HomeMy WebLinkAbout2003-P06956 - new septic system ' � PERMIT
�ITY JF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po69s6
Crystal Bay, Minnesota 55323 Permit Type: septi�
(952) 249-4600 Date Issued: ivioi2oo3
SITE ADDRESS: 164o Fox st
Wayzata,MN 55391
PID: 03-117-23-14-0002
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Septic Permit Sub-type(s): New Sepric 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: Fyle's Excavating OWNER: Susan Norton
9697 Harding Ave NE 1640 Fox St
Monticello,MN 55362 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREE�TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA UILDING CODE REQUIREMENTS.
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jA' ICANTPERMI EESIGNAT RG ISSUEDBYSIGNA"I'URE
Cooies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing. 1-Finance Page 1
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CITY OF ORONO �j�,L� SE�C SYSTEM PERMIT APPLICATION
Boz 66 (2750 Kelley Parkway) �eC�rV��
Crystal Bay,Mn 55323 ���, 2
2 200,
JOB SITE ADDRESS ��`�� �� �+��-e-�' CITY OF ORO/�p
Occupancy Type: Residential�,_ Commercial Other
Permit Type: New or Replacement System $100.00 l�� �
Repair Eaisting System $ 50.00
(Tanks or Drainfield)
$0.50 State surcharge added to above fees
* See fee schedule for non-residential permit fees
Owner's Name: ,�.u-�� �'}��'� Phone Number:
MailingAddress: /(o o �-ak �'e� City: �S�'a� o Zip:
Contractor's Name• ' � Phone Number: 7G 3-29S-a s�i
Mailing Address:_ � -� City: s�.�cu-� Zip: 5-S�lo�.-
*** DO NOT MAIL PAYMENT WITH THIS APPLICATION***
GENERAL INSTRUCTIONS
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 pernut must be picked up in person
at the City Offices and work must not begin unless the permit cazd is on the job site.
2. Permits will be issued only to contractors holding a Minnesota Pollution Control
Agency(MPCA) Septic System Insta.11ers License.
3. All work must be done in accordance with the approved septic system design. Desi¢n reports
are not considered approved unless accompanied by the "City of Orono Septic System
Approval" cover sheet signed by the City Inspector.
4. The following inspections �vill be required for all septic systems:
A Pre-insta.11ation site inspection to include inspector, installer, and general contractor.
B. Tank installation prior to covering.
C. Drainfield trench installation prior to covering. For mounds, inspection is required after
rough up but prior to sand placement(sand will be jaz tested for silt content), and again
during pressure distribution piping installation in the rock bed.
D. Final inspection to verify proper final cover depths and to verify that all pump stations
(where requued) components are functional and comply with codes. �
5. Individual holding 1�LPCAInstallers License shall be present during all inspections. A 24-hour
notice is required for all inspections.
NOTE: Applicant must initial aIl spaces. Fill in all appropriate blanks and check all appropriate
boxes.
�� 1. I have received a copy of the system design including the City of Orono Septic
System Approval Cover Sheet.
2. I will be installing the following:
A Tanks: x Precast Concrete Other Manufacturer owN l,�J;��crt
Tank Capacities: 1) �000 Qal. 2) 150o gal 3) �000 gal
�p 1�.s yy�,�tt;-�10� U�.v►�+
B. Pump Station(if requued)
Pump make&model ��\� 1�-3� (attach pump curve&
literature); system design requires 35 gpm at 7 feet of head.
High water alazm make&model �'aw,� A.1ert . Outside
electrical work to be completed by installer_ � electrician other.
P„�mp �2 Zc�/t-�' B/u r�JC .�?y'�;c.r.� 33 c���
C. Treatment System:
Trenches: s.f. Mound
Depth of rock below pipe la " Rock bed dimensions �a ' x a 5 ' /F�oos�F�
Drop Boxes Sand bed dimensions ' x '
Distribution Box Pressure Dist. Pipe Diam. a" "
Manifold Pipe Diam. a" "
D. Final Cover/Topsoil to be: bonowed 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,
a�rees to do all work in strict accordance with ordinances of the City and the regulations of the State
of Minnesota.,and certifies th all s tements made on this a plication are complete,true and correct.
SignatureofApplicant � Date: /�-/7- v3
MPCA License No.__ � �'�l D
Staff Review: Approval � Denial
Reviewer: !1�'� ��� �G �`�--�_ Date• �C' '�'�'��"�
Reason for Deniat:
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< < SEPTIC SYSTEM APPROVAL
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C ITY of ORONO
r�y, �lS� Municipal Oftices
�.� .�G Street Address: Mailing Address:
`9�'EggOg' 2750 Kelley Parkway P.O. Box 66
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner Dave McMilan Phone (Home) (Wark)
Address 1640 Fox Street City Orono State MN Zip
Site Evaluator Steve Schirmers State License# 627 Phone# 763-497-3566
Type of Establishment: Single Family X Multi Family
Commercial Est. Gallons Per Day 900
No. Potential Bedrooms 6 Slope:
Depth of Sand: Upslope: Downslope: Soil Sizing Factor 2.0
Perc Rates P-1 6.7 P-2 11.4 P-3 7.3 P-4 9.2 P-5 P-6
Restricting Layer Depth B-1 38" B-2 38" B-3 18" B-4 B-5_ B-6T
Type of Treatment System:
Standard Alternative Other Performance X
Pressurized Mound System At-Grade System
Gravity Trenches System Pressurized Trench System
Gravity Trenches W/ Lift Pressurized Bed System X
Holding Tank W/Alarm
Septic Tank Size 1000,1500,1000 # of Tanks 3 Lift Tank Size 2000
Pump Brand GPM 53,25 Head 24,7
Treatment System:
Minimum 1800 Square Feet with 12 inches of rock below pipe
Bed (25*72� Mound Treatment Area
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 the
following conditions:
1) Pump and fill existin tg anks•
2) Must have si n�ed operatin� permit turned into citv before installation.
3) Alarm must be placed inside house.
4) Keep all water softner and iron filter discharge out of septic svstem.
� Variance to go with 13' of propert. l�e.
By: '�'''`'�a� (?����t.��,, � c� - �-`� '�3
Matt Bolterman, On-Site Systems Manager Date
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
l a�-P TFST/NG� �NC. Steven B. Schirmers • MPCA Cert.No. 627
951 Katydid Lane NE • St. Michaei, MN 55376 • (763) 497-3566
FAX (763) 497-5011
State License #394
Cl"I�l' (�i ;,i:� t.,�; ;
September 13, 2003 s F PTtC ��tiM t�T t��Ft� �<[�.��';t:��ti�
I'�'S['I�CTOR �y`'� /���..
DATE �B�Z��� PERMIT �u.
David McMillan '� �PPROVEp AS StiB�1tTTc:U
APPRUVGD W[TH COKRECTIOtiS AS NOTLU
1640 Fox Street NOT APPRQVED-CORRBCT&RF.SUH�tIT
Orono Henn. Co. MN �0������informntiun. All work shall bc duero
+ � }a f��omplfaa�wi!!�II nyplicrbte scptic rnd zoning cucle.
Aes�alranent�iaslwGcy�Nems net specilicalty notecl in�bic tGvie�r.
��w��r a�c a�rs�r�u.r�
This site has an existing on-site sewage treatment system which is classified as failed
by the City of Orono due to not meeting the required separation from the bottom of the
system and the seasonally saturated soil (mottled soil). Soil borings completed into the
system showed no sign of hydraulic overtoading at the time. The upgrade period will
need to be determined by the City of Orono.
This site has very limited space for placing a new system. Soil probing indicates a
mound system would be needed, but there is no area available to place a mound
system due to fill soil, drainage, & steep slopes. A Standard system under Minnesota
Chapter 7080 rules cannot be installed. The proposal is to install a Performance
System under Minnesota Chapter 7080.0179 rutes for a Type 1, six bedroom home.
The system will be a pressurized seepage bed with 1.5', 2.0' � 2.3' o#separation from
the bottom of the rock and the seasonally saturated soil (redox features}. The
maximum depth of the seepage bed will be elevation 98.0. A Class 1, Multi-Flo Aerobic
Wastewater Treatment System which is classified as standard under Minnesota
Chapter 7080 rules will be used or a unit that has positive filtration and an alarm
equivalent to a Multi-Flo Unit. The highly treated, filtered efftuent produced by the
Multi-Flo is over 95% free of the normal sewage contaminants that cause the
progressive failure of conventional systems. The unit will be a 1000 gal/day. A trash
trap is installed in front of the Multi-Flo. The unit �equires to be serviced 2 #imes a year
which will be done by Schirmers Wastewater Treatment Systems, tnc. A 2 year service
� parts warranty comes with the purchase of the unit. After that time, the homeowner is
required to carry a Service Contraet at $150.00 a year (2003 price). A report is sent to
the homeowner, city, MPCA 8� Multi-Flo yearly.
To install the Performance System, approval will be needed from the local unit of
Govemment. An aperating permit is required by the County. The permit will need to
include monitoring of the seepage bed for hydraulic overloading. This could be done at
1
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„�,�,_��Roo�s. xrnr�c�sF�nu�
o�s��oa�ts w����us a�sicN.
the same time the Multi-Flo is serviced. Lab samples will be needed to test for fecal
coliforms, recommend 1 time a year at a cost of$75.00 to $100.00 per test. The
samples must be less than 2000 colonies/100m1 of effluent. If the sample is greater
than this a new sample will need to be taken in 30 days. Inspection pipes will need to
be installed to the bottom of the sand filf and bottom of the rack bed.
The1st tank will be a 1000 gallon trash trap. The 2nd tank will be a 1500 gallon dosing
chamber (pump #1) which will dose 18.7 gallons every 30 minutes with a timer to the
Multi-Flo Unit. The effluent wifl flow gravity from the Multi-Ffo to the 2000 gallon
pumping chamber (pump #2) which will pressurize the seepage bed. The power supply
and switches must be located outside the manhole and pumping chamber in a weather
proof enclosure. A warning device must be installed with a light and sound device, this
is in case of a pump faifure.
The Mitigation Plan is If hydraulic overloading would occur, a timer could be installed to
reduce the amount of effluent pumped to the system and also by using the 2000 gallon
pumping chamber allows the effluent to be stored during peak use and pumped to the
system during low water use periods. The second would be to install holding tanks.
A water meter will need to be installed to monitor daily water use.
The soils at a depth of 18" have a percolation rate of 11.4 mpi.
All neighboring wells are located greater than 100' away from the proposed treatment
area.
Keep all heavy equipment off of the proposed treatment area before and after
construction. The treatment area should be marked off before construction. This
Design is not valid &the system wilf need to be relocated if failure to protect the areas
proposed for On-Site Sewage Treatment occurs.
2
Nothing other than human waste, toilet tissue, laundry, showers, water softener etc.
should be disposed of into the septic tanks. Iron filters must be diverted out of the
system. Recommend to divert the water softner also. Garbage disposals are not
recommended, due to adding more solids & fine solids passing through to the system.
Excessive amounts of soaps, anti-bacterial soaps, cleaning agents, shower cleaners
used every shower 8� chlorine agents may kill the bacteria needed to treat septic
effluent. Additives are not recommended. The trash trap, Multi-Flo and pumping
chamber will need to be pumped out when the setable solids reach 50% in the unit.
This will be determin�d at the time of the services.
�i� - �'�-
�
Steven B. Schirmers
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[k�'e=.�-/`LL/ld� Pti_f�Z-497-3566 '
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SET- BACKS ; , _. �,n_- --- ��r���-��-5��=��
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HOUSE System must be� �PL)a-�1 V�'���/ ✓ SoL��-�. �-5- -a"-�'�, ��s-�, _
Tank a�: from property Gnes �K�,��� ��SYS `�1 3 a�,�,�_`F''�E�+�C�s�a
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.� from welfs �-f�r4"�0�1- !9� x 33 �c i.o ; z� = �ISS c,.�c5
� ad from�bfdgs- � , � -Q�„�, ;
Treatmerit area = from lakes, �sireams
Treatment area � from property��nes � , �
It l�, Ls�o,from welfs s�<��'�o��'��1 Sv
��� frorri bldgs.
9�.S . �'from trees ote�Power supply�d switches must be in a weather SUIL BORING ELEVATIONS
.. proof encfosu�e- outside�Purnpin9 chomber.
' �t�f.o �s�f�.Sv��. TH"I EL.-52S
d0 min.— �o00�-,1 . _
- ►sv o u�►.���- " TH�2 EL.- °��.2
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o' �=���-_�_-' ' " 9�.1
5 t �°��., _- 'F`'° — _�1 S'- ^�� �..oW �.�.� �
Tan Tank . L__�-°'`?��--- ' Cxode�%siope TH 3EL.- .
- DroP to Tank _ � s�s�•�•�b�nn__ TH.4 El.-
�"' 9�'`' TH`5 EL.=
Min:i��to 8� �-Pi�mP+�9 "k
_ Maic.l�fo 4� �5�� -� ,� t�mber+r SEEPAGE -BEO 4��SS�ZZ��p ELEVAl10N at PROPOSED PUIJ(PING oZ
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� �wtc�. �t-1�vr��s�4 � a�,v� �� CHAMBER- o,o �-�,4�w�' �5•ca
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SYSTEM OESIGN
TYPE--=,(o BEpFZ00M - Percolation rate 1�. min./'nch (desic�3� -�l mirL/inch) '
Treatment area required w/i z of rock filte� material �J9�o J�iQsq.ft of trench bottom -
Number of fanks required� , Ist 1ank�ood gaL, 2nd tonk— gal. mininxxns _
'r''��ta. "1.���'C"
Cteon rock�cu.yds. ( 3/4�� to 2 I/2��dia.,includes 2��above pipe) '1z �`'.`�`����""'�" PftOPERTY OF• ������ 1''���t''���-�''�}�
8 'f 1 Y�1� + pe back droinage'�gal=')`�3 C) �co,p I�`-Z O '�X �'�''�{�
- p v v✓�4 � a Piimping chomber capadty= fl�/o of doily sewoge flow of 9i��got.=f 1 gol R��.slcxt�geC�ol:f Pi � �
G� ..� �.c;�'�.. ���,
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_ ( Rese�ve storage = t�al./ bedroom= `cSJ` yal- t pipe back dra'inage�-�'9a�-�►D�fiRft._ pipe-_length of pipe needed ap 9 ft =L2gaI.�
' c.s c,�-1►'kR-��= S 3 �•l /rn•�
' �,..iT1� �a Pump size ��2 hp w/me�cury float pump controls 'L-�S'� a _��r—�� ��� i� "
p,�MC� " �- JT 3— �� �,S ��t�w���. ,S'—pC TEST�NC�.' /,NC.
------- ---- ----- --
w�.� .5���.,�, Note� When constructing bed � , this area should. be shaped Note= Distance from t�hnent orea to neighbaing wells— Desi ned B ��'-"�� ' ' �% ' "-�- - -
io diverf run-off from entering treatment area. L���k�- -'�1�►�r�` Ivo f � 9 y�
Date��/L/�3 , PN. 612-497-3566
S-P TESTING� �NC. Steven B. Schirmers • MPCA Cert.No. 627
951 Katydid Lane NE • St. Michaei, MN 55376 • (763) 497-3566
FAX • (763) 497-5011
State License #394
LOGS OF SOIL BORINGS
David McMillan
1640 Fox St.
Orono, Henn. Co., MN
Borings completed on 8-25-03, with a hand bucket auger.
BORING NUMBER 1- Elev.99.5 - MOTTLED SOIL AT 38" - no standing water present in boring.
0 - 6" Topsoil dark brown loam 10YR 3/2
6" - 10" Gray brown loam 10YR 5/2
10" - 18" Yellowish brown clay loam 10YR 5/4
18" - 38" Yellowish brown loam 10YR 6/4
38" - 46" Rusty yellowish brown loam 10YR 6/4 - mottles 10YR 6/8
46" - 60" Rusty pale brown loam 10YR 6/3 - mottles 10YR 7/1, 10YR 6/8
BORING NUMBER 2- Elev.99.2 - MOTTLED SOIL AT 38" - no standing water present in the
boring.
0 - 6" Topsoil dark brown loam 10YR 3/2
6" - 10" Gray brown loam 10YR 5/2
10" - 26" Brown clay loam 10YR 5/3
26" - 32" Yellowish brown clay loam 10YR 5/6
32" - 38" Yellowish brown clay loam to loam 10YR 5/6
38" - 46" Rusty yellowish brown loam 10YR 6/4 - mott(es 10YR 6/8
46" - 60" Rusty yellowish brown loam 10YR 6/4 - mottles 10YR 7/1, 10YR 6/8
soil borings cont'd.
BORING NUMBER 3- Elev.99.1 - MOTTLED SOIL AT 18" - no standing water present in the
boring. �
0 - 6" Topsoil dark brown loam 10YR 3/2
6" - 12" Gray brown loam 10YR 5/2
12" - 18" Brown loam 10YR 5/3
18" - 32" Yellowish brown clay loam 10YR 5/4
32" - 36" Rusty yellowish brown clay loam 10YR 5/6 - mottles 10YR 7/1, 10YR 6/8
36" - 50" Rusty yellowish brown loam 10YR 5/6 - mottles 10YR 7/1, 10YR 6/8
50" - 60" Rusty pale brown loam 10YR 6/3 - mottles 10YR 7/1, 10YR 6/8
2
CEF:TIFICr�TION N0.627
STATE LICENSE N0.394
PERCOLATIDN TEST DATA SHEET
Percolation test readings made by S-P Testing, Inc. on 8-26-03 starting at 12:46�m•
Test hole location McMillan, 1640 Fox St., Orono.
Test hole number�. Date test hole was prepared g_25_03•
Depth of hole bottom�.$inches. Diameter of hole�inches.
SOIi DATA FROM TEST HOLE
DEPTH,INCHES SOIL TEXTURE
0 - 6" Topsoil dark brown loam
6" - 10" Gray brown loam
10" - 18" Yellowish brown clay loam
Method of scratching sidewall is�i �. Depth of gravel in bottom of hole is��. Date and hour of initial
water filling 8-25-03T.1:OOpm. Depth of initial water filling is 12 inches above the hole bottom.
Method used to maintain at least 12 inches of water depth in hole for at least 4 hours is automatic si�hon.
Maximum water depth above hole bottom during test is�inches.
i Measurement, Drop in water level, Percolation rate, I
Time Time interval,min inches inches minutes r inch Remarks �
12:36 refill 6 � __
� 12:46 I _ 1:16 _ 6 4-1/2 6.7 _ 30 min__�
� - I
I _ 1:21 _ 1:51 _ 6 4-1/2 6.7 � 30 min �
I_ --
1:52 2:22 6 4-1/2 6.7 30 min
Percolation rate=�minutes per inch.
CEF'.TIFICATION N0.627
STATE LICENSE N0.394
PERCOLATION TEST DATA SHEET
Percolation test readings made by S-P Testing,,Inc. on 5-26-03 starting at 12:47pm•
Test hole location McMill�n, 1640 Fox St., Orono.
Test hole number�. Date test hole was prepazed g_25_03•
Depth of hole bottom 1$inches. Diameter of hole �inches.
�OII, DATA FROM TEST HOL.�
DEPTH,INCHES SOIL TEXTURE
0 - 6" Topsoil dark brown loam
6" - 10" Gr�brown loam
10" - 18" Brown clay loam
Method of scratching sidewall is�i �. Depth of gravel in bottom of hole is�.inches. Date and hour of initial
water filling 8-25-03�1:OO�m. Depth of initial water filling is 12 inches above the hole bottom.
Method used to maintain at least 12 inches of water depth in hole for at least 4 hours is automatic siphon.
Maximum water depth above hole bottom during test is�inches.
' � � Measurement, Drop in water level, Percolation rate, � �
I Time Time interval,min inches inches minutes er inch � Remarks (
i -----;
I -�---- I
� 12:36 refill 6 _ ____ I
F !
�
�_ 12:47 1:17 _ 6 _ 2-5/8 11.4 30 min ___ i
I 1:20 1:50 6 2-5/8 11.4 � ___30 m i n _ ;
i I �
�_ 1:53 � 2:23 6 � 2-5/8 11.4 ____30 min_
Percolation rate=11,�minutes per inch.
CEI�TIFIC�TION N0.627
STATE LICENSE N0.394
PERCOLATION TEST DATA SHEET
Percolation test readings made by S-P Testing,Inc. on 8-26-03 starting at 12:4g�m.
Test hole location�,McMiLlan 1640 Fox Sty.Orono.
Test hole number�. Date test hole was prepared g_25_03•
Depth of hole bottom 1$inches. Diameter of hole�inches.
�OIL DATA FROM TEST HOLE
DEPTH,INCHES SOIL TEXTURE
0 - 6" Topsoil dark brown loam
6" - 12" Gray brown loam
12" - 18" Brown loam
Method of scratching sidewall is 1��. Depth of gravel in bottom of hole is�. Date and hour of initial
water filling -2�03, 1:OOnm. Depth of initial water filling is 12 inches above the hole bottom.
Method used to mainta.in at least 12 inches of water depth in hole for at least 4 hours is.automatic sinhon.
Maximum water depth above hole bottom during test is�inches.
I ' Measurement, Drop in water level, Percolation rate, j
Time � Time interval,min inches inches minutes er inch Remarks
� , � �
�__ 12:36__ � refill 6 _-- -__-�
-- ,
���--- 12:48 _ �, 1:18 ! 6 � -_- 4-1/8 7.3 30 min .i
� � � ',
�I� 1:19 �� 1:49 i 6 _ II 4-1/8 7.3 , 30 min --�
� �I � �— 'i
��_ 1:54 2:24 � 6 4-1/8 , 7.3 I, 30 min__�
�, � I I
� ,
� � ---�— -�
Percolation rate=7�.�'ninutes per inch.
TRENCH ANI3 BED WORKSHEET ,
�1. �1 VFRAGE DESIGN FLOW A-1: Estimatad Sawafla Flow�in Gallons per Day
A. Estimated � D� gpd(see figure A-1) num or o
or measured x �(sa e actor)= d badrooms ciou i ciau n ciaa iu aa�iv
f�✓f � 2 300 225 180 60%
B. Septic tank capacity o n o allons(see figure C-1) 3 aso aoo 2i a or me
' fTb}� �`7 4 600 375 256 values
5 750 450 294 In the
2. SOILS (Site evaluation data) a 900 525 ss2 ciass i,
C. Depth to restricting layer= 9 te.� feet > >� � 3�o u,or m
D. Max depth of system Item 2C-3 ft= ft-3 ft= � � ft 8 �� b�s aos columns.
1, S, �.o� �.3 5��'"�'�F'!�^S)V�•
E. Textuze ��-�`� Lp'Awl Percolation rate 11.y MPI
F. Soil Sizing Factor(SSF) �.d sqft/gpd(see figure D-15)
(�,. %Land Slope % �� ' �s�•'"�+*'► C-1: Se tic Tank Ca acides in allons
3. TRENCH or BED BOTTOM AREA Number of Minimum li uid Li uid ca aci W�� Liquid capacity
Bedrooms Capacity9 garba a�sry�i W��disposal&
H. For trenches with 6 inches of rock below the pipe: g P° lift inside
A x F=�pd x sqft/gpd = sqft 2o�ioss �so >>u ��
I. For trenches with 12 inches of rock below the pipe: 3 ora �000 �soo Z�
5 or 6 1500 2250 3�
A x F x 0.8 = gpd x sqft/gpd x 0.8= sqft 7,s or 9 z000 3000
J. For trenches with 18 inches of rock below the pipe:
A x F x 0.66=e Cj X S ft� C�X�.66= s ff D-15: Soil Characteristics and Soil Sizing
P 9 � q Factor(SSF)(>3'ee aration)
K. For trenches with 24 inches of rock below the pipe: r..�o�.�:o�R.�. Soil Sizing Factor
A x F x 0.6=end x sqft/gpd x 0.6= sqft m�utes per inch So►�T.x�,.r� w�a FKfty°"°"
L. For pravi{-��beds with 6 or 12 inches of rock below the i e• f.�«�w.�,o.�• c�..x�^d o.�
p `J PP � O.1to5 M«d'u��dd 0.83
1.5 x A x F= 1.5 x�,e,ud x sqft/gpd = sqft o.,�os•• Finesand �.6�
6 to 15 Sandy loam 7.27
For pressure beds with 6 or 12 inches of rock below the pipe; �6�e� Loem
AxF= p,�,� ,,,.,dx �.t� s ft/ d = S��Os ft 3��045 � 2
--i�--bY q $P q ae�0 6o ci:y io,�„ 2zo
s,�dy d.y
s�ity�i.y
4. DISTRIBUTION(Check all that apply) over 61 to 720"' �dY���Y ..zo
�Bed (<6%slope) Drop boxes (any slope) � Rock slower than 120"••s''�'�''Y
Trenches Distribution box (<3%) Chamber • �sY.«ms or rapi y permta �.o�g:
preasure distribuHon or senal distribuNon with
Pressure Gravit Gravelless �o trench>25%of the total system.
Y •'Soil having 50%.or more fine sand pius very fine sand
•'•A mound mu�[be used.
"'An other or per(ormance ry�tem must br used
5. SYSTEM WIDTH,LENGTH and VOLUME
M. Select trench width= ft D-9: Soil Characteristics and Soil sizing
factors(SSF)for Gravelless Pipe
N. If using rock,divide bottom area by width: (H�1�J�K OT L�=M= percolation rete lineal feet/
SClft= ft= lineal feet (minutes/inch) soil texture gallon/day
Rock de th below distrib tion i e lus 0.5 foot times bottom area: Fas�e<<n�,o.i• Coarse Sand —
p �-� P�P P 0.1 to 5 Medium Sand 0.28
Rock de th in f et+9�t'eet x Area (H,I,J,K,or L) c.a�,�,y sar,a
p �.� 0.1 to 5 Fine Sand•• 0.6
( /,0 ft+(�=�'ft)x 4SL o a sqft=a3y Q cuft 6�o ls Sandy Loam o.az
]6 to 30 Loam 0.56
Volume in cubic yards=volume in cuft divided by 27 3]to45 Silt Loam o.b�
suc
�34 t� cuft=27=`�Zcuyds as�o eo cia Loam(CL) oaa
Weight of rock in tons =cubic yards times 1.4 �si�ci _
slower than 60•' C ay
�5 7 cuyds x 1.4=1�� tons Sandy Clay
s;�ry ciay
O. If using 10"Gravelless Pipe, Flow (A)x Gravelless SSF(see figure D-9)
5oil too coarse for sewage treatment.
�pC�X lineal feet/gpd = lineal feet Use systems for rapidlype rmeable soils.
"Soil having 50%or more Ti�sand+very fine sand.
P. If using Chambers,H,I,J,or K (based on height of chamber slats)= ••5oil with too high a percentage of clay fo�
width of chamber in feet(M) instauation of a standard inground system.
sqft+ ft= lineal feet o-,o.Q �kx��kF+brk
`'°'� s�::�:: �z-�«e.a
a::s`�s`5�. . q:,
6. LAWN AREA 4:�4�' .b���b� f,•a.��;,� a`�
s.'s::o. ;.�s � 9��
Q. Select trench spacing,center to center= feet b;a:�; ..•.a,' "
�,�,b�..4...,b'wb;,b,
R. Multiply trench spacing by lineal feet R x Q=sqft of lawn area °::�:qs�:Y:4•e��:�;�;
4 y'.,'e�bYb:,bi e;y:;q;d
�_ft x 72- lineal feet=�4S 0 t� sqft <s==�=`qy�`o�o~` 6-24"Ro�x �.a►�
onb�°'��:Y,b'�4:bwb a�� 3�4-21�2��
:s::c=.�s::b,:a.�o,.o:a.
o1's:�:s:.o,;G;o b;•'y��'s,�� •
o:�DY��$_S��bi: c�.o=aF
7. LAYOUT a�;��������'s=s•�
1&36'Wdlh
Include a drawing with scale (one inch=��feet). Show pertinent property boundaries,rights-of-way,ease-
ments, location of house, garage,driveway,and all other improvements, existing or proposed soil treatment system,
well and dimensions of all elevations,setbacks and separation distances.
I hereby certify that I have mpleted this work in accordance with applicable ordinances, rules and laws.
,i` �^--- ��' � � � (signature) 3�� (license#) �' ��3—�3 (date)
� .
PRESSURE DISTRIBUTION SYSTEM Geotextile fabric
1. Select number of perforated laterals_�_ 12�
uarter inch erforations s aced�3'
, .9"of,rock
2. Select perforation spacing= '�• D ft '
Perf Sizing 3/16"-1/4"
3. Since perforations should not be placed closer than 1 foot to Perf Spacing 1.5'-s'
the edge of the rock layer (see diagram),subtract 2 feet from
the rock layer length. E-4: Maximum ailowable number of 1/4-inch perforations
perlcrteral to guarantee<l OX discharge variation
ay�eng '2 ft = �n ft pertoraflon
apac(ng
4. Determine the number of spaces between perforations. }eet 1 inch 1.25 inch 1.5 inch 2.o inch
Divide the length(3)by perforation spacing(2) and round
��to nearest whole number. 2,5 8 14 18 28
Perforation spacing= �� ft+�.ft=�_spaces 3.0 8 13 17 26
3.3 7 12 16 25
5. Number of perforations is equal to one plus the number of Q p � �� 15 23
perforation spaces(4). Check figure E-4 to assure the number of 5.0 6 10 14 22
perforations per lateral guarantees <10% discharge variation.
� � spaces + 1 =��perforations/lateral E-6: Pertoration Dischorge in gpm
6. A. Total number of perforations = perforations per lateral (5) perforation diameter
times number of laterals (1) head �nches
� (feet) 3/16 7/32 1/4
�.�perfs/lat x�lat=�_perforations 1.Oa 0.42 0.56 0.74
B. Calculate the square footage per perforation. 2,Ob 0.59 0.80 1.04
Should be 6-10 sqft/perf. Does not apply to at-grades.
Rock bed area = rock width (ft) x rock length(ft) 5.0 0.94 1.26 1,65
a s ft x_2'3.`ft= O�7 sqft ° Use 1.0 fooT for single-family homes.
Square foot per perforation =Rock bed area +number of perfs (6) b Use 2.0 feet for an ni� Qise.
_l�i�sqft+�_perfs = 1 K GI sqft/perf MANIFOLD IOCATEO AT END OF PRESSUNE DiSTRIBUT10N SYSTEM
7. Determule required flow rate by multiplying the total number of
perforations (6A) by flow per perforation(see figure E-6) ��
°� SCs Qvm/ erfs = S3 m .�.��
� perfs x r„v p gp •.
8. If laterals are connected to header pipe as shown on upper ���,,,����d��„�
example,to select rninimum required latera�diameter;enter \���,�d�
figure E-4 with perforation spacing (2) and number of perforations
per lateral (5) Select minimum diameter for ,,,,�,.„K1IIOMT[D►D[L�TCIU�S�ON
perforated lateral= inches. .�Es�e o�s*��.�T�� W MWND
n�ra..no RYTK�M[
9. If perforated lateral system is attached to manifold pipe near �K_�,,,,,�,.,a,,,• „���`
�N, ���y.:K"�»�4n t�°" �K''i°r
the center,lower diagram,perforated lateral length (3) and t,,;.K o
number of perforations per lateral (5)will be approximately one K�.�;s�.�;�p..�a
half of that in step 8. Using these values, select minimum �°\ �" • •.,;���;�„�p,
diameter for perforated lateral= a�D inches. �� �,
. �/fl0 lu��It � �. ._n
` ���M
d
:�
I hereby certify that I have comple ed this work in accordance with applicable ordinances, rules and laws.
�� • � � (signature) 3"� � (license#) `� '� �'� (date)
., � �'UMP SELECTIOI�T�P�Z�C�D�J�RE� `
� ��� ��
1. Dete-rxnirte pump capacity:
,.A�,..A. Gravity d�istribution ,
1. Miniinum'requiY'ed discharge is 10 gpm .
2. Maximum suggested'discharge is 45 g�m. For other
. _
establishxnents at:least 1�%: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 press,ure distribution work sheet
From A or B. Selected'pump capacity: �!gp�
2. Determine pum� head:requirements: t�s��--�-'�
spU.#c�a#�ea�t system
A. Elevatiori difference between pump az1d point of discharge? . &��.��p�ge
�_feet o�va°9p°:d;: `��
total Ipe
B. Special head requiremerit?(See Figure at right-Special Head Requirements) � lengt
� 2A,elevatfon
feet pipe ;# difference
' C. Calculate Friction loss . ..._... .. .
1. Selett.pipe diameter'�_in .._..._ -------------------------- ----4SS�
2. Enter Figure E-9 with gpm(1A or B) and pipe diameter(C1).
Read frittion`lossin feetper 100 feet from Figure E-9 S,pec�al 'Head Requirements
�� �t 1_,ft/•100ft of pipe Gravity Distribution 0 ft
Friction�Loss=• � Pressure Disfribution 5 ft
3. Determine total pxpe length fr�m piunp discharge to soil treatrnent �
discharge point.EStirnate by adding 25 percent to pipe length far �
fitting loss. Totalpipe length times 1.25=equivalent pipe length E-9; Frlction Loss In:Plastic Pipe
��feet x 1.35 = L� feet � Per t 00 feet
4. C a l c u late total friction loss b.y multiplying friction loss (C2) � nominat
and divide b 100. � p ipe d f a m e t e r
in ft/100 ft,by:.the equivalent.pipe length(C3) Y flow rate 1.5" 2" 3"
_ ;1 ft/100ft x�_+100= � ft m
D. Total head required is.the sum of elevation difference (A),speci�l�� 20 � 2:47 0.73 0.11
25 3.73 1,11 0.16
head xequirements.($),ar�d�total friction loss (C4) 30 5.23 1.55 0,23
(,o ft+ . -` ��}+�t- 35 6,96 2.06 0.30
Total head: 'Z_ �feet ao a.9� 2.ba o.39
45 11,07 3.28 0.48
3. Purnp selection 50 �s,46 3.99 0.58
�5 4J6 OJO
p,pump must be selected to deliver at least�gp� bp 5.60 0,82
(lA or B)with at least�.._feet of total head (2D) 65 6.48 0.95
� ' 70 7.44 1,09
I hereby certify that I have com leted.this work in accordance with applicabl�ordinances, �:rules and laws.
��; {j��i . � (signature) _���(license#) � ' �3�''C?3 (date)
r .�,�.
, � PUMP SELECTIOI`�T�PROC�DIJRE� '
1. Dete-ramine pump capacity:
��w�� '�" vZ
,�-...A. Gravity d�istribution
1, Ivl;nimum'required discharge is 10 gpm .
2. Maximum suggested'discharge is 45 g�m. For other
establishzx��nts at:least 1�%:�re�ter thazi the water supply rate,
but no fastez than the rate at which effluent will flow out of the .
distribution device. � •
B. Pressure distribution �
See press,u.re distribution work sheet
From A or B. SeIected'pump capacity: 5� _gpm
2. Determine pumg head;.requirements:
soil treatment system
A. Elevatiozi difference between pump and point of discharge? � &polnt of discharge
feet Q�p4°�a°:ae �
, � ' aeA = �
----1----
total pipe
B. Special head requirement?(See Figure at righf-Specidl Head Requirements) � lengt
feet 2A,elevatlon
_ �S _ Inlet • difference
�
� C. Calculate Friction loss � pipe a
1. Sele�t.pipe cliameter' �• in .....� -------------------------- ------���
2. Enter Figure E-9 with gpm(1A or B) and pipe diameter(C1). ' "
Readfriction,lossinfeetper100feetfromFigureE-9 SpecTal `Head Requirements
�,�ft/�100ft of pipe Gravity Distribution 0 ft
Frictiori�Loss=� • � Pressure Disfribut(on 5 tt
3. Determine total pxpe length fram pump discharge to soil treatment : .
discharge point.Estimate by adding 25 percent to pipe length for
fittin loss. Total pipe length times 1.25=equivalent pipe length ,E-9; Fr(ction Loss in:Piostfc Pipe
�feet x 1.25 = � 1pl feet - Per 100 feet
4. Cal`culate total friction loss by multiplying friction loss (C2) nomtnot
in ft/100 ft,by.the equivalent.pipe length (C3) and divide by 100. � pipe diameter
tiow rate 1.5" 2° 3"
- �-). S ft/100ft x / a % +100= .=ft m
D. Total head required is.the sum of elevation difference (A�,special�� 20 2;47 0.73 0.11
25 3.73 1.11 0,16
head requirements.($),and�total friction loss (C4) 30 5.23 1.55 0,23
1 � _.ft+ . � _f�+ r _.ft= 35 6.96 2.06 0,30
Total head: a �feet ao s.9� 2.ba a39
45 11,07 3.28 0,48
3. Pump selectiOn 50 13,46 3.99 0,58
55 4J6 0.70
A pump must be selected to deliver at least__��p� 60 5.60 0.82
(lA or B) with at least�_feet of total head (2D) 65 6.48 0.95
. 70 7.44 1.09
I hereby certify that.I have completed,this work in accordance with applicabl�ordinances, :�rules and laws.
r 3 ai license#) "1-13�'p3 (date)
�� � F
� � (signature) �I � �
� , 1 � , i � ' . .
SURGE BOWL
INLET OUTLET
ACCESS � I II FILTER
COVER � FILTER HANGER
PLATE
EFFLUENT
WEIR
�----ACCESS COVER
PLAN VIEW
DOME ASSY.
ACCESS COVER
POWER SUPPLY GRADE
CABLE 4"P.V.C.
� OUTLET
CABLE TO SURGE BOWL
ALARM BOX
4"P.V.C.
INLET 4"P.V.C.OUTLET
I BASIN
EFFLUENT WEIR 93"
82'/:'
FILTER TUBES
OUTLET END ELEVATION
SUBMERSIBLE
AERATORS
_i
78" MULT/ FLO
I DAYTON,OHIO
ELEVATION SECTION 1000 GPD pEV'D DATE s�uE
DATE 5-22-&S
Multi-Flo Unit DqN
DMWIN6 HVMBER
4
�
(
. I' �
�} V�'A-
( I�z�' �AooJf
5�5�•
_ �
• MtLT[-FLO
- - _� ,r_.___ �
l 1/2 or Z essure llne
. �1 �`
�� �� I� � -y- _'�"_%�tiUU�-
���a._ o� a.__ X_� ��4L1 G'� q- INLET F-4B �:
DIAGRAM DEPICTING ANTI—SIPHON PLUMBING
_. HOOKIJP FOR DOSING MULTI—FLO. c,�� -f�t���. .
M�LTI-FLO WISCO��ISIN rev 0�/96
, � � �
F-R '
.....�.��� . i,'
. . �i, ':+i
REq�w�oo, cEoa� or� ,
WATER TIGHT 8� LOCKABLE EL.ECTRIC 80X—� �T���� C'OST 4 x 4 min)
PIUGS OR ELEGTRIC CONNECTIONS (N D � OXRIC CONNECTIONS M1lDE
,2' PVC CONDUIT SCHEDULE 80 �" LOOP OF POWER CORD FOR
MANHOLE COVER CHAINED �:LOCKED 6�SP� SETTLEMENT
SEAIED M�WHOLE RiNGS F NA GRADE
- • � AT LEAST 12' '
BELOW GRADE
UNI ON
WIRE FROM POWER SUPPLY
- PIPE IS LAIO ON A UNIFORM SLOPE FROM
• /�� , FOR PROPER ORAINBACK�� TREA7MENT l�REA
SEAI.ED TANK COVER �—IF PIPE AT TANK MUST BE LOWER THAN
UNION, TO GET ELEVATION FOR ORAINBACK,
P.l1a5TIC ROPE OR CHAIN A �/4 INCH WEEP HOLE MUST OE USED
W17H ANCHOR—\, — Y�EEP HOLE
ALELECTRI�Al ONRCUIPT RATE
NOTES� EIECTRICAL WIRE FROM POWER SUP.PLY
� MtiST NOT RUN OVER ANY TANKS BUT
,SI9RT_�-V�-9- - �'r� - — MUST BE LAID BESIDE 071IER TANKS
,, 3�� �� _ AND MUST 8E PLl10ED IN CONOUIT
. AIONG POST _
sH4L-9Ff�.��.—Q— - - — EI.ECTRICAI. GORDS FROM PUMP AND
FLOATS MUST BE RUN THROUGH
CONDUIT. WIRES CANNOT HAVE GROUND
PUMP CONTROL Fl.OAt CONTACT.
��� ;
Figure F-8
METAL
COVER
�_ _.+:, •Y; '�" �� � :�;' -y
; +l I�� .i -•� �, �.v,,. y
� .t�:.• f: t .
I , j � ' A I
— — � � ��.;�•:r_:r•:.. I
,. _ __ , �
, ,�y_
CONCRETE ,,+�'
MANHOLE
RING
METHODS OF SE uNAIUTHORiZEDLENTRYER TO PREVENT
Figurc C-14
MULT/•FLO
A Divlsfon ot Cor�eolidated Treatrnent Syetertre,Inc.
iNSTALLATION REPORT
DATE INSTALLED ���'� � �'U� GPD SI2E �(�O C7 SERIAL # � , ��� , �
�U-SP�'lJ v• �1��OY� �$'E0.��
OWNERNSER S�t�tt� 1�'✓�G.YYI l L��^�.�� PHONE # � ' �(,�� �' 7 a�� --�7�U
ADDRESS: Street J (py,(� 'F(� � ��
City �O�Q County ti-}'�%'�}.� , State � �. Zip �Z
LOCATION
DIRECTION: D"'�.C7�C?. C7R-tr�,a-14"�j� Yl.s .Tl)_ '��C �'�L '1,17 l.U�irT S''�)J1�1E
�7Q D� "�l L'�'� I�b�-t' '��C�O� `�`�V�.
MULTI-FLO DEALER �}�'�j✓��-� W�c,� �� PHONE # 7(03 � ���7 � �S�c�i
ADDRESS: Street Q s 1 1G1�S`�C71 p 1...1a• 1•��.
City �. M��,1.�-�� County ►,�'Q►����{ State M � Zip ���3?t�
T�+A�w1b� D6 . � H�ti� . t� � SH�.��a�Cv,, f4�.tulc-�4- �o,
APPROViNG HEALTH DEPT. L 1-��.{ r}� ���S.Q
ADDRESS: Street '�?O $�� Le(v
city L�S�Tb�.�,�4� county �� o Sta�e�Y1 �j zip ,�;�'�
SITE DATA
TERRAIN: HILZY FLAT LOW
TYPE. OF DISCHARGE: SURFACE DZRECT INTQ __
SPRAY IRRIGATION RETAINED ON SITE �_
SUBSURFACE # FT. FIELD LINES ��00 SQFC"
, Tb'��'p.
FACILITY DATA
NO. BEDROOMS �p NO. ETJLL BATHS v NO. HALF BATHS
DISHWASHER � GARBAGE DISPOSAL � WATER SOFTENER �
ESTTMATED FLOW PER DAY g'�(1, /
OTHER DETAILS AND INFORMATION: '¢��str��/y1 fA•�.�,+� S�S�[�i'N�'!_ /,STO a��3�S��p�.1
/Ut.�+f9�•� 't'��1�► �f'�t't�'P 1'SSnO �1 �S��a �S1AM�.u.1/T wf�''�.. — vYl�.1VC>—'fr'1..0 'e"'
amoc� co�1 �Ptitw►Q ��Aw�6�.�. - �s�aQ sc9,.�C'" s�P,ar�.��O•
ELEVATION EFFLUENT DISCHARGE LAYOUT - AERIAL VIEW
(ShoW ocation of Facility of Plant Inatallation)
�800 Sc�:F�C �
S'fr��4,4t,� C3 f�o
HOUSE I So09u� �,
µ I ���� i i i
�_ ' ; �a�$��,Q 2 ,e�
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10�0 oy.,)
h+v�rSl-4w 1 u o 0 0�.l
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R�r,4,� �g-,a-R
M���'I��O Please return to: Consolidated Treatment Systems, Inc.
1501 Commerce Center Drive
Franklin, Ohio 45005
ADNisionofConsolidatedTreatmeMSystems,lnc. (937) 746-2727, Fax: (937) 746-1446
� ^ , Authori=ed Distributor For
��hirnrxers 'Wasticwa�er Treatment S stems, �Ix�c. ���;.� �� ��,��j��,�
951 Katydrd�C:ane������:�N(fc�iae�, � ��'�'� • ���49-5� ,AE�ar�oN SERVICE
. FAX(?63) . �.. . •�ALES &
. Su�,� �. 1���k�� ��a�``..QENERAL INFORMATION '
OWNER �� M�M� 11`�� — RESIDENT ,
+- �t(�R
ADDRESS � G4 D ' Cf d� S���'�'+ ' �'4 n O - COUa$
. � -��a� PHONE `�a 7 - I�7"3�
D�TE OF INSPECTION
.
UN(T INFORMATION • '
T/1NKN0. � TYPEOFTANK.
I��� I�O.OF MOTORS SER.NUMBER U' � �
. . . �C�3ECK LIST . . 2 �� � � �O
3 O� � 0 ,
Trk� M1xAd Llqvor semplA C� 0- .-.--- OO O
c�+ck nta.� sy�c«n ______ —.�---- 4
turn orr ra+�.r �Q9 Q ' I O
ain,e sur90 Ba+t � O • ` O � O
Ins�ct Eff1uant Qusllty a� __..----- O� /�` QO
Vacuvm FM1r and F�lt�rs .
� Weah Filtan — .
Inapxt/RePlac� Top Gask�t _ � , �.. OO O O �O .
1ntcK`��/R�Plecv Bottan " �•--•—
Inepact slar+n S�n�ors --�--�— .
, .�.��� O O O
Inspect Mrstor • � �.—.— ,
lurn F'a+er On •
CORREC'TIONS R�COMMLNUGD: � REPLACED FILTERS�
. REPLACE EXPANDERS� ,
COMMENTS
' � TESTINa INFORMATION �
1:N F.1ELD 7EST3 TE3T81TJ�LABORATOAY • .
PH TEMP_ � B.0.0. �
0.0. � � D.O._ _
C.O.D. _ � • „ FECAL COL�FORMS
SE:TTt.LT�1BL�L� SOLIQS 96 = SWSPENDED SOUDS
. � �
-1�-�-.�, , ,,.� UCENSE NUMBER 3�J .
SIC3NATURE�OF SERVICE OR REPAIRMMN •
. SyS�M �.�y . , .
' WHRE/Heellh DeP� YELLOW/811�1np Flts � PINK/MdM�n�nos
� ���hirrx�ers �astewatcr Treatment`Systems, �Yr�c. ;��; � � �� ��,����g;�
� AERATI�N EQUIPMENT
951 Katydl'd��Lane����S�:;Nffc�i�ae�, ���'�`�����3f 4�'��5��� ,
. FAX (763) 497-5��� :�ALES & SEf�VICE
•GENERAL INFORMATION -
OWNER S145 i4�_A-1�4�C�t.l` 1./� ������jDENT ,
ADDRESS .���`i.0 '�0� �•.!'�'�"""• ' p"�t?!��� t CO�oU�TY.���--
DnTE OF INSPECTION
11 1`d—DL) PHONE���- I�3D
UNIT INFORMATION � ' �
T/1NK NO.
TYPEOFTANK.��Oc� NO.OFMOTORS �..--- S�NUMBER V�� '
� . CHECK LIST . , 2 .� • � O
� p�,4 pe� 3oecs. Meed Attnf O 3 �
Trko M1xAd Llquor sampls � L� ._._._-- O 8 O /�O
C h e e k A la►,n S y s E a n � .�._._. ...-:-- O O U O
Tur n 0 f f P o ti+e r =.
R,,;,e s�roo ea., -- .� � � A � B. � 05
Inspect Effiuent Qua11ly 'f'� G� �....�_- O� / \ yQ O
Vaa�um Wit i r and F 1•1 t�►�s '"'"' • 6 • C
� Hnsh F1lters ,
Inspxt/Replace Top Gask�t _"; ��� .�.--- �.. OO O O � s
In�perct/Rnplecs 8ottan " ''� �_ �-- � O
Ins�ct alarn+ S�nwrs """ �� �---- ' O
Inspect llerator . �. .------- • O O S
Turn I'owor On � •
CURRCCTIONS It�COMML•NUCD: � REPLACED FI�.TERS�
�a��`'�� � m��='K�� �� REPLACE EXPANDERS# ,
3 t �� ����� L,� COMMENTS
— -��� �1'C�`
' � TESTlNQ INFDRMATION �
I:N F,IELD 7E37S . TEST8IN�LAB.ORATOAY • �
TEMP._._ � B.0.0. ��'I a�� �� .
PH - D.O. •
0.0, ' � FECAL COUFORMS L �p ��C����� �i
C.O.D. _ ' " SWSPENDED SOUDS -
SETTI,LnBL�C SOLiQS 9b=
�� �,,� � � .��--�=�- . ENSE NUMBER 3���.
'�"'" "��- ..,�� UC ,
SIONATURE�OF SERVICE OR REPAIRMAN •
�`��'S�"�i`��'� `CJ'�'�\ .
' WHITE/Heellh OepL YELLOW/elltinp FII� � PINK/Mainl�nanc�
11/20/2009 21:58 FA% T634973566 SP TESTING INC IQ 02
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Ci of Orono INDIVIDUAL SEWAGE
P,O Bnx 66 TREATM�+NT SYSTEM
Cry ta�Bay,Nnv s53s6 OPERATING PERMIT RECE�����
(952 249-4600 APPLYCATION
DEC p 1 2003
uSa�r. V,f�v�,�n ITY UF pRpNO
O er's Name: po►�i i d.�'VMGY1Ai l�a�r� pate Issued: I a-�--U 3
Fac lity Name: Expiration Date: i�-�3 -�`�
Str Address of Svstem• 4� FoX Si"
Ci /Zip Code: �3esi�1_:, , -� Telephone: 1--Z08—ti a�--17 3e
�-��w ,}�3�'�
+t� t4e owners rapon�ibility tn rooew tLe Operatieg Peetioit with t6e City of Orona ll du
O tins Pormit explres writhout renewai,tbe eeptie syste�will be eoasider+ed�oa-eompti�ot,
1.De 'led descriptiun of the Individual Sewagc Treatmeni System,its operation aad
m ' tenance requirements. Include all manufactures'recommendations for installation and
mai tenance. Attach all copies of design speciCcations,calcuiations,:site evaluation,and
se ice contrects as well.
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2. Pe onnance requireme�nts and monitoring frequency:( Penametets req ' aMt�aI mOtli�Dring
at a inimum. Other parameters maybc reqaired based on the situadon an Iist aay addition8!
p eters not given in the table in the provided blank boxes.) '
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+Fio N •xt:,.. Dsily'Avera�e .A�oaldy --
•Tota Fecal Ave.2000 �� ' � ��Y
Colif cobnies/100 ml ( I ,
af effluent � ' � f
5-day BOb ' j
Totel I
Phos orus � �
Total iarogen I
TS5 � I '
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•Uns wrated � ' � Annualiy � ��Y
Soil pth �.r'' �Z.3 i
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11/20/200a 21:58 FAR 76�4879566 SP TESTIN6 INC WJ. 03
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CO IItS: —1�� I�l� �' S TS �p r�J�- C U c�d 1�-. ;c�-�:
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P REsponsible for Monitoring: S- P T-e4#i r.ti, �w�,,•
Ad ss: �' � Ka�.�d�d 1tw.� N�
City ip Code: • ' SS
Tele hone: ` - � '3 S` b'
Si ture of Person Responsible fot�nitorinB:
3. M ntenance Requirements: (List any additivnal requiranerns far this system. Exnmples may
incl dc E�lueat filter cte.aning/replaccment or pump and alatm oomponents•)
S ge All septic ttnks
Retn val/mea9ut+cment
�� `' .? �"
S ' �u.a�L� �ogo
Co ts-
Per n Responsi'ble for Maintenance:,__�`'�- '--�a�v LIUG��1��'L.Ti��a�ia��" `'"�' �'
aa e5g:, qr ��-t: d� ( w�.a
Ci /Zip Cod�e: -� "�
Tel hone:�� - '�' � t^�
Si of Person Responsible for Monitoring�
4. ' 'gation Pla�n: (List any additional component in boxee provided.)
P p/alacm c� - '7 (l�u.�
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tlizuizuul� [1:58 FA% 76�497a588 SP TESTING INC C�04
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Co nts: �-� S���� L S �S fiC�� � o�S �o r p e,c��< <--, t��
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Pcrs n Responsible for Mitigation: SuSav� V�N�on,— _� .»�.,.`,
Add ess: _ tL40 �fl�ll � ; �
City ip Code: � �
Telc hone: � 'I '
Sign ture of Person Respo►isible for Miti�ation: '
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5. Re rting requirements:All monitoring results collected during each year shall be
summ '2ed and submitted by expiration date of the operating pernut to: '
� � ,
City o Orono ; , I
2750 elley Parkway �� ! I
P.O.B x 66 i � ; i
Cryst Bay,MNi55356 I
i
The son conducting the monitoring and the owner shall sign the annual inonitoring results.
. ; ,
All s pling and�laboratory testing procedures,if required, shall be performed in accordance
with astewater Standard Methods. '
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6.No compliance: � ,
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Violat on: ' ;
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11/20/2009 21:58 FAX 7834973566 SP TESTING INC �OS
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Notifi ation:
Y here y certify with my signature, as the Designe�,that al! data for the operating pemut
appli tion is mie and conect the best of my knowledgc. I egree to irtdemnify and save City of
Oron harmless from all losses,damages,costs and charges that may be incurred by the City
becau e of my failure to comply with the provisions of this Ordinance.
�-�- �J�-`--� ��'-1 �-1 -)�-0 3
Signa e of Designer MPCA License# Date
��� t�� ��-c.141 � �5 l 1�+�s�{o,o i.�4� l.tr. 7 fv3-`iai -3���
Printe Name 5�T- N?�t�►4-x1� N��1 S,S3�� Phone Number
Address
I here y certify with my signature,as the owner of the property where this system is ta be
install d, that it is my responsibility to maintain an arumal operating permit in eCCordance with
Oron Ordinance No. 199 and MN Rules Chapter 7480. It is the owners responsibility to infonn
new p operty �wners of Operating Permit and Performance System. Operating Permits are noa-
transf rable and all subsequent owners must apply for a new operatirlg permit with Orono.
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��.-°��� � '� � � � ���C�.��i�V•c..���-_�..+-�T�'v^>\r< ���.����-'�J
Sig ture of Owner Printed name Date
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Ap ication teviewed by Date Approved or Denicd MPCA Reg.#
4
V
DATE TIME
CITY OF ORONO CALIED IN ' /� "� r-'�
INSPECTION N TICE SCHEDULED �' �Z- �� �-"
PERMIT NO. '`�-`� � COMPLETED �1.-�Z�C� - '•�S � ,
ADDRESS �i �I �� �`7�- Sl�"
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OWNER "� l� l 11_-c.�.�' r�_,... CONTR. ��i l�. �C-C'�-c�-��,�
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TELEPHONE NO. ` �� - -� -� ��" ��'� � � �
� DESCRIPTION ��� � �� ��C
�
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
y
O 03 INSUTATION 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 DEMO-SITE 27 SEPTI _MAINT. 21 COMPLAINT
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Q 07 DEMO-FINAI SEPTIC INSTAL� `r r(/_�r��22 FOLLOW-UP
i 09 PLUMBING RI 23 SEP�IC FINAI 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL �, 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�ES_NO
� COMMENTS: � �1� �-�.r��S ��'rl�`�,i �-- ( d"'��1` (l
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-460�
OwnerlContractor on site:
Inspector. ����� '�-�
White Copy/lnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TIC SCHEDULED
PERMITNO. COMPLETED It-iC+�3 �.��C�
ADDRESS � �� F�'� S r
OWNER CONTR. �"�II `Z
TELEPHONE NO.
� DESCRIPTION ��` r: � �� �.� C �"�
� 07 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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL C�EPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAI 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
�
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W� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 24J-46��
OwnerlConUI�tor on site:
� �`�t�.
Inspector. �
White Copylinspector's File Canary CopylSite Notice
�
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED
PERMIT NO. COMPLETED j7-� 'd % �'-�i
ADDRESS ���'1 b C OX �-
OWNER CONTR. �'f��-S �x�`��`1h��
TELEPHONE NO.
� DESCRIPTION S�� �'' �- ��•�°'`\
� 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 EPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTFiACTOR TO MEET YOU:�YES_NO
� COMMENTS:
�
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W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. ��i7� '1�YY�s---�
White Copyllnspector's File Canary CopylSite Notfce