HomeMy WebLinkAbout2001-P04451 - new septic system CITY vF ORONO PERMIT
2750 KeIIPy Parkway - PO Box 66 Permit Number: Po44s�
Crystal Bay, Minnesota 55323 Permit Type: sept��
(952) 249-4600 Date Issued: loigi2oo�
SITE ADDRESS: ts2o Fox st
Wayzata,MN 5539 l
PID: o2-ti�-23-32-0002
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Septic Permit Sub-type(s): New Septic System
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 100.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 100.50
APPLICANT: Swedlund Septic OWNER: Kingsley Murphy
9520 Laketown Rd 1520 Fox St
Chaska, MN 55318 Wayzata, MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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-' APPL[CAh1T PERNfiTEE SIGNATURE ISSUED BY SIGNATURE
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Copies: l-File(SiQnitures Reauired). l-Aoplicant, l-Monthlv Reoorts, l-Assessine, 1-Finance Page 1
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CITY OF ORONO SEPTIC SYSTEII PER1�1TT APPLICATIO�'
Bos 66 (2750 Kelley Park�vay)
Crystal Bay,1�In 5�323
JOB SITE ADDRESS ����J �\/� ������
Occupancy Type: Residential� Commercial Other
Permit Type: Ne�v or Replacement System �100.00 `'/C'��. �)��
Repair Existing System $ 50.00
(Tanks or Drainfield)
�0.50 State surcharge added to above fees
* See fee schedule for non-residential permit fees
O�irner's 1�'ame: ��i1�'`� f� (' �I� Phone I\Tumber-
Mailing Address: �Sa- ) /=o S� City•D��'n�' Zip• ��`�'/
Contractor'sName: i ( ' � -Fi PhoneNumber: �S�-�/����S�S`���
1�Iailing Address: G%��) � orKC-fr�-�✓t � City: 'hly K�%1 Zip: �S�%�
*** D O NOT 1IAII.,PAYI�IE�'T`ti'ITH THIS APPLICATION***
GEI�'ERAL I�i TSTRUCTIONS
l. Applications for septic system permits may be mailed or submitted in person at the City
Offices; hotivever, permits will not be mailed out. The permit must be picked up in person
at the City Offices and work must not be�in unless the permit card is on the job site.
2. Permits �vill be issued only to contractors holding a Minnesota Pollution Control
A�ency(l�IPCA) Septic System Installers License.
3. All work must be done in accordance with the approved septic system desi;n. Design reports
are not considered approved unless accompanied by the "City of Orono Septic System
Approval" cover sheet si�ned by the City Inspector.
4. The follo�vin� inspections �vill be required for all septic systems:
A. Pre-installation site inspection to include inspector, installer, an�i general contractor. .
B. Tank installation prior to coverin�.
C. Drainfield trench installation prior to coverin�. For mounds, inspection is required after
rou�h up but prior to sand placement(sand will be jar tested for silt content), and again
durin� pressure distribution pipin� installation in the rock bed.
D. Final inspection to verify proper final cover depths and to verify that all pump stations
(where required) components are functional and comply with codes.
5. Individual holdin��tPCAlnstallers License shall be present durin�all inspections. A 24-hour
notice is required for all inspections.
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I�'OTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate
boxes.
`'� 1. I have received a copy of the system desi�n including the City of Orono Septic
System Approval Cover Sheet.
2. I�vill be installinj the following:
A. Tanks: _�Precast Concrete Other Manufacturer
Tank Capacities: 1) �UOU gal. 2) jC%�; G gal 3) gal
B. Pump Station (if required)
Pump make& model____� `� /�� /��C ►'�' �� (atta�h pump curve&
literature); system design requires �`o gpm at � -, feet of head.
High water alarm make& model . Outside
electrical work to be completed by in�taller >C' electrician other.
C. Treatment System:
Trenches: s.f. � Mound
Depth of rock below pipe " Rock bed dimensions % � ' x � �� '
Drop Boxes Sand bed dimensions ' x '
Distribution Box Pressure Dist. Pipe Diam. "
l�fanifold Pipe Diam. "
D. Final Cover/Topsoil to be: bonowed from site
(show location on site plan)
trucked in
The undersi;ned hereby applies to the Ciry of Orono for is�uance ofa septic system installation permit,
a�rees to do all work in strict accordance with ordinances of the City and the re�ulations of the State
of l�linnesota,and certifies tY�at all statements znade on this application are complete,true and correct.
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Si�natureofApplicant ��� =G � Date: '�i- �—c'�
J� , �
MPCA License I�To. ���j
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StaffRevie�ti•: Approval_� Denial
Revie�ver: �� � Date: � �- ��d �
Reason for Denial:
X - s-i a�-� �ar���c� 9ra��ec� �-v 9° `'�'��, �� to SO � -��o�. �v��-I�,,.J
�' 1 0 �EC�" �C�� �'J V .`u r - .
` 5 _ 'i 1•;5 ►5 only ��I�c� -�-a ��� ,,c•� �au„a �
; : � �. .�.�,A�r�_:� Swedlund
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Soil Boring �R��������►��
Design
❑ Installation Estimate
Prepared For:
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Site Address:
/�zo fox - S %
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l Swedlund Septic Service • 9520 Laketown Road • Chaska, Ie�IN 55318 • 442-5855
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SEPTIC SEPTIC SYSTEM DESIGN �,,,, ����
Date �-'Z�"� � �
Owner/Builder �i�Q�� ^ /�ld�p �1 �
Address
Site Address `.S�Z. D � �( S/•eE�/ � 0 e0� � S�S�'3 9�
Home Phone Work Phone Pager/Cell
The following information has been compiled for a single family home:
Bedrooms `-� GPD �od 0 Garbage Disposal .ES Lift Pump in Basement /J�
Septic Tank Capacity zOO O Pump Tank Capacity /d d O
System Type: Mound � Trench
Distribution: Gravity Pressure _� Land Slope (o ��
Depth to Restricted Layer Soil Sizing Factor c �3 Perc Rate �3 ���M P!
Trench System: Drainfield Size/Sq. Ft. Lineal Ft.
SB2 Number of Laterals Rock (Tons)
Rock Width Max Trench Depth Width
i i
Mound System: Rock Bed �� x�� Sand Layer �,,��
U slo e ,
p p � Downslope � Sideslope �
r � ��
Sand Depth / � 1 G Topsoil on Site 7 O Trucked in �E'S
Sand (Tons) ��n Rock (Tons) � Topsoil (Tons) /�00
Pump Manufacturer: /`�� �� /n� ���✓ A � �
Requirements: GPM . 38" Head ��y���s�
Force Main Length �d Diameter Z
Number of Laterals � Length �
Swedlund Services • 9520 Laketown Road • Chaska, MN 55318 • (612) 442-5855
STATE CERTIFIED
. MOUNI7 DESIGN WORKSHEET 5
(For Flows up to 1200 ggd)
A. FLOW Estimnted Sewage Flow�j in G�Ilons per day
Estimated DC� �d Numbv T�� Tra a Tra m T�
or measured x 1.5 = gpd. �s�u
2 300 225 180 �
B. SEPTIC TANK LIQUID VOLUMES a 6o s00 zs� °f''�
Z�O O ���
gallons 6 '90500 `su 3�z T,'�,.
� ioso 60o s�o u a
8 1200 675 408 �
C. SOILS (refer to site evaluation) , ,� , `°'"'°"S
Se lic Tank C�aali s(in alluns)
1. Depth to restricting layer = � inches Z � feet �q�;d�,��,y
NwMcr�if Minimum[Jyuid I�yuid�yuciry with with Aispas:J&
2. Depth of percolation tests = �z inches e�a�.» c����Y �,e��as�y i�a��ta�
a�Ki«: �so iizs �soo
3. TextureSq�,..' Percolation rate -��" mpi a,.<< �� ,� 2�
s���e i soo zzso s000
4. Land slope �p % �•R���y Z� 3� �
D. ROCK LAYER DIMENSIONS
1. Multiply flow rate by 0.83 to obtain required area of rock layer: A x 0.83 =
�o� gpd x 0.83 sq. ft./gpd =-Soo sq. ft.
2. Select width of rock layer (max 10' if<120 mpi max 5') _ /b ft.
3. Length of rock layer = area=width = � a<en.e� Qo�o-���a �no�e� a, �
�y oa.o 0 0 0>o a/��,{ �a
►1F1� sq. ft. - �ft. _ -S� 1L. ���o6DD`�U°°p�P_^oA P.;.
QQO�OQ.C'C:n.O Cn6.0.0 C �
a"p0'pDQODD�DD �b::.
Width �O j{ ao opDQDOOD D eDD
<120mpi <10' Length.�'o � ft
E. ROCK VOLUME >120mpi <5'
1. Multiply rock area by rock depth to get cubic feet of rock�oo sq. ft. x /
�. =soo cu. ft.
2. Divide cu. ft. by 27 cu. ft./cu. yd. to get cubic yards;
-�'� cu. ft. =27= 10 cu. yd.
3. Multiply cubic yards by 1.4 to get weight of rock in tons;?o cu. yd. x 1.4
ton/cu. yd. _�tons.
F. ABSORPTTON WIDTH Absorption Width Sizing Table
1. Percolation rate in top 2 inches of soil is�3�mpi �d���;� Gallons RatioofAbsapuon
Minutes per Inch Soil Testure per day per width to Rock
Texture � (MPI) squarc fooc Laya�Yid[6
Faster than 0.] Coazx Sand 120 1.00
0.1 to 5 Sand 1.20 1.00
2. Select allowable soil loading rate from table; o.<<o s Fne Sand o.6o z.00
6 m 15 Sand Loam 0.79 1.52
�7 gpd/ftz �a �,
31 to 45 Silt Loam 0.50 2.40
46 to 60 Clay Loam 0.45 2.67
60 to 120 Clay 0.24 5.00
3. Calculate adsorption width ratio by dividing rock layer s�oWa w��Zo ��ay o.zo 6.00
loading rate of 1.20 gpd/ft2 by allowable soil loading rate;
1.20 gpd/ft2=�_ gpd/ftz= , Z .
4. Multiply adsorption width ratio by rock layer width to get
required adsorption width;
.SZ x /d ft = /S ft
DOWNSLOPE DIKE WIDTH
i. If landslope is 3% or more, subtract rock layer width from
adsorption width to obtain minimum downslope dike toe
�ft-�c7 ft = -� feet
2 Calculate Minimum mound size based on geometery:
a. Determine depth of clean sand fill at upslope edge of rock
layer: Separation _� feet
b. Multiply rock layer width by landslope � roo� co�.�
to deternune drop in elevation; � roo� ao .a
Slope Di�ference S�Der�tlon �_ �..�
�0 X�% + 1�� _ � � feet SIOD• Dift�r�ne• �� t
UDs1eDe W1Cln
C. Add depth of clean sand for separation (2a) --��'��� Roek 8e0 WICt�
at upslope edge,depth of rock layer (1 foot) to depth of ��.�� Down �oo.w,a��
cover(1 foot) to find the mound height at the upslope edge -�-r••�
of rock layer;
/ ft+ lft + lft= � feet
d. Enter table with landslope and upslope dike rario.
Select dike multiplier of 3,2 3
e. Multiply dike multiplier by upslope mound height
to find upslope dike width:�� x 3,2 3 -�Q_ feet
f. Add depth of clean sand for slope difference (2b) at
downslope edge,to the mound height at the upslope edge
of rock layer (2c) to find the downslope height;
�_ft+�_ft = 3• �feet
g. Enter table with landslope and downslope dike ratio.
Select dike multiplier of ��2. �
h. Multiply dike multiplier by downslope mound height
to get downslope dike width:3•(o x S.L =� feet
i. Compare the values of step G.1 and Step G.2h Select the
greater of the two values as the downslope dike width; �� �
�� feet
E -�UO��OD�NIC(B .
j. Total mound width is the sum of f -/��••�
u slo e dike (G.2e) width lus rock �
P P P € o�r e.a w�a��
layer width (D.2) plus o �o=�ao w�a�� ,�'•" �o.� w�„�
downslope dike width(G.2i); 3 ;'�"" �""
��ft +��ft +�ft = � feet �` ' �
k. Total mound length is the sum of � DOwnl100�w�a��
. ��..�
upslope dike width (G.2e) plus rock layer
length(D.3) plus upslope dike width (G.2e); � I
,L�ft+�ft + 1,2 ft = 7o feet
�O TOl01L�nptn
owns ope ps upe
a:� a� s:� s> >:> >:i �:� s:i s:i r.� e:i
x�a
o an �o s.o so �.o �o �.o s.o s.o zo a.o
1 3.W L17 5.7b i3s �SJ 291 7.A5 1.76 5.66 651 7.11
2 �.19 t3S 5.56 6.S! A.I� 2.� J.70 �$1 5.36 GI{ 6.90
3 330 �51 5.88 7.32 8.86 2.75 357 1.15 S.OB 5.79 6.15
� 3A1 1.76 6.75 7.D9 9.T1 26E J.15 1.17 1.61 5.{6 6lI6
S 753 5.� 667 e57 10.77 26I J3J �.00 �.61 5.19 ST
6 ]b6 SSb 7.11 930 12P1 2.St 7.21 3.65 �.�I l.9] 5.{I
7 »0 ��6� 7.69 1031 I).73 2.�8 ).12 ' 1.70 �17 l70 5.17
S �.95 5.6! !11 I15� 15.91 2.11 ].m ... 357 �.QS 1.19 tA!
9 �.il 6.35 9.W I3.01 IB92 2.J6 2W 1.15 3.90 /�0 �.65
10 {29 667 10.0 I5.00 27JJ 2J1 2.86 J37 3.75 �.12 lA{
I1 !M 7.I1 ll.tl 17.�5 3QU 226 278 ).27 J.61 ].95 {16
iz �ev zs9 isso zi.�3 u�s zz; i.�o �.�� �.�v �.eo �.ae 64
� PRESSLIRE DISTRIBUTION SYSTEM
1. Select nurnber of perforated laterals 3
2. Select perforation spacing = 3_ ft.
3. Since perforations should not be placed closer than 1 ft. to
the edge of the rock layer (see p. E-14), subtract 2 ft. from the
rock layer length.
Ra��lenqlh � L 1 t. - ! � I t.
4. Determine the number of spaces between perEorations.
Divide the length above by perforation spacing and round E-17a
down to nearest whole number.
TABLE OF PERFORATfON DISCHARCES IN Gf'�'
Head Perforabon diameter(inches)
Length perf. spacing =� ft. _ � ft. _ �spaces �i32 �'4
�3� ��� 1.Oa 056 0.74
1.5 0.69 0.90
5. Number of perforations is equal to one plus the number of Z.ob o.so i.oa
2.5 0.89 1.17
perforation spaces . 3.0 o.9s i.�g
4.0 1.13 1.4i
5.0 1.26 1.65
�spaces + 1 = 17 perforations/lateral aUse 1.0 foot of head for residential systems.
bUse 2.0 feet of head for other establishments
6. Multiply perforations per lateral by number of laterals to
get total number of perforations. E-17b
�.j �� Wnom�W.al.s1�c d qur�ece pMara Ps Ws�l u �
x = S� erforations. ""�"`�°`°�`°n""r'°°
lateral s perfs/lateral p ���� 1.25 inch 1.5 inCh 2.0 inch
2.5 14 18 28
7. Deter.nine required flow rate by multiplying 3•0 13 i� ?�
number of perforations by flow per perforation a.o ii is i3
(see page E -17) s.o io ia Z�
�/ ,��
�5 x ���� = 3S gpm. E-15
....A.a,�,�.,�d.,m.�o.,.,.,"�,.,,�.
-�
8. If laterals are connected to header pipe as shown on page E- �
15, select minimum required lateral diameter from table on �,.Y�
page E-17; enter table with perforation spacing and number ,��'' �u`
of perforations per lateral. Select minimum diameter for `/''�
perforated lateral = �. inches.
E-12
,--��...��,�;.�-
9. If perforated latera; system is attached to manifold pipe near �„�:__,f�.
the center, a�� on page E-12, perforated lateral length and '�"r
�
number of perforations per lateral will be approximately one ���'�� �
"YA•L"^.�
half of that in step $. Using these values, select minimum _� . ,,,.
diameter for perforated lateral from page E-17 as �,��'� `'
inches.
9
PUMP SELECTION PROCEDURE
A. Determine pump capacity:
Gravity Distribution
1. Minunum suggested is 20 gpm _
2. Maximum suggested is 45 gpm Perforation Discharges in GPM
Pressure Distibution Head Perforation diameter
feet inches
3.a. Select number of perforated laterals �/3z �/4
b. Select perforation spacing= feet. l.oa o.56 0.74
c. Subtract 2 ft. from the rock layer length. i.5 0.69 0.90
Rocklayerlength
-2 ft. = feet. 2.06 0.80 1.04
d. Determine the number of spaces between perforations. a Use�.o foot single homes.
Length perf. spacing= ft.= ft. = spaces
b Use 2.0 feet for anything else.
e. spaces+ 1 = perforations/lateral
f. Multiply perforations per lateral by number of laterals to
get total number of perforations. ��r. x �r:s��= perforations.
$• Per X�m,��= gPm.
SELECTED PUMP CAPACITY 3S gpm
B.Determine head requirements:
1. E�evation difference between pump and point of discharge.
_��feet
2. If pumping to a pressure distribution system,five feet for pressure 5°il�'�"e"�Sys°�'
required at manifold if gravity system,zero. °�°="�•°�
_ f feet Total p�pe Imgrh
3. Friction loss
a. Enter friction loss table with gpm and pipe diameter. ,,,,e ��atio„�;rre�„�e
Read friction 1 ss in feet per 100 feet from table(F-14). P`� -
------- -- -
F.L. _ � ft./100 ft of pipe
b. Determine total pipe length from pump to discharge ��-----------"-"----�-----�--'-"----
point. Estimate by adding 25 percent to pipe length for fitting
loss,or use a fitting loss chart(F-15 feet).
Equivalent pipe length- 1.25 times pipe length=
�U X 125= So feet Friction Loss in Plastic Pipe
c. Calculate total friction loss by multiplying
friction loss in ft/100 ft by equivalent ipe length Nominal
� L� _ � pipe dia.
Total friction loss= .S-O x • 100= feet
4. Total head required is the sum of elevation difference, ���te 1.5" 2" 3"
special head requirements,and total friction loss.
20 2.47 0.73 0.11
_��+ �- + � 25 3.73 1.11 0.16
(1) (2) (3c) 30 523 1.55 0.23
� 6.96 2.06 0.30
TOTAL HEAD �feet 8•91 ,�1.�'j 0.39
45 11.07 �ZS 0.48
50 13.46 3.99 0.58
55 4.76 0.70
C. Pump selection 60 5.bo o.a2
65 6.48 0.95
70 7.44 1.09
1. A pump must be selected to deliver at least
�gpm (Step A) with at least �,� feet of total head (Step B).
• � Sizing of Pump Station
1. Detcrminc Surfacc Arca T
Rcctangle=Area=L x W W'��h
x = square feet 1
Lcngth
Cirde= Area =n x(Radius)z
3.14 x x = square feet I27(JIUS
Other=Get Surface Area from Manufacturer rz=3.14
squue feet
2. Calculate Gallons Per Tnch
There are 7.5 gallons per cubic foot of volume,thercfore you must multiply the area
times the conversion factor and divide by 12 inches}xr foot to calculate gallons per inch
Area x 7.5�pft 3+12 inchs per foot
x 7.5+12 =�gallons/inch �E`/E ��g!�E �� /
3. Calculate Gallons to Cover Pump(with 2 inches of water coverin�pump) Esiimai«!Scwage Flows in Gallons per day
(Height(in)+2 inchcs) x gallons/inch(#2) �g��
um r
(�_+_�)x z_3 =�gallons of Type I Typc Q Type II[ Typc
Iicdrooms 1 V
4. Calculate Total Pumpout Volume
a. To maximize pump lifc select sump size for 4 to 5 pump operations per day. 3 450 300 218 �
OD gpd+4= /S7� gallons per dose 4 600 375 256 "r`"`
�y���
b. Calculate drainback 5 750 45U 294 ;,,
l. Determine total i e len th � feet. 6 900 525 332 ���r���.
P P g �� 7 1050 600 370
2. Determine liquid volume of pipe,l��43 gallons per 1(x)fcYt. 8 1200 675 408 �„i;,��,,,,�
3. Multiply length by valume: Drainback quantity=
�feet x !7 gallons/]00 ft. _�gallons.
Pi di�meta inchcs Cyllons r 100 fkt
c. Total pump out volume equals dose volume+drainback 1 4.4
lv�p gallons per dose+ 7 gallons= �S7 gallons 1.25 7.77
1.5 10.58
5. Calculate Volume for Alarm(typically 2 to 3 inches) 2 17.43
Depth(in)x gailons/inch(#2)= 2.5 24.87
Z3 x �, _ ��p gallons 3 38.4
4 66.1
6. Calculate Reserve Capacity(75%thc daily flow)
Daily flow(see page D-7)x.75=
�� x.75= �0 gallons
Rcservc Capacity
7. Calculate total�alions
gallons over pump+gallons pumpout+�yallons alarm+gallons mserve capcity
�t3+ #4c+t�5+#6
3z�+ ,/�+��+�= 9� gallons Alarm
Pump On
8. Total Depth (Total gallon dividcd by gallon per inch)
Total Gallon (#7)+gallon �nch(#2)
�j�+ .Z.3 =�inches To 1 Pumpout Volumc
Pump Off
Pump Hcight
9. Float Scparation Distance(equal total pumpout volume)
Total pumpout volum� 4c)+�allons/inch (#2)
��7 ��.�=�inches
� LOGS OF SOIL BORINGS
Location or Project ��ZO � � .i� �
Borings made by SWEDLUND Date 8—�'"� O /
Classification System: ❑AASHO C✓I USDA-SCS ❑ Unified ❑ Other
Auger used (check two): C✓I Hand ❑ or Power; ❑ Flight � or Bucket; ❑ Other
Depth, Boring Number �� Depth, Boring Number ,(3 �
in feet Surface Elevation in feet Surface Elevation
p C//��4 /� � p itJ�i�'�l �O
a S�� � G�r,�a„�. 3/z �
1 - i 1 - / ��1 w �-D-�� Z�Z'
�� z �
�
2 - >3 S A,�,� �.�, y�� 2 - zy ��w. � �w 3/�
�o � �ry
3 — 3 � �S" 3 _ 3(o
� o%.Lrc.� Z /z / /�'�D�'�'� � �z '/
4 - �/Z ��A� 4 - �i�z l9'Z�1�/
�
5 — 5 —
6 — 6 —
7 — 7 —
8 — 8 —
9 — 9 —
10 — 10 —
End of boring at � feet. End of boring at � feet.
Standing water table: Standing water table:
❑ Present at feet of depth, ❑ Present at feet of depth,
hours after boring. hours after boring.
� Not present in boring hole. � Not present in boring hole.
Mottled Soil: 1� � Mottled Soil: i ��
❑ Observed at 2 Z feet of depth. ❑ Observed at z �feet of depth.
❑ Not present in boring hole. ❑ Not present in boring hole.
� ' LOGS OF SOIL BORINGS
Location or Project ��7-zO �o k � l
Borings made by SWEDLUND Date O ���.�
Classification System: ❑AASHO 0 USDA-SCS ❑ Unified ❑ Other
Auger used (check two): 0 Hand ❑ or Power; ❑ Flight 0 or Bucket; ❑ Other
Depth, Boring Number �� Depth, Boring Number
in feet Surface Elevation in feet Surface Elevation
p NS !' � �- p
d
1 — �SIµ �►�t>�� 1 —
�—� �
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2 — /� �6}�..� �.,� � 2 —
g
3 — � b �a.—�..,,`� s�c� 3 —
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4 — Z � � �� 4 —
5 - G�z ��A � 5 —
6 — 6 —
7 — 7 —
8 — 8 —
9 — 9 —
10 — 10 —
End of boring at � feet. End of boring at feet.
Standing water table: Standing water table:
❑ Present at feet of depth, ❑ Present at feet of depth,
hours after boring. hours after boring.
� Not present in boring hole. ❑ Not present in boring hole.
Mottled Soil: � �� Mottled Soil:
❑ Observed at 2 7 feet of depth. ❑ Observed at feet of depth.
❑ Not present in boring hole. ❑ Not present in boring hole.
. Date' S' ��� � PERC TEST BY SWEDLUND SEPTIC
�
Location /�.ZO ,�mk S / Hole # � Depth �
Soil Depth 0 ^!z Texture Si�^� �D-�9�
Depth of Initial r
Water Filling �
Perc Test starting Time and Date: Time /O �i"1 Date 8 �?,�"� �
Time Intervals Drop in Inches Perc Rate
- 3� 3a � z �s� ;
/ -�- !/ �� �, ,S- ,�
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�ate �"77�� / PERC TEST BY SWEDLUND SEPTIC
Location /S.zo /p,l� S/ Hole # � Depth l '
Soil Depth O —1 Z- Texture �A"�� ��''v
Depth of Initial �
Water Filling /
Perc Test starting Time and Date: Time /O /�� Date g �Z�o /
Time Intervals Drop in Inches Perc Rate
o —lD 3� �„� Z /3 ;
o ���/ " z ' � ��
/— /�'Y� ' '�
Date '�7`�/ PERC TEST BY SWEDLUND SEPTIC
�
Location /��o �o,l� �'/ Hole # o� Depth /
Soil Depth O —�Z Texture �Aa>� �.s1
Depth of Initial i
_ Water Filling �
Perc Test starting Time and Date: Time /l, �1� Date g ��' —c9 /
�
Time Intervals Drop in Inches Perc Rate
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� 1► SEPTIC SYSTEM APPROV
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� � '` Y of ORONO
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!4 Municipal Offices
,,� � ,�� ' ,�� � ,,
` ` r ' Street Address: Mailing Address:
;\'��9 ''�. , g,�C, ,
��$EggO� 2750 Kelley Parkway P.O. Box 66
'�_— Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner K , n q 51eY � M�r (��.� Phone (Home) (Work)
Address 5l �o f-o X S-r� City 0 r o �o State M� Zip 5 S 391
Site Evaluator Sw�JI.,� State License # Phone# y4a- 5`d55
Type of Establishment: Single Family_� Multi Family
Commercial Garbage Disposal Yes k No
No. Potential Bedrooms 4 Est. Gallons Per Day 6U0
Water Meter Required: Yes_ No )( Soil Sizing Factor U. �3
Perc Rates P-1 1 S P-2 I 3 P-3 I y P-4 P-5 P-6 P-7
Restricting Layer Depth B-1 a,5 B-2 1�' B-3 �' 7" B-4 B-5 B-6
Type of Treatment System:
Standard �C EYperimental Alternative
Pressurized Mound System X At-Grade System
Gravity Trenches System Pressurized Trench System
Gravity Trenches W/ Lift Pressurized Bed System
Holding Tank W/Alarm
Septic Tank Size �0 ov # of Tanks a Lift Tank Size
Pump Brand GPM '38 Head I 6
Treatment System:
Minimum (1 ox5 o��3qx �o) Square Feet with 1 inches of rock below pipe
Type of cove nir g Fabric�_ Other
THIS IS NOT A PERMIT. This is a design approval form which must accompany the site plan.
A permit must be issued to a licensed septic contractor prior to installation.
NOTICE TO INSTALLERS: Any changes to the approved plans must have prior approval of the
inspector(952-249-4600) Call for inspection 24 hours in advance.
ALL DRAINFIELD AREAS MUST BE FENCED OFF prior to building site excavation and
fencing must remain in place until final site grading. Approval to pour footings will not be granted
until the Inspections Department has verified the primary and alternate sites are protected.
NO VEHICULAR TRAFFIC OF ANY KIND is allowed within 20'of tested drainfield sites ever.
ACCEPTED x DENIED By the City of Orono subject to existing regulations and
thefollowingconditions: Qvc -to �e�lgce«.cr�-�- Sip�:� q�c� o���_Spo,- -,-� �u+-
c�2-w SeP�- � � �ac��ce -►-� q1\o�.-- 1'ho.,�d `���., � S� �eefi �� `^�ctlq��
gY: �o�c �- (�- o \
Matt Bolterman, On-Site Systems Manager Date
� �� � ` �SO �- y� ,
�/� � 7
�j� Telephone(952)249-4600 • Fax(952)249-4616
� www.ci.orono.mn.us
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N ICE SCHEDULED �
PERMIT N0. � COMPLETED Q'3�a'�
ADDRESS ��O 0 S 1.
OWNER CONTR. ��'"s���
TELEPHONE NO.
� DESCRIPTION �P ��L �.('��
� 01 FOOTING 11 MECHANiCAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL SEPTIC INSTALL. 22 FOL�OW-UP
? 09 PLUMBING RI 23 PTIC FINAL 35 H.ARD COVER REMOVAL
J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
/
� COMMENTS:
a � �. ��Q� � ��
j �
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� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContra to�te:
Inspector.
White Copyllnspector's File Canary CopylSfte Notice
DATE TIME
CITY OF ORONO ✓ CALLED IN
INSPECTION OTICE SCHEDULED ��V `�`=�f �;?�'
PERMIT NO. � �/ COMPLETED I t�"iC``"��1 '' '-.��%
ADDRESS � �=�`�' ���' ' �
OWNER � CONTR. '��`^�`�� � � '�''i`:�
TELEPHONE N0.
� DESCRIPTION ``- � �" - � �- �`�; `�' �� r';���
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. ' 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27.�SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL ��PTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: � �L�(� �
�
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0
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�
d ORK SATISFACTORY:PROCEED C_ PROJECT COMPLETE
W
� ❑ CORRECT WORK R PROCEED I ISSUE CERTIFICATE OF OCCUPANCY
W
O Cl COARECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
i CITATION ISSUED
❑STOP ORDER POSTED.CAL�INSPECTOR
f; INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours i advance. 249-46�0
t .r ��I '� 1, ,.��
OwnerlContrac�or on site: '
�� ,�
Inspector. ' ' �� Y ��,�- .,,';.,�>:t-.-.,__-
'J
White Copylinspector's File Canary CopylSite Notice
� DATE TIME
CITY OF ORONO �� CALLED IN
INSPECTION N TICE SCHEDULED �<�-�':`�-�+ 1'���`' —
PERMIT NO. COMPLETED I O -�'�°�-O� `Z�3
ADDRESS \5-�-C? �i;�' S � -
OWNER CONTR. % --��C��-`�'"� ':�
TELEPHONE NO.
� DESCRIPTION `�`�`'� . <_ � ,C-�-�—�� '��,. 1;�`11- -1.' ��
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE EPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 S TIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI PTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNERICONTRACTOR TO MEET YOU: YES_NO
Z
� COMMENTS:
� �`? �- �
w --
a
� — �e-,-�a c.ICS 0�
o � •
�
�
0
�
w
�
Q
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w
�
w
�
�
d '�`�VORKSATISFACTORY:PROCEED � PROJECTCOMPLETE
� L�\
CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY
Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
C] CORRECT UNSAFE CONDITION WITHIN HOURS. ' PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in a vance. 249-46��
OwnerlContra tor on site: �"u � v� �
3
Inspector. (� �`L
White Copyllnspector's File Canary CopylSite Notice
� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N QTICE SCHEDULED 1C� -�-����'� ►'•�''
PERMITNO. `�4 � � COMPLETED la-�3ro� 1:3
ADDRESS �`•-��' �'�'��'� �' �-
C
OWNER CONTR. -� �''''r� � :r^��
TELEPHONE NO.
� DESCRIPTION 5`�,� � ,� �,r ,,`t4 `
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL �15 EPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
� OWNERICONTRACTOR TO MEET YOU: ES_NO
� COMMENTS: � ' 1 U� �� \ �n�S
� - �� ��-. � �,��cS
� � ��S < c.� ; � ,.� , c
0
a � fi�^�� t�� �� , � �i
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W
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���.ip(URK SATISFACTORY:PROCEED �f_ PROJECT COMPLETE
� / �
W �i CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
O Cl CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN
INSPECTOR WILL REfURN
f7 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspectio 24 hours n advance. 249-460�
OwnerlContr to�� , � � �.V^-
Inspector. `—
White Copylinspector's File Canary CopylSite Notice