 Z.13 2.C9 1.05 2.03 2.00 1.97 t.S5 1.93 �.91 i.89 1.87 1.85
Bernl RatiO -i:t a.00 3.85 3.70 3.57 3.d5 3.33 3.23 3.12 3.03 2.9d 2.86 2.78 2.70 2.62 2.55 2.aS 2.41 2.35 2.29 2.23 2.18 2.13 2.08 2.03 1.98 1.43
LdRd 51ope% 0 I 2 3 4 5 6 7 S 9 10 11 12 f 3 14 15 16 17 18 19 20 21 22 23 24 25
�OV!(1S10� 3:1 3.00 3.09 3.19 3.3D 3.d1 3.53 3.66 3.80 3.95 4.11 d.29 d.d8 5.69 d.95 5.2-t 5.55 5.84 6.2J E.63 7.0�1 7.-t7 7.93 8.42 8.93 9..16 t0.02
BE�rnI Rat10 d:1 J•OD d•17 435 4.S�t 4.76 S.CO 5.26 S.Sb 5.E8 615 6.67 7.1-! 7.69 8.29 8.92 9.57 10.2-! 10.9�1 11.67 12.a2 93.19 13.99 3�.92 l5.67 tE.5d 17.JJ
5. ORGANIC LOADING: (if pretreatment is being used)
A. Organic Loading = Design Ftow X Fstimated 80D in mg/L in the effluent X 8.35 : 1,000,000 (See Table ill)
gpd X mg/L X 8.35: 1,000,000 = lbs BOD/day
B. Calculate System Organic Loodin : (bs. 80D (5.A) :Media Area (2.A) = lbs/da /ft2
tbs/day = ftz = lbs/day/ftZ
Table III (7083.4030)
BOD Treatment BOD (mg/L)
Level A 15
Level B 25
Level C 125
6. MOUND DIMENSIONS
J J
� � : �-�,��z� �,r��
: Design Fiow and Soil Worksheet '""'�� ""�"
� 1. AVk7tAGE DESIGH FLOW: - .
.l%```\\',
A Fstlmated Flow(GPDJ: 750
or Memvred F7ow(GPO):ftaw[ime a(ety factor �
�d X � �
Design flow: �
Gallua Per Day(GPU)
8.SePticTmik rapacity: � 2250�Galla�s
��� 'Note:I(a�rbege di pp
Number of SepNc TarMs ar Compurbnents• � ��u�i[or Wher a ltanoe with garbage g�indiml abitltlPs
- 2 (i.e.di�wayiers)is anticipated or insUUed,or if sewa4e'is WmPed to the septic
�k tl�e sepdc tank capacity nKa[be i�creaxd by SO%and�Itiple[anla or
EjJlurnt Soeen&A(am t Yes ���nts mat be�d,pha a�effluent sneen with an alartn.
Tabie I-Dest4�Flow(Gallam Per DaY)
��assifl�atlon cf Dwe1N Table 11-Septic Tank Capacity
Number of Bedrooms � II � Number of Be�400ms �Pdc Tank Liqutd Minimum Ca
tll IV D�tles Capadty with Garbage Disposal and/w
2 or less 300 225 180 • (Galloru) SeM'a3e PumPe'd to Tank'
3 or lea
3 450 300 278 ' 4 or5 �.000 1�500
4 600 375 256 • �'� 2.250
5 750 450 , 6 or 7 2�
� 8 or 9 3•�
6 � 5� 332 • Z'� 3,750
'Raws for Qassifiotlon IV dwe(Ungs are 60 percmt of the vaWes az detenMnEd for Ciaai(iotlon I,II or III sysierns.
2 SfTE EVqLUATION:
A DePth to timitlng Layer: 18
��s 1.5 ft TaDle Iil
B.Mmdrtunn Depth of system: -18 i� -1.S n Treatrtient Levels of gpp BOD(mg/L)
(a negative rnrn6e�r mearts a marM rystem is re�{��
�� �u
C Type oJ Soif Treivtment a�d pi�e�!qr�_ Mound
Level B 25
D.Type of OEstri6uNon: Level Press�e DlsdibWon
�evel A 75
E LmM�pe Patitlon: on contour�
.. F.Soi(Texture Group Number: ��
6
� Run
G.Aerrent Lod Slope: 6.0 % - �''�7
�� g � ' �J x 100= I 1
� 3. SOII,LOADlNG pqTE$:Use�fther A a B.below L_�J
A . 7080 Tabte IX
DETANED SOIL B' 70E0 Ta61e IXa '—
�IP�ONS(SOIL P(T REQUIREp)
� TeMure Group
�� Medium Sandy Loam PEERGOLATION TEST SRINti LOADIHG RATE(GPDfft�) Sofl Te�cWre Group#
35tK �� 1
�e�� 6 0.1 to 5' 1.20 um Sa
Fne Sand 3
0.1 to 5(sdl tex0ure groups 3&5) 0.60 Coarse Loamy 4
S�� Granular � 6 to 15 0.� � °a� 4
16 tn 30 Fi�e loartry Sand 5
G� � 1 W, 0_60 �neLoamySan 5
Weak 6�p o.24 Medii+n Sandy Loam 6
6
n 1 � ��^ 7
� �- V�y me Loam �
L�e �P��N Pe+�ble solls:see 7060.2260 Loam
���l S lf Loam y
�oadio4 Rate: 0.78 � �west meaaaM{x�coladon ra0e: �� y wm 10
Silry Clay Loam lo
� � � Y Loam 10
Select Soil Loadtng Rate: �Y Y 7 7
�' �����4��: 0.78 Y 17
Y 11
4. OR6AlIIC LOADMiG(H Pretreatnxnt is being used)
��°j���Y=�3�Fbw X Estima[ed B00 in mg/L(n the effluent X 8.35+1.000.000(See Table III)
��� X��mB�� X 8.35 t 1.000.000
` C�Ibs BOD
�J
��Y�Y that i have cartp(Med thh work in aorordanoe with aU aPWicaDle
a'dlna�K'cs.rules and lavvs.
��sePh Olso�
810 10/29/2008
� � � �
� �� � ����nG ��T1=
�� UNI VP.ILSRY OF\11vhPStTTA ..
� � Mound Design Worksheet -�,_-_ ,r
1. SYSTEAA SIZtNG: . ' = - - ��@s..°�."�
A. Design Ftow: 750 GPD
B. Soi(Loading Rote: 0.78 ft2/GPD
Tabie I
C. Depth to Limiting Layer: 1.5 ft MOUND CONTOUR LOADtNG RATES:
E. Percent Land Slope: 6.0 Measured Texture - derived Contour
Perc Rate mound absorption ratio
Loadina
F. Design Mediv Loading Rate: 1.2 GPD/ft2 Rate:
G. Mound Absorption Ratio (1.F:1.B): 1.54 �120 mpi . 1.0, i.3, 2.0, 2.4, 2.6 _i2
OR
H. Design Contour Loading Rate: 12.0 GPD/ft >120 mpi • 5.0 <_6
(From table I)
2. DISPERSAL MEDIA SIZING
A. Calculate Required Dispersal Media Area: Design Flow (1.A) :Design Media Loading Rate (1.F)=ftZ
750 GPD: 1.20 GPD/ft2= 625.0 ft�
If a larger dispersat media
area is desired, enter size: 630.0 ftZ
B. Calculate Medio Width: Contour Loading Rate (1.H):Design Media Loading Rate (1.F)=Medio Width
12.0 ft - 1.2 gpd/ftZ = 10.0 ft
_ C. Calculate MediQ Length: Dispersa(Media Area (2.A):MediQ Width (2.B)=Media Length
630.0 ftZ : 10.0 ft = 63.0 ft
D. Setect Dispersat Media: �Rock ❑Chambers
❑Other Approved Media
3. ABSORPTION AREA SIZING
Note:Mound setbcicks are measured from the Absorption Area.
A. Calculate Absorptron Width:Media Width (2.B)X Mound Absorption Ratio (1.D) =Absorption Width
10.0 ft X 1.5 = 15.4 ft
B. For slopes from 0 to 1%, the Absorption Width is measured from the media equally in both directions.
Calculate Absorption Width Beyond the Media: Absorption Width -Media Width -�2= Width beyond Media
( ft - ft) =� = ft
C. For slopes>1%, the Absorption Width is measured downhill from the upslope edge of the Media.
Calcutate Downs(ope Absorption Width:Absorption Width (3.A) -Media Width (2.6)=ft
15.4 ft - 10.0 ft = 5.4 ft
4. MOUND SIZING
, % ✓ (�n c J//G
A. Calculate Ctenn Sand Lift: 3 feet minus Depth to Limiting Layer (1.C) = Clean Sand Lift (1 ft minimum)
3.0 ft - 1.5 ft= 1.5 ft
B. Catculate Upslope Height: Clean Sand Lift(4.A) +media depth (1 ft.) +cover (1 ft.)= Upslope Height
_ 1.5 ft+ 1.0 ft+ 1.0 ft = 3.5 ft
Select Upstope Berm Multiplier
�' (based on land slope): 3.23 (figure D-34)
D. Calculate Upslope Berm Width: Multiplier (4.C)X Upslope Mo�nd Height (4.6) = Upslope Berm Width
3.23 x 3.5 ft= 11.0 ft
E. Catculate Drop in Elevation Under Media:Media Width (2.8) X Land Slope(1.E) : 100=Drop (ft)
10.0 x 6.0 %= 100= 0.6 ft
F. Calculate Downslope Mound Height: Upstope Height (4.B)+Drop in E(evntion (4.E)= Downslope Height
3.5 ft+ 0.6 ft= 4.1 ft
Select Qownslope Berm Mu(tip(ier
G' (based on tand slope): 5.26 (figure D-34)
H. Catculate Downslope Berm �dth:Muttiplier (4.G)X Downslope Height(4.F) =Downs(ope Berm Width
5.26 x 4.1 ft= 21.0 ft
I. Calculate Minimum Berm to Cover Absorption Area: Downstope Absorption �dth (3.B or 3.C)+4 ft. =ft
5.4 ft+ 4 ft= 9.4 ft
J. Design Downslope Berm =greater of 4H and 41: 21.� ft
K. Select Endslope Berm Multip(ier: 3.00 (usualty 3.0 or 4.0)
L. Calculate Ends(ope Berm {4.K)X Downs(ope Mound Height (4.F) =Endslope Berm Width
- 3.40 x 4.1 ft= 13.0 ft
M. Calculate Mound Width: Ups(ope Berm Width(4.D)+Media Width (2.6) + porvrn(ope Berm Width (4.J)=ft
11.0 ft+ 10.0 ft+ 21.0 ft= 42.0 ft
N. Calcutate Mound Length: Endstope Berm Width (4.L)+Medio Length (2.C) +Endslope Berm Width (4.L) =ft
13.0 ft+ 63.0 ft+ 13.0 ft= 89.0 ft
D-34:Sbpe RtulNplier Table
Land Slope% 0 1 2 3 4 5 6 7 8 9 10 ii 12 13 td 15 16 17 IS 19 20 21 22 23 24 25
�PSlO� 3:1 3.00 2.91 2.83 2.75 2.68 2.61 2.5�7 2.A8 2.-12 2.36 2.31 2.Z6 2.21 2.17 2.13 2.C9 1.06 2.03 2.00 1.97 1.95 1.93 1.41 1.89 1.87 1.85
Bernl Ratio 4:1 a.OD 3.85 3.70 3.57 3.45 3.33 3.23 3.12 3.03 2.44 2.86 2.78 2.70 Z.62 2.55 2.a8 2.J1 Z.35 2.19 Z.23 2.18 2.13 2.08 Z.03 t.98 t.93
Land Slope°Jo 0 1 2 3 4 5 b 7 a 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
DOV/f1SlOp2 3:1 3.00 3.09 3.19 3.3Q 3.J1 3.53 3.66 3.80 3.95 4J1 �{19 d.48 d.69 �t.95 5.24 5.55 5.88 6.2J 6.63 7.DA 7.-t7 7.93 8.42 8.93 9.d6 1�.02
Bernt Rdtio 4:1 4.OU 4.17 4.35 A.5A 4.76 5.Q0 5.26 5.56 5.88 6.25 6.67 7.14 7.69 8.29 8.92 9.57 10.24 10.9d 11.67 12.42 13.19 13.99 +4.82 15.67 16.5d t7.da
5. ORGANIC LOADING: (if pretreatment is being used)
A. Organic Loading = Design Flow X Estimated BOD in mg/L in the effluent X 8.35: 1,000,000 (See Table III)
gpd X mg/L X 8.35 = 1,000,000 = lbs BOD/day
B. Calculate System Organic Loadi : (bs. BOD (5.A) :Media Area (2.A) =lbs/da /ftZ
lbs/day -�- ftZ = lbs/day/ftz
Table III (7083.4030)
BOD Treatment BOD (mg/L)
Levet A 15
Levet B 25
LevelC 125
6. MOUND DIMENSIONS
�1C J
. / `''J`if l C J/'r�
� _ ------- ---Upslope (4.p� --- ��.o -- --=_:---__-- _
� .
�- �
�� ,_ __ � `��
__ _- ----,_.___._
E ._...._..... __ ... �
.._... � ._.._...... .... �
t _ ....,. ., y_._...�--���._..., ,
--� . y .
� Endslope (4.L)� - ` � ➢
�f `� � �
� � -` - I Endslope {4.L)
� 13 0 f-
� 10.0 63.0 �'� ; 13.0
.
.._ , •---�
�
� _ _-- -___ _ ,�
; ___. _.___ .. .._,.__.
.
___ __ _ __ ,
. _.. _ 1 -
� _ _ .._.
i
� �� I [
� i �
� Downs lope {4.J) 2�•o � '
Fo -------------------------------------;----------
Total Mound Len th {4.N) 89•0
- 4" inspection pipe
18" cover on top
U slo e berm {4.D) 21 0
».o
Downsto e berm (4.J)
, --o--- .---_._; ___.._._ -12" cover on sides
._;.._
'� - -- (6" topsoil)
/� �.5 ��Qai� s.�rt� ���� j<�,�,'r �`��.
__
_ _ 1.5 \�-_�,
Absor tion Width 3.A
15.4
Note:
For 0 to 1� slopes, Absorption Width is measured from the tiledioequally in both directions.
For stopes >1%, Abso�ption Width is measured downhill from the upstope edge of the Medio.
----- --- - -- ---,- ----- � --------- - - -- --- --- - -- ----- - ,------, --- - -
For slopes >1%, Abso�ption Width is measured downhill from the upstope edge of the Medio.
Comments:
Divert surface water awcry from mound.
APPROXIMATE MOUND MATERIAL CALCULATIONS:
� A. Catculate Media (rock) Vo(ume;Media Length (2.C)X Medio Width (2.6)X Depth = Volume (ft3)
. . . _„� „�_
63.0 ft X 10.0 ft X 1.0 = 630.0 ft3
Divide ft3 by 27 ft3/yd3 to catculate cubic yards:
630.0 ft3 = 27 = 23.3 yd3
Add 20%for constructability: 23.3 yd3 X 1.2 = 28.0 3
yd
B. Calcutate Clean Sand Votume:
Upslope Volume: ((Upslope Mound Height- 1)x 3 x Medio Length)+2=cubic feet
(( 3.5 ft - 1) X 3.0 ft X 63.0 )=2 = 236.3 ft3
Downslope Volume: ((Downs(vpe Height- 1) x Downstope Absorption Width x Media Length)+2 = cubic feet
(( 4.1 ft- 1) X 5.4 ft X 63.0 )=2- 293.0 ft3
Ends(ope Volume: (Downs(ope Mound Height- 1) x 3 x Media Width =cubic feet
( 4.1 ft- 1 ) X 3.0 ft X 10.0 ft = 93.0 {rt3
Volume Under Rockbed:AverQge Sand Depth x Medio Width x Media Length =cubic feet
�•$ ft X 10.0 ft X 63.0 ft = 1134.0 ft3
Total Cleon Sond Volume: Upstope Vo(ume +po��ope Vo(ume +Endstope Vo(ume + Voiume Under Media
3
236.3 ft + 293.0 ft3 + 93.0 ft3 + 1134.0 ft3 = 1756.2 {�3
Divide ft3 by 27 ft3/yd3 to calculate cubic yards: 1756.2 ft3 - 27 - 65.0 yd3
Add 20%for constn�ctability: 65.0 yd3 X �,Z = �g.� a
yd
C. Calculate Sandy Berm Volume:
� Tota(Berm Yolume(�pproximate): Average Mound Height x Mound Width x Mound Length¢2=cubic feet
( 3.8 ft X 42.0 ft X 89.0 )=2 _ 7102.2 {�3
Tota(Mound Votume- C(ean Sand volume=cubic feet
7102.2 ft3 - 1756.2 ft3 = 5346.0 ft3
Divide ft3 by 27 ft3/yd3 to calculate cubic yards: 5346.0 ft3 - 27 = 198.0 yd3
Add 20%for constructability: 198-0 yd3 x 1.2 = 237.6 3
yd
D. Calculate Topsoi(Moteria( Volume: Toto(Mound Width X Total Mound Length X.5 ft
42.0 ft X 89.0 ft X 0.5 ft = 1869.0 ft3
Divide ft3 by 27 ft3/yd3 to calculate cubic yards: 1869.0 {rt3 _ 27 = 6q.2 yd3
Add 20%for constructability: 69.2 yd3 x 1.2 = 83.1 3
yd
�h�bY��Y that I have completed this work in accordance with all applicabie ordinances, rules and laws.
Joseph Olson � �
� 810 10/29/2008
(Designer) (Signature)
{License#) (Date)
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; Pump Selection Design Worksheet =
- �..�
1. PUMP CAPACf1Y "°-"^� " -
a��
v m,��
1. Pumping m Gravity Oistribution
A_ Mirrirtwm discharge is 10 GPM(15 GPM recommended) ��GPM
B. Mazimum discharge is 45 GPM.
2. Pressure DBtribuUon-See Preswre Distribu[ion Worksheet
Requtred Fiow Rate(Ltne 20 of Pressure Distribution Worlaheet) 47 GPM
2. HEAD REQUIREAAENTS
��
a ponn an msdu,qr
3. Elevation Difference 13 ft �,yw+�`�
between pump and point of discharge: q�e �
m - �.
�
-- Table 1
(� Fric[ion Loss in Plasdt Pipe per t00ft
---------------------------- --------------
4• ������= 1 ' �ft Disuibucion Head Loss Nominal Pipe Diameter
L�_��
Giavity Distributian=Oft
Flow Rate � 7y� 11� 2 3
Addibonal Flead LoSs: �ft (GPM)
Preswre QisUibuUon based on Minimum Average Fiead
(�e to special equiprt�ent,etc.) Value on Preswre Distribution W�ksheet; 10 5.51 1.45 0.69 0.20 -
Frktlon Loss 1 ft = Sft 12 7.72 2.03 0.% 0.28
5- �uPP�Y�Pa Diai►ieter: 2.00 I� 2ft = bft 14 10.27 2.70 1.28 0.38 -
6. Based on Frktion Loss in Plasdc pipe per�pph from TaWe 1: Sft = 70ft 16 13.14 3.46 1_63 0.48
Friction L.oss� 4.18 ft per t00ft of pipe - -
18 4.30 2.03 0.60
' 7. Determine Equiwlent Pipe Length from pur�discharge m sWl dfsper�at area ZO - 5.23 2.47 0.73 0.11
discharge poinL Estimate by adding 25%to wpplY PiPe�enStl�for fitting loss. 25 - 7.90 3.73 1.11 0.16
Supp(y Mpe Length X 1.25=Equiwlent Wpe Length
30 - 11.07 5.23 1.55 0.23
�PP�Y�Pe�ength: 98 ft X 1.25 = 122.5 f� 35 - 14.73 b.% 2.06 0.30
8. Calculate Supply FricNon Loss by multiplying Friction Loss Per 100/t (Line b)by the � - - 8.91 2.64 0.39
Equfw(ent Pipe Length (Line�and divide by 100.
45 - - 11.07 3.28 0.48
Supply Friction L.oss�
4.1765577{t per�ppft X 122•5 ft + �pp = 5.12 ft 50 - -
t3_46 3.99 0.58
10.Total Ffead requirement is the wm of the E(ewtion pfjjerence (Line 31,the p�st�-butlon He� 55 - - - 4.76 0.70
!oss(line 4),and che Supply Friction Lpss(Line 8)
� 5.60 0.82
13 ft + ��ft + � ft ' - -
��_�� 65 6.48 0.95
Total Head Required: 23 � 7� ��
��ft ' -
3. PUMP SELECTIOH
A pump m�ut be selected tp de{iver at least 47 GPM(line 1 or Une 2)with at least 23 feet of mtal head.
���r�+h»iac�r�ve oompleted mis woric in eccordance witn a1 appticawe«dinances.rules and iaws.
Joseph�ason 810 October 29,2008
_ ��'4^�) / (SignaWre) (License#) (Date)
, '.
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Losts of Soil Borinas
License#81U
Location or Project: 515 Femdale Road North
Borings made by: Rusty Olson's Soil and Perc Testing Date:10/28/08
Classfication System: AASHO ; USDS-USDS�CS X : Un�ed ; Other
Auger used(check two): Hand ,or Power . Bucket or Probe_X ,Pit
Boring Number_1_SurFace elevation_1008.9_ Mottled Soil at 2.6 feet
0"-14" Daric brown sandy loam 10yr4/2 H20 present at X_feet
14"-18"Brown sandy loam 10yr4/4
18"-32" Brown sandy loam 10yr5/4
32"-42" Rusty brown sandy loam 10yr5/4
Boring Number_2_Surface elevation_1008.9 Mottled Soil at 1.7 feet
0-12" Daric brown sandy loam 10yr4/2 H20 present at X feet
12"-20"Brown sandy loam 10yr5/4
20"-30" Rusty brown loam 10yr6/4
Boring Number_3_Surface elevation_1004.7_ Mottled Soil at 1.5 feet
0-14"Dark brown sandy loam 10yr4/2 H20 present at X_
14"-18" Brown sandy loam 10yr4/4
18"-32"Brown sandy loam 10yr5/4
32"-42"Rusty brown sandy loam 10yr5/4
Boring Number 4_ Surface elevation_1004.7_ Mottled Soil at 1.5 feet
0-18"Dark brown sandy loam 10yr3/2 H20 present at X_
18"-24" Rusty brown sandy loam 10yr4/4
24"-30"Rusty brown clay loam 10yr5/3
Boring Number 5_Surface elevation_1003.2 Mottled Soil at 1.8 feet
0-12" Dark brown sandy loam 10yr3/2 H20 present at X_
12"-22" Brown sandy loam 10yr4/4
18"-32"Rusty brown sandy loam 10yr5/3
8oring Number 6_Surface elevation 1006.4_ Mottled Soil at 2.0 feet
0-10" Dark brown loam sandy toam 10yr4/2 H20 present at X_
10"-24" Brown sandy loam 10yr5/4
24"-30" Rusty brown loam 10yr6/4
r
Percolation Test Data Sheet
Lic.#810
Percolation test readings made by: Rusty Oison's Perc. starting at 10:50 AM. On 10/28/08
Location: 515 Frendale Road North
Hole number. 1
Date hole was prepared:10/27/08
Depth of hole bottom,12"_inches, Diameter of hole_6"_inches.
Soil data from test hole:
Depth, inches Soil texture
0"-12" Dark brown sand loam 1
Y OyrM2
Method of scratching side wall: Knife
Depth of gravel in bottom of hole 2 inches:
Date and hour of initial water filling 10/27/08 At 12:10 P.M. depth of initial water filling 12 inches
above 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
11:00 11:15 6" Perc Rate
11:22 11:37 g�� 3.5 4.3
11:38 11:53 6" 3�4 4_4
3.3 4.5
AVERAGE PERC. RATE 4 4 MP�
, �� .
^ Percolation Test Data Sheet
Lic.#810
Percolation test readings made by: Rusty Olson's Perc_ starting at 10:50 A.M. On 10/28/08
Location: 515 Frendale Road North
Hole number. 2
Date hole was prepared:10/27/08
Depth of hole bottom_12_inches, Diameter of hole_6'_inches.
Soil data from test hole:
Depth, inches Soil texture
0"-12"
Dark brown sandy loam 10yr4/2
Method of scratching side wail: Knife
Depth of gravel in bottom of hole 2 inches:
Date and hour of initial water filling 10/27/08 At 12:10 P.M.
above hole bottom. depth of infial water filling 12 inches
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 Dro in H20
11:01 11:16 6" p Perc Rate
11:21 11:36 g" 3.8 3.9
11:39 11:5,q 6" 3"� 4.0
3.7 4 0
AVERAGE PERC. RATE 4� MP�
, � .
, .
Percolafion Test Data Sheet
Lic.#810
Percolation test readings made by: Rusty Olson's Perc. starting at 10:50 A.M. On 10/28/08
Location: 515 Frendale Road North
Hole number. 3
Date hole was prepared:10/27/08
Depth of hole bottorri_12"_inches, Diameter of hole_6"_inches.
Soii data from test hole:
Depth, inches Soil texture
���-�2�� Dark brown sand loam 1
Y Oyr4/Z
Method of scratching side wall: Knife
�epth of gravel in bottom of hole 2 inches:
Date and hour of initial water fi�ling 10/27/08 At 12:10 P.M.
above hole bottom. depth of initial water filling 12 inches
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 Dro in H20
11:02 ��:�7 g�� p Perc Rate
11:20 11:35 6" 3'6 4.2
11:40 11:55 6" 3'S 4.3
3.5 4_3
AVERAGE PERC. RATE 4 3 MP�
...� ,
� Percolation Test Data Sheet
Lic.#810
Percolation test readings made by: Rusty Olson's Perc. starting at 10:50 A.M_ On 10/28/08
Location: 515 Frendale Road North
Hole number. 4
Date hole was prepared:10/27/08
Depth of hole bottom_12'_inches, Diameter of hole 6"_inches.
Soil data from test hole:
Depth, inches Soil texture
0"-12" Darlc brown sandy loam 10yr3/2
Method of scratching side wafl: Knife
Depth of gravel in bottom of hole 2 inches:
Date and hour of initial water filling 10/27/08 At 12:10 P.M. depth of initial water filling 12 inches
above 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
11:03 11:18 6" Perc Rate
11:19 11:34 g�� 3.5 4.3
3.3 4.5
11:41 11:56 6" 3.2
4.7
AVERAGE PERC. RATE 4 5 MP�
�` i c1/ �• t r� �- � `�\'/ � r � � c� ' � r� � �l rftl �' tl r � � � � r � ftl � � =
� �� a J � �� � � .�� JI �J �J -�� � � j� J ..J �r� � J �J . � , "
� , License# L49
/^ • � r Date of Issuance: Jan 30, 2009
� Maintainer License Expires: Mar 13, 2012
�, ,� �.� � J �.� Installer License Expires: Mar 13, 20l 2
, Designer License �xptres: Mar 13, 2012
Klin�ber� Excavatin�, Inc
Designated Certified Certification ,.
� Individual(DCI) Certification Type Expires
,
James L. Klingberg Installer(Certified) ' Dec 31, 2010
James L. Klingberg Designer(Certified) Dec 31, 2010
James L. Klingberg � Maintainer(Certified) Dec 31, 2010
LeArnQld E. Klingberg Designer(Certified) Dec 31, 2009
LeArnold E. Klingberg Installer(Certified) Dec 31, 2009
Joseph J. Sullivan Installer(Certified) Dec 31, 2010
Joseph J. Sullivan Maintainer(Certified) Dec 31, 2010
Jeffrey R. Young Installer(Certified) Mar 10, 2011
,
' • .
Minnesota Pollution Control Agency Stev n G�dding anager
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, � 520 �afayecte Road Nortn Environmental Business Assistance Section
. St.Paui,Minnesota 55155-4194
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CITY OF ORONO CALLED IN ��
INSPECTION NOTICE '/ SCHEDULED �?�D-l� s�
PERMIT NO.�D�D —�S�f'� COMPLETED
ADDRESS 5�5 �7���.e-- � /�,�
OWNER TELEPHONE NO.p5Z ��7�57
CONTRACTOR �/�l��lldP�f'G'i ��-i
� DESCRIPTION ��C ��G�L--� - �Pe�rS/�c�
l� ❑ FOOTING ❑ PLUMBING FiNAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WAL� � MECHANICAL RI ❑ LAKESHORE/WETLANDS
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETtJRN
❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED
❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor n si : �
Inspector. `
White Copyll�spector's File Canary Copy/Site Notice
� /� �''� 7D TE TIME ✓
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INSPECTION NOTICE SCHEDULED7/ ?� :�b
PERMIT NO. a�_lo � On54�COMPLETED
ADDRESS � �,T��,�f'�1'� 4 �I
OWNER TELEPHONE ����� ^a� �
CONTRACTOR C � � CV.
�: DESCRIPTION ���t`�C - ��"� -��
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Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTI INAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: � - f�C)O ]3/�pi.s-%� �: I �'�
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INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. l 1 /r--i�,��
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