HomeMy WebLinkAbout2008-00181 - new septic CITY OF ORONO PERMIT NO.: 200&00181
_ 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssvED: 09/18/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 645 FERNDALE RD N
PIN : 36-118-23-11-0032
LEGAL DESC : N/A
: LOT 000 BLOCK 000 gpnn�C
PERMIT TYPE : SEPT[C
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : NEW
NOTE: INSTALLING(3)PRECAST CONCRETE TANKS, 1000 GALLONS-MOUND TREATMENT SYSTEM-500 S.F.
APPLICANT SEPTIC NEW 100.00
HAYES& SONS EXC. INC. STATE SURCHARGE SEPTIC 0.50
263 82ND STREET S.E. TOTAL 100.50
MONTROSE, MN 55303
�i.t; I o�— i� `5�--cj;��
Minnesota State License#: 640
OWNER
PAGE,TOM
645 FERNDALE RD N
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The 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 permi[is for only the work described and does
not gran[permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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 construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring ail required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at a time for ue cause. ' __ �'r) �
� �l �d / ��O ',� ( f_ l� _b �,
- _,L L L L�. `� / /
Applicant Pe ' ee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
��
Cit of Orono
r, 1 FOR CITY USE ONLY
' �Q� '�� P.O. Box 66 " p ` �/
�'•,O 2750 Kelley Parkway A' � Date Received:�/�l/�D Permit b� 0�-�� �
� 1`�li�.,�. �a
ia n�- � Crystal Bay MN 55323 � � � �
��t tv;�:�.�, �,
��.���p4�o` (952)249-4600 � Amount: $ ��'� �
CITY OF ORONO - SEPTIC SYSTEM PERMIT APPLICATION
(All permits must be approved by the On-Site Septic Manager and/or Building Official)
Scanned
� Job Site / Owner Information:
Site Address: � �f 5 I� �� r�j t c:�cz Ln �� �
�� � .. . � . • ; T°��� e�..J e
Owner: ���_.���>> �,�.�. : ��.� k .�� �,; �� Mailing Address: Cd`S �r';�c.���� 6�
City: C� � ��,��� Zip:
�a,�„ a s� �,���
Home Phone: Alternate Phone: � f Z �� � -�/5�-�^7
Contracfor / Applicant Information:��" �,§����`��"�w��
- ,�b.�,,.�
Contractor/App.: 1-�u ��'� 'f ��^ S Contact Person: /Sr�'--� ��
d
Address: ' G= � � Z y' S�- S � - State License #: � �{ �'
City: f`�1� E-� `' '{ Zip: `;`� ; �-3 Expiration Date: z_ �i o
Phone: �� > Z-( l�J - /'�� Z_ Altemate Phone: �i z ^ �.�s -�i 5 s�>
" f �,a��� �� �fi ���.
� ' _ ���n��; ����`��,�YPES�C�'F OCCUPANCY � �. �� ;�: ��� � ,� � ;
�;.
� Residential ❑ Commercial ❑ Other
�f'�...� �� ,, � �F: t,��..�.:�, �� �: ��'������'�;, , ,�P�'��t!I T TYP E AN D F E E S � ..,.., ,��..:.� ���,�x`'
�_
New or Replacement System $100.00 �L �
Repair Existing System 50.00
(Tanks or Drainfield)
State Surcharge .50 .50
Total $ / �� G �_`
V:\(Permits)1Septic System Permit Application.doc
1 / 2
** ATTENTIO'N APPLICANT ** - — � .
i__ Fil! in all appropriate blan_ks and check all appropriate boxes. ' _ _�
I will be installing the following:
Tank
Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other
(list manufacturer)
Number of Tanks: 3
Size of Tanks: �� �' �-% �c����� /ucv c5 �r'�-f
Treatment System
Trenches s.f.
� Mound �v� s.f.
Gravel less s.f.
Chamber s.f.
Final Cover/ Top Soil
to be borrowed from site (show location on site plan)
�trucked in
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
applicati�n are complete, true and correct.
_ ,
Signature of Applicant Date: g"� 2 r��=s
MPCA License No.: � �L�
Staff Review: [�], ccept ❑ Denied
(/
Reviewer: ,�/ ;.i�, ��(� Date: �-J _ / 7 -e�
Reason for DeniaL•
Comments (to be printed dn inspection card):
V:\(Permits)\Septic System Permit Application.doc
2 � 2
� ` ` ' ** ATTENTIO�N APPLICANT **' ;��"
l� � � �� ' e'� 5 � �r��
`' �. F:ill in all a �° ro ria"te blanks"and check all a �`ro �riate boxes.l
I will be installing the following:
Tank
Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other
(list manufacturer)
Number of Tanks: 3
Size of Tanks: /c� �� � �v<<�« /o� � i r�'f
Treatment System
Trenches s.f.
� MOund S v v Scanned
s.f.
Gravel less s.f.
Chamber s.f.
Final Cover / Top Soil
to be borrowed from site (show location on site plan)
✓trucked in
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
applicatian are complete, true and correct.
_ ,
Signature of Applicant Date: �� 2 ��'��
MPCA License No.: �p �L�
Staff Review: ccept ❑ Denied
Reviewer: ,�( J /c,� Date: � ' � 7 "�
Reason for DeniaL-
Comments (to be printed on inspection card):
V:\(Permits)1Septic System Permit Application.doc
2 � 2
.
METRO WEST INSPECTION SERVICES, INC. • 763-479-1720
CITY OF • {�
WORKSHEET FOR SEWAGE DISPOSAL WORK �
Date
Inspector Building Permit No.
Owner Fee
Property Address Kind of Building
Plumbing Contractor-Outside Sewage Disposal ' � y
Septic Tanks
Material ,.:iY - Capacities
Proper Outlet & Inlet? Baffle Plates?
Drain Field:
Total length of lines Number of lines
Type of soil Percolation Test
Width of trench Type of filter material
Amount of filter material below line
Depth from top of tile to finished grade
Check Vents Check Caulking
Check Grade in Horizontal Waste Pipes Clean Outs
Tonage or Yards of Filter Material Total Sq. Footage of Drain Field
Sand ' Rock
Overall Size of Mound System Size of Mound System Rock Filter Material
Draw detailed diagram to scale with measurements below.
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Rusty Olson's--Soil and Percolation Testing
Joseph J. Olson--MPCA License#810
11481 Riverview Rd.NE,Hanover,MN 55341
(763)498-8779 Fax(763)498-8290
�..,.�.,: - ��
June 8,2008 >.c�,��� ti / LL:
,,,� � Tom P e � ,��� • � '' S ' �7
�����^`" � 645 Ferndale Road ��'� G��1 � �?i�� i,���
Orono,Hennepin County �
This on-site Sewage Treaiment System is designed for a Type 1 four-bedroom home in accordance with the
Minnesota Pollurion Conh-ol Agency Chapter 7080 and local ordinances.
T'he seasonally saturated soils were located at 22"-26"(mottled soil).Due to the seasonally saturated soils,a
pressurized mound system will need to be installed to treat the sepric ef�luent.The bottom of the treatment
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 12 MPI.
The existing septic system does not conform to the state code chapter 7080.
"The eacisting tank must be abandoned.
All new tanks need to be insulated if less than iwo feet deep and filters installed.Clean outs must be
instatled on the end of the laterals for maintenance.
A pumping chamber will need to be installed to lift the ef�luent to the treatment area. The power supply and
switches must be located outside the manhole and pumping chamber in a weatherproof encloswe. A
warning device must be installed with 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.T6e rock and fil!materials must
be clean.The sod layer below the entire mounded azea must be tumed over.Just brealc up the sod and be
sure not to over work.
NothinQ other than grav water,(Ianndrv,showers,etc.) I3uman water and toilet tissue should be
disaosed of into the seutic tanks. Garbaee disaosals are not recommended. Additives must not be
used;thev may cause harmfal damage to voar seatic svstem. It is recommended that vou pump the
tank everv vear for 1 tank,everv two vears for two tanks.
$incerely,
� --�--_-----—
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Joseph J.Olson ����
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ONS�T! �
SlWAi6C '�1 Job#�
TRE/�TMENT r_,����;_
PROGiRAN!
University of Minnesota Mound Design Worksheet
Greaterthan 1°/.Slopes
A FLOW
Estimated 600 9Pd(see 6gure A-1)
or measured x 1.5(safety factor)= 0 gpd
B. SEPTIC TANK LIQUID VOLUMfS
Septic tank capaaty 2000 gailons(see figure G1)
Number of tankslcompartments 0
Effluent Flter (yes/no) yes
C-1 Septic Tank Capacity in Gallons
Number of Minimum Capacity with Capacity with
Bedrooms Capacity Garb.Disp. Disp.and Lift
2 or less 750 1125 1500
3 or 4 1000 1500 2000
5 or6 1500 2250 3000
7,8 or 9 2000 3000 4000
C. SOILS(Sife evaluafion data)
1. Depth to reshicting layer- 1.8 feet
2. Depth of percolation tests= 12 inches
3. Texture loam
4. Soil loading rate(see Figure D-33) p.gp gpd/ft
Percolation rate 12 MPI
5. %L�d Slope 12.0 %
D. ROCK LAYER DIMENSIONS
1. Multiply average design flow(A)by 0.83 to obtain required�ea of rodc layer:Item A x 0.83=
600 gpd x 0.83 ft/gpd= 500 ft2
2. Detertnine rock layer width =0.83 ft`/gpd x Linear Loading Rake(LLR)(see LLR chart
0.83 ft�/gpd x 12.00 = 10.0 ft
LLR Chart
Perk Rate LLR
<120 MPI <=12
>=120 MPI <=6
3. Length of ra:k layer=�ea divided by width=
500.0 ft/ 10.0 feet= 50.0 ft
E. ROCK VOLUME
1. Multiply rodc area by ra�c d�th to get cubic feet of rock
500.0 X 1.0 ft= 500.0 ft3
2. Divide ft�by 27 ft3/yd3 to get cubic yards
500.0 ft3 / 27 = 18.5 yd3
3. Mul6ply cubic yards by 1.4 to get weight of rodc in tais;
18.5 yd3 X 1.4 ton/yd3 = 25.9 t�s
Page 1 of 5
F. ABSORPTION WIDTH Absorption ratio: � 2 �
1. Absorption width equals absorption ratio times rock layer width
2.00 x 10.0 ft = 20.0 ft
G. MOUND SLOPE WIDTH 8 LENGTH(Greater than 1%)
1. Downslope absorption width=absorption width minus rodc layer width
20.0 feet - 10.0 feet= 10.0 ft
2. Calculate mound size
UPSLOPE
a.Depth of dean sand at upslope edge of rodc layer=3 feet minus distance to restriding lay�(C1)
3.0 ft - 1.8 ft= 1.2 ft
b.Mound height at the upslope edge of rock layer=depth of dean sand for separation(G2a)
at upslope edge plus depth of rodc layer(1 foot)to depth of cover(1 foot)
1.2 ft+1ft+1 ft= 3.2 ft
c.Upslope beRn multiplier based on I�d slope(see figure D-34J
Selected be�m multiplier: 270
d.Upslope width=berm multiplier(G2c)times upslope mound height(G2b):
2.70 x 3.2 ft = 10.0 ft
DOWNSLOPE
e.Drop in elevation=rodc layer width(D2)times percent landslope(C5)I 100
10.0 ft x 12.0 % /100= 1.2 ft
f.Downslope rraund height=de�h of de�sand for slope difference(G2e)
at downslope rock edge plus the mound height at the upslope edge of rock lay�(2b)
1.2 ft + 3.2 ft= 4.4 ft
g.Drnmsbpe berm multiplier based on percent land slope(see Figure D-34
Seleded b�m multiplier: 4.95
h.Downslope width=dovmslope multiplier(62g)6mes downsbpe mound height(G2�
4.95 x 4.4 = 22.0 ft
i.Select great��G1 and G2h as the downslope width 22.0 ft
j.Total mound width is the sum of upslope(G2d)width plus rodc layer width(D2)plus downslope�(G2i)
10.0 ft+ 10.0 ft+ 72.0 ft= 42.0 ft
k.Total mound length is the sum of upslope width(G2d)plus rodc layer length(D3)plus upslope width(G2d)
10.0 ft + 50.0 ft+ 10.0 ft= 70.0 ft
Final Dimensions (slope>1% d2.0 ft x 70.0 ft
I hereby certify th�all wak has been completed in accord�ce with all applicable ordinances,rules&laws.
=� {signature) 810(ticense#) 6162008(datej
Page 2 of 5
, . 4"inspection pipe
o � � 12"topsoil
1.2
riginal grade
Restrictive layer 1.8
10.0 10.0 22.0
32.0
absorption width �
Mound Detail: Land slope> 1%
�o.o
Upslope berm:
:••-•••-••••••••••......•••••.............•-••••._.._...___....... ....................-•••••••_.............................••••-••••••••.••....................._.........._..-
Rockbed
10.0 Width: 10.0 10.0
Total Length: 50.0
Width:
42.0
Downslope berm: Downslope absorption width:
22.0 10.0
Total length: 70.0
Nob�:
Divert surface water away from mound.
Page 5 of 5
' University of Minnesota Pressure Distribution System Design - 10/25/04
AH boxed rectangtes�st 6e entered,fhe rest will be calculated.
Or+srre
Sewwoe
1. Seled number of perforated laterals: 0 TR�•TM�+*
PRoo�eeuN ,. �
2. Select perforation spacing= �ft
„�.�.,
3. Since perforations should not be placed closer that 1 foot to ��«;""�v Y
the edge of the rodc layer(see diagram),subtract 2 feet from i ry_��.k
the rock layer len h t
50 -2 ft= 48 ft "`�="K;,=-s".�-
���Y�
4. Determine the number of spaces beriveen perforations.
Divide the length(3)by perforation spacing(2)and round down to nearest whole number_
Pertoration spacing= 48 ft/ 3 ft= 16
5. Seled perforation size 1/4 inch
6. Number of perforations is equal to or�plus the number of perForation spaces(4).
`Check figu►e E-4 to asswe the number of perfr�rations per lateral gusranAses
<10%dischaige variation.
16 spaces+1 = 17 perforations/lateral
E�Maximum Number of 1/4 inch perforations E-5 Maximum Number of 3N6 inch perforations
r lateral to uarantee<10%discha variation r lateral to uarantee<10°�dischar e variation
Pertoration Perforation
Spacing Pipe Diameter Spacing Pipe Diameter
ft 1 inch 1.25 inch 1.5 inch 2.0 inch feet 1 inch 125 inch 1.5 inch 2.0 inch
2.5 8 14 18 28 2.5 12 19 25 39
3.0 8 13 17 26 3 11 18 24 37
3.3 7 12 16 25 3.3 10 17 23 36
4.0 7 11 15 23 4 i0 16 21 33
5.0 6 10 14 22 5 9 15 20 31
7. A.Total number of perforations=perforations per lateral(5)times number of laterals(1).
17 perfs/lat x 3 laterals= 51 perforations
B.Cakx�late the square footage per pertoration.
Recommended value is Cr10 sqft/perf.Does not appty to at-grades.
1_ Rodc bed area=rock width(ft)x roc*length(ft)
10 ft x 50 ft= 500 ft
2. Square f�t per pe�foration=Rodc Bed Area/number of perfs(6)
500.0 ft/ 51 perfs = 9.8 fl 1 perf
8_ Determine required flovu rate by multiplying the total number
of perforations(6A)by flow per perforations see figure E-6)
51 perfs x 0.74 gpm/peris= 37.7 gpm
E�Perforetion Dischar e in GPM
Head Perforations diameter
feet inches
3l16 7/32 1!4
1 0.42 0.56 0.74
2° 0.59 0.80 1.04
5 0.94 1.26 1.65
a Use 1.0 fod fa singl�tamiy homes. ---------------------
b.Use 2A feei for else _. •".
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9. Detertnine Minimum Pipe Size ^ �� - = I
A. Manifold on End. If laterals are conneded to header pipe � _
as shown in Figure E-1,to se�ect minimum required lateral Ro�E-,:M����aE,.a«�.,�„ �
diameter,enter figure E-4 or E-5 with pertoration spacing and
--- --_ __
number of perforations per lateral.Select minimum diameter
for perforated laterals= 2.0 inches
B. Center Manifold. If perforated lateral system is attached to �E=M�.� - - ---
N CenMa1MARIwn __
manifold pipe near the center,like Figure E-2,perforated lateral length(3) _-
and number of perfora6ons per lateral(5)will be approximatey � _--
one half of that in step A. Using these values,seled
minimum diameter for perforated lateral= 1.5 inches ' ``Z_ '� ' I
I hereby ' that I have completed this work in accordance with all applicable ord'manoes,rules and laws.
'� (signature) 810 (license#) 06/07/08 (date)
University of Minnesota Pump Selection Procedure - 10/25/04
All boxed rectangles must be entered,the rest will be calculated.
ONS�T! �,�a�
1. Determine Ufll C8 aC S�-'wAGE
P P P �' TREATMENT �,�,
A. Gravity Distribution �'"��""""
1.Minimum required discharge is 10 gpm
2.Maximum suggested discharge is 45 gpm
For other establishments at teast 10%greater than the water
supply rate,but no faster than the rate at which effluent will flow
out of the distribution device.
B. Pressure Distribution-see pressure design worksheet soit treatment system
&point of dlscharge
.................
;�:;:,;:,;�::,.;::
.. ...........
Selected Pump Capacity: �gpm 1o1o1 r�►�
Iength
inlet :; 2A.elevotian
� di(ference
2. Determine Total namic Head DH "' r F:
�Y (1' ) p�r� ;;:
:�. -- ��
A. Elevation difference between pump and point of discharge. ;:;�. �`
Ofeet ,,,�.. __ ___ �` -
i':'. .... -------------------------- ------
B. Special head requirement?(See F'�gwe-Special Head Requirements)
Ofeet Special Head Requirements
Gravity Distribution Oft
C. Friction loss in suppty pipe Pressure Distribution 5ft
1. Select pipe diameter �in
2. Enter Figure E-9 with gpm(1A or B)and pipe diameter(C1)
Read iriction loss in feet 100 feet from Figure E-9 E-9 Friction Loss in Plastic Pipe
Friction loss= 2.64 ft/100 ft of pipe per 100 ft
nominal
3.Determine total pipe length from pump discharge to soil system discharge point. Flow Rate i diameter
Estimate by adding 25 percent to pipe length for fiction loss in fittings. m 1.5" 2.0" 3"
Pi len th times 1.25=equivalent pipe lengtfi 20 2.47 0.73 0.11
35 ft x 1.25= 43.75 feet 25 3.73 1.11 0.16
30 5.23 1.55 0.23
4.Calculate total fiction loss by multiplying fiction loss(C2) 35 6.96 2.06 0.3
by the equivalent pipe length(C3)and divide by 100. 40 8.91 2.64 0.39
Friction Loss= 2.64 ft/100ft X 43.75 ft / 100= 1.2 feet 45 11.07 3.28 0.48
50 13.46 3.99 0.58
D. Total head requirement is the sum of elevation difFerence(A),special 55 4.76 0.7
head requirements(B),and total fiction loss(C4). 60 5.6 0.82
9 ft + 5 ft + 2.0 ft 65 6.48 0.95
70 7.44 1.09
Total Head: 16.0 feet
3. Pump Selection
1.A pump must be selected to deliver at least 38 gpm(1A or B)
with at least 16A feet of total head(2D).
I hereb certify that I have completed this work in aocordance with all applicable ordinances,rules and laws.
(signature) 810 (license#) 6/08/08 (Datel
Page 1 of 1
Loqs of Soii Borinqs
License#810
Location or Project: 645 Femdale Road
Borings made by: Rusty Oison's Soil and Perc Testing Date:6►03/08
Classification System: AASHO ; USDS-USDSSCS X ; Unfied ; Other
Auger used(check two): Hand_X ,or Power . Bucket or Probe X , Pit
Boring Number_1_Surface elevation_90.2_ Mottled Soil at_2.1_feet
0"-8" Dark brown sandy loam 10yr3/2 H20 present at X_feet
8"-16" Brown sandy loam 10yr4/4
16"-26" Brown loam to sandy loam 10yr5/4
26"-30" Rusty brown loam 10y5/4
Boring Number_2 Surface elevation_90.2_ Mottled Soil at 1.8 feet
0-6" Dark brown sandy loam 10yr3/2 H20 present at_X_
6"-128"Brown loam 10yr4/4
12"-22" Brown loam 10yr5/4
226"-30" Rusty brown loam 10yr5/4
Boring Number 3_Surface elevation_88.0_ Mottied Soil at_1.8_feet
0-6" Dark brown sandy loam 10yr3/2 H20 present at_X_
6"-12" Brown loam 10yr4/4
12"-22" Brown loam 10yr5/4
22"-30" Rusty brown sandy loam 10yr5/4
Percolation Test Data Sheet
Lic.#810
Percolating test readings made by: Rusty Olson's Perc. starting at 1:07 P.M. On 6/04/08
Location: 645 Femdale Road
Hole number. 1
Date hole was prepared:6/03/08
Depth of hole bottom_12" inches, Diameter of hole 6"_inches.
Soil data from test hole:
Depth, inches Soil te�ure
0-8" Dark brown loam 10yr3/2
8"-12" Brown loam 10yr4/4
Method of scratching side wall: Knife
Depth of gravel in bottom of hole 2 inches:
Date and hour of initial water filling 6/03/08 At 11:00 A.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 wate�depth above hole bottom during tests 6 inches
Time Time Depth Drop in H20 Perc Rate
1:17 1:47 6" 1.8 16.6
1:51 2:20 6" 1.8 16_6
2:21 2:51 6" 1.8 16.6
AVERAGE PERC. RATE 16.6 MPI
Percolation Test Data Sheet
Lic.#810
Percolating test readings made by: Rusty Oison's Perc. starting at 1:07 P.M. On 6/04/08
Location: 645 Femdale Road
Hole number: 2
Date hole was prepa�ed:6/03/08
Depth of hole bottom_12"_inches, Diameter of hole 6"_inches.
Soil data from test hole:
Depth, inches Soii texture
0.-g" Dark brown loam 10yr3t2
g"-12" Brown foam 10yr4/4
Method of scratching side wall: Knife
Depth of gravel in bottom of hole 2 inches:
Date and hour of infial water filling 6/03/08 At 11:00 A.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 wate�depth above hole bottom during tests 6 inches
Time Time Depth Drop in H20 Perc Rate
1:18 1:48 6" 4.2 7.1
1:49 2:19 6" 4.1 7_3
2:22 2:52 6" 4.0 7.5
AVERAGE PERC. RATE 7_3 MPI
DATE TIME
CITY OF ORONO � CALLED IN
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Cail for the next inspection 24 hours in advance. (952� 249-46�0
Owner/Contractor on site:
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Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. �- ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. ;� pHOTOTAKEN
INSPECTOR WILL RETIJRN
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❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next ir�spection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site: ��
Inspector.
White Copyllnspector's File Canary CopylSite Notice