HomeMy WebLinkAbout2016-01272 CITY OF ORONO * z 0 1 6 - 0 1 z 7 �
2750 KELLEY PARKWAY DATE ISSUED: 10/1U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3960 BAYSIDE RD
PIN : OS-117-23-22-0015
LEGAL DESC : AUDITOR'S SUBD.NO. 203
: LOT MB BLOCK MB
PERMIT TYPE : SEPTIC
PROPERTY TYPE : RESIDENTIAL
C01�ISTRUCTION TYPE : SEPTIC(NEW OR REPLACEMENT)
ACTIVITY : SEPTIC(MOUND)
NOTE: (3)PRECAST CONCRETE TANKS EACH 1250 GALLONS
APPLICANT SEPTIC NEW OR REPLACEMENT 400.00
TOTAL 400.00
WRUCK EXCAVATING, INC. Payment(s)
15096 102ND ST CREDIT CARD 3901 400.00
BECKER,MN 55308
(320)267-1855
Minnesota State License#: BUIL-2714
OWIYER
LOVELESS, CHRISTOPHER& KATIE
3960 BAYSIDE RD
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
thc approved plans and specifications,applicable City approvals,and the
State I3uilding Code. This permit is for only the work described and does
not grant pennission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the Statc Building Code.This permit may be
revoked at any time for due cause.
C d o �er� �o , �r , � �
Applicant Permitee Signature � Date Issued y ignature Date
R�NO P P OOBoxO66 no R���I Y�D FOR CITY USE ONLY
� 2750 Keliey Parkway Date Received: • �� —�P ��
,\t Crystal Bay,MN 55323 O�T � � z��6 Permit# l./ —v� �
,.�V Phone:(952)249-4600
` .`�a'i�x`�`~ Fax: (952)249-4616 Approved By
. CITY OF OFZON(y Amount$:
�.
CITY OF ORONO - SEPTIC SYSTEM PERMIT APPLICATION
(All permits must be approved by the On-Site Septic Manager and/or Building Official)
Job Site / Owner Information:
Site Address: 3��P d 13ac�,. 5;r1� t�cf � �r�J C7 h O
Owner: mG���'i'n Co�S fr u c -�'t or, Mailing Address: � a � m4 i h � �
City: �l 1< ��v e►� Zip: 5 5 3 3 �
Home Phone: �(� 3 -- ��b-- (� 3`7l0 ~ o F�ic � Alternate Phone:
Contractor I Applicant Information:
Contractor/App: �f u�-fS C;Y��u vtr{�r� 'h-�C�� Contact Person: ��Y
Address: I S�' 9(0 10� ncl S �i- State License #: � 7 I �J
City: 13r c. l�C� i' Zip: 5 5 30 � Expiration Date: aI alc�o 11
Phone: 3�o- �(.� �- / c� J J Alternate Phone: 7(0 3 -"� �� -U �'��
TYPES OF OCCUPANCY
�Residential ❑ Commercial ❑ Other
"* ATTENTION APPLICANT **
Fill in all a ro riate blanks and check all a ro riate boxes.
Tanks:
� Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other:
Number of Tanks: J?'
Size of Tanks: � ��,� (z l��Q
Type of Activity:
❑ Trenches � Mound ❑ Pressure Bed ❑ Chambers ❑ Holding Tanks
❑ Pre-Treatment ❑ Other
NOTE: Provide an As-Built of the system before the final inspection.
A 24-HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS.
Page 1
If the tanks have less than 2'of cover,the Iids,risers&maintenance hole covers
must be insulated to a value of R10.
Cleanouts for each lateral must be Insulated &be accessible irom finished grade in
an Irrigation box with a ball vaive.
Ail neighboring welis are located greater than 100'away from the proposed
treatment area. The existing well was abandoned.
Keep afl heavy equipment off of the proposed treatment area betore and atter
construction. The treatment area should be marked off before construction. This
design is not valid 8 the system will need to be relocated if failure to protect the
sites for new on-slte sewage systems.
MANAOEMENT PLAN:
The tanks need to be maintained at a minlmum of 1 tlm�every 2 years,check with
you pumper to set up a schedule.
8ystem inspacted for areas by owner 8 or Inspector as determined by the local unit
oi Government.
Any other requirem�nts as determined by the local unit of Government.
Wtth proper instailation 8 maintenance,this system shouid have no problem in
treating septic effluent effectivaly.
Nothing other than human waste,toilet tissue, laundry,showers,water sottners etc.
shauld bs disposed of into the system. Recommend iron fllters be diverted out of the
system.Garbage dlsposais are not recommended. Excessive amounts of saaps,
antibacterial soaps,cleaning agents,shower cleanara used every shower 8�chlorine
agents may kltl the bacteria needed to treat sept4c effiuent. Additives are not
recommended. Recommend laundering be Ilmited to 3 to 4 toads per day.
Steven B.Schirmers
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2011 purplecode Mound Design
www.SepticResource.com (vers 15.2)
Property Owner: Modern Consiructton Date: 6/11l2016
Site Address: 3960 Bayside Rd.,Orono PID:
Comments;
instructions: ;�=enter data a=�.��=�'v =adjust if desired �m computer calculated-DO NOT CHANGE!
i) ;�;'z;;, �z`bedroom T f i ti�l � �n'� 5 stem
���, YPe ����� .�s'a��� �s,�i y
� 750 GPD design flow
s� �.�;Cj�p,;�:Garbage disposal or pumped to septic
a� 1500 Gal Sepdc tank(code minimum) '����Gal 5eptic tank(design size/LUG req'd)
Tank options ��'�,a����in�s��r, �€ � s.�,! � ,i
.. n7lid vhd�.JYi; i mu ,h.'..��
s� i�a:;���GPD/ft�mound sand loading rate contour loading rate of �� ��`�;;req's a min 62.5 ft.long rockbed
5) a�'I�;¢;:ft rockbed width 62.5 ft rockbed length
�� t �s ';:ft fateral spacing !�,0 _�:ft perforation spacing (maximum of 3 for both)
�'hC��(���1 ���'�t manifold connection
s) �3 laterals 6D.5 feet long 21.0 perts/lateral 63 perfs totat
(1/2 a perf ineans the first perf starts at the middle feed manifotd)
9� �j�q.:�;inch perfs at ;� 1.,;`feet residual head gives OJ4 gpm flow rate per perforation
for this perf sfze 8 spacing,8 pipe size on line 12,max perfs/lateral= 25 ,tine#8 must be less--> OK
io� ::i�?�;0?;-doses per day (4 minimum)
i�� 188 gallons per dose (treatment volume)
2.00 5x
iz) 2.00 fnch diameter laterals must be used to meet"4x pipe volume"requiremertt
2.00 3x
i3) ��§��feet of ?��.',2tQ�lnch supply tine leads to�gallons of drainback volume
(Tip:"top feed"manifotd to control the drainback)
ia� 194 gallons TOTAL pump out volume(treatment+drefnback)
is� .:ai,G��feet vertical lift from pump to mound laterals,leads to a:
t5) 47 GPM @ 14 feet of head, Pump requirement (note:>SOgpm may require an extra 3-6'of head)
i� 1000 gal Dose tank(code mfnimum) ${j�lftd;gal Dose tank(destgn sfze/LUG reqd) at �Y�2.DD;:gpi
leads to a
ia� 8.8 inch swing on Demand itoat, or timed dosing of 4.1 min ON (confirm pump raYe with drawdown
(this delivers Average flow,-70%of Peak design flow)�9 hrs OFF test and adjust as necessary)
i9� ,�:f2 -.inches from bottom of tank to"Pump OfF"float
zo� 21 inches from bottom of tank to"Pump ON"float,or 12 inches to"Timer ON"float if time dosed
zi� 24 Inches from bottom of tank to"Hi Level"float,or 34 inches to"Hi LeveC'float if time dosed
n� 472 gallons reserve capacity (after High Level Alarm is activated)
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zs� " °;45�gpdfft2 Absorption area Soil Loading Rate, which gives a mound ratio of 2 7 y (minimum)
(this must match the soit boring log) desired mound ratio ,'��';:
2a� �"?Fp �„percent site slope (0-209K range) 10,:;;(%downslope site slope,if different than upslope}
zs� :=�5:''�;_;�inches, or 1.2 ft.to Redox or other limiting conditlon (need at teast 12"to be a Type I)
Treatment zone contalns"k,�_Q„�;,;;:fnches of 0%soil credit,and ;�;}��;:inches of 50%soit credit. Giving a:
z6� 22 inch,or 1.8 ft. Sand Lift Mound CRITICAL FOR FUTURE CERTIFICATIONSIf!
» 27.0 ft.Total ABSORPTION width (with sand beyond rockbed as foltows:)
s> 0.0 ft.upslope and sideslope
17.0 ft.Downslope
Individual slope ratios give BERM widths(topsoil beyond rockbed)of:
29> 4:1 upslope ratio 11 ft.upslope berm
ao> 3:1 sideslope 15 tt.sideslope berms
3i> 3:1 downstope 21 ft.downslope 6erm
a2� Overall Dimensions: 10.0 it.wide by 62.5 ft. long Rock bed
42 ft.wide by 93 ft. long Mound faotprint
4"inspection pipe
18"cover on top
U slo e berm �� Dow�slo e berm Z�
12"cover on sides
(6"loemy cep dc 6"topso�
�.g Clean sand lift
_ �,2 Depth ta Limiting
Lirnit#ng Conditian """_�----_----�-._
Absor tton Width 27.fl �`�Y^` _'��_----_____
Hote:
�ar 0 to 1�slapes,.4bsorptJ'on Wi'dth is measured from the Bedequally in both directions.
For slapes>1�, ,4bsorptlon Wldth is measured downhill from the upstope edge of the 8ed.
3�) Rock Bed:
10.0 ft.by 62.5 ft.by ',=��;e9;??A°inches under pfpe,plus 20%gives 28 yd'or'1.4= 39 ton
sa) Mound Sand: (note:volume is based on 3:1/4:1 slope from top of rockbed,Exchange sand for loamy cap if desired)
35.9 up + 101.0 downslope + 16.3 ends+ 54.0 under rock= 249 yd'or"1.4� 348 ton
plus 20%
ss� Loamy Cap:
38 ft.by 89 ft. 6"deep,plus 20%gives 75 yd'or`1.4= 105 ton
36) TOQ501�:
42 ft.by 93 ft. 6"deep,plus 20%glves 87 yd'or`1.4= 122 ton
I hereby certify that I have completed this work in accordance wlth all applicable ordinances,rules and laws.
� -` S�t'�'�U'-Y�I�.�V 111(� 3�� _ 6/11/2016
Designer Signature Company LicenseN Date
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{nstaller Summary
f500 gallon Septic tank(minimum) Tank options: none
1000 gallon Dose tank(minfmum) at 22,00 gpf
47 GPM @ 14 ft. of head, Pump requlred
8.8 inch swing on Demand itoat which translates to roughly 5.4 tnches of float tether length
1f time dosing is required--� 4.1 minutes ON time& �hours OFf time
Z7 inches from bottom of tank to"pump ON'float,or 12 inches to"timer ON"ftoat
24 inches from bottom of tank to"Hi Level Atarm"or 34 inches to"Hi tevet alarm"if ttme dosed
35 ft. of 2.0 inch supply line with end feed mantfold connection
(Tip:'top feed'manifold to controi drainback)
22 inch,or 1.8 ft. Sand Lift Mound
10.0 ft.wide by 61.5 ft. long Rock bed
3 laterats 2.00 inch diameter 60.5 ft. long 3.0 ft. lateralspacing
1/4" inch perts 3.0 ft. perForation spacing
No Effluent filter 8 alarm
3 clean out&valve box assemblies
27.0 ft.Toial sand ABSORPTION width (minimum)
0.0 ft.upslope and sidestope (sand beyond rockbed,minimum)
17.0 ft.Downslope (sand beyond rockbed,minimum)
Specific slope ratios give BERM widths(topsotl beyond rockbed)of:
4:1 upslope ratfo 71 ft.upslope berm
3:1 sideslope 15 ft.sideslope berms
3:1 downslope 21 ft.downslope berm
4"inspectinn pipe
18"cover on top
U slo e berm �� Downsl e berm Z�
12"cover on sides
(6"loamy cap&6"tapeoil)
1,g Ctean sand{ift
_ l.2 Depth to Limitfn�
Limiti»g CondtCinri` ---'�---_____�___
Absor tionWidth 27.0 —"____��_________.__
Note:
For 0 to t�sEopes,AGsorptlon Wldth is measured from the Bedequally in both directions.
For stopes�i%,Absorpt/on Wldth is measured downhill from the upsiope edge of the Beo:
Rock Bed: 28.0 yd3or'1.4= 3g ton 9 lnches under pipe
Mound Sand: 249 yd3 or"1.4- 348 ton calculation based on 3:1/4:1 slope frpm top of rockbe�
Loamy Cap: 75 yd3 or•1.4= 105 ton 6"deep
Topsoil: 87 yd�or"1.4= 122 ton 6"deep
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INSPECTOR CHECKLIST - mound
.iy6U tsaysitle Ktl.,Urono
� WELL setbecks: 20'to pressure tested sewer line (5 psi for 15 min}
50'to everything t00'to dispersal area with shatlow weil
PROPERTY LiNES se[back: 10'to everytMng
Road setback: platted: 10'prop line. Metes&bounds:out of road easement,or outer ditch.
LAKE/AI.UFF setbeck: 20'for bluff. Lakes:GD_,RD_,NE�. Protected wetland_.
Buiiding setbacks: 10'for everything, 20'for dispersal area.
WATER LINE under pressure se 10'to bed,tank 8 sewer line.{etse sewer line>12"below)
� Sewer line&baffle connection (no 90's, 3'between 45's, slope min 1"in 8',max 2"in 8')
(no depth req's, clean out every 900', Sch 40 pipe)
� Septic tank and risers {water tight,insulated,proper depth,existing verified 6y pumping)
mfq 1500 gallons none
Riser over outlet, riser over inlet or center,and 6"+inspection pipe over any remaining baffles.
No effluent filter 8 alarm
Dose tank risers and plping (water tight,insulated,proper depth,drainback)
mfq 1000 gallons
� dose pump 47 gpm 14 head VERIFY Pt1MP CURVE 4.1 min ON 9 hr OFF
� ftoat set[ing drop 8.8 inches at 22.0 gpi "DESIGNED" 5.4 inches approx float tether length
194.0 gat dose dfvided by gpi "INSTALLED'= lnches float drop(field corrected
11iBEL pump requirements and drawdown on riser or panet
Cam lock reachable from grade-30"max. J-hook weep hole. Supply line access (no hard 90's)
2.0 inch suppty p1pe:Sch40, sloped 1/8"+, supported by 4"sch40 sleeve or compacted, and buried 6"+.
splice box/control panet/electrical co�nections
flow measurement:GT,ETM,time dosed,home water meter
mound absorption area rough up
mound rock dimensions 10.0 X 62.5
Sand lift depth 22 inches. (Jar test:2"sand leaves<1/8"silt after 30 min)
� AbsorpYion Sand beyond rock 0.0 upslope 17.0 downslope
� Bermed topsoil beyond rockbed 11 upslope 15 sidestope 21 downstope
cover depth of 12-18"+ VERIFY
3 laterals (1-2'from edge of rock)
2.00 inch pipe size (Sch40 pipe&fittings)
3.0 ft lateral spacing
e 1/4" inch perforations
3.0 ft perforation spacinq
Air inlet at end of laterals, and at top feed manifold if necessary. VERIFY
clean outs (no hard 90's)
4"inspection pipe to bottom of rock,anchored VERIFY
Abandon exisiing system-if necessary �Re-use existing tank certification
monitoring plan and type
well abandonment form -if necessary
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�w.u.�trnv,��v,w.� �
System Elevations �-� �,
��.�,�. �..�.�.�.�, .� -�� r
l�u.o benchmark L�A�Sc� S,-A'g� r ____��
Mound �
(Grade elevations are existing. If a �a•t ioamy cap
dif�erentfinal grade is desired itshoutd 9��.3 lateral
be shown and described here.}
bo.� bOttOrt1 i'OCk
°i �6-'1 g1'2dB Iat upsbpe rak beQ)
t��e_ SHWT (at np�iape mctc Gedl
; 1 �' 1 . 1
� � I I � I �
f r
r r r
Sewer pipe
exitinghouse SepticTank SepticTank t+�aPP�b1e) PumpTank
4e�.� Grade � Grade �_�'6rade °l�'Q �t��
• '��v•v Pipz Io4,3 in1� °tL�-�d iniet °���,3 iniet
. 9�0•�f Tank botiom 9S�•3 Tank bottom 53•�6 Tank bottom ------- -
' � � Soil Obsexvation Log
www.5epticResource.com vers 12.4
� � � `'.,..>���..� �.��....i:.. .5����.3�.���. , ���''�n.nFt�'�+-rar}st �s�u�-�v�.�.�a...'�:�:�. � �
. . ..� .5>i�.t�.. ,.... �::. . ... :.:�.. . � +
Property Owner/project: Modern ConstruCtiOn Date 6/14/2016
Property Address/PID: 3960 Bayside Rd.N.Orono
� ..�:" �.. ,.. ��a {.,.._�f:�� ...�a+ .��i'J` �i,..:..n� r.Y.��C"'1`,��M i: �::� .ri�,4II!'?.1�'c��f��l�`ff�ir_�.� .�nNIIGW�R1s���au�q11)r...'�'�f;Y:!^i
Parent matl's: ❑� Till ❑Outwash ❑Lacustrine ❑Alluvium ❑Organic ❑8edrock
landscape position: ❑Summit ❑� Shoulder ❑Side siope ❑Toe slope
soil survey map uniu: �rC slope 1 U % direction-
+r ��� ... ;- s:, r ;:�6�t 3�ti �y� x:� {-��' ,f} �&.,rs�.f"z .;. i ����,F ��7 H'��� - -_..
t s�-, t �r y E . '° ''�, a � z , f���&T '' � ra.�.i ::
.. ... �.-... a�. ._� . ,t�r� .. .F. ..?�rd..'�x�C�.,ks.,�. �e�.,:�;�E .� '-���!§�r'?3Lt�',��F�Z�;.�' �c,v�� .'3'�r�h...:.'S!..r�K� �.,., .�.�._.:.,_,.
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�Boring ❑P�t Elevation 956.5 Depth to SHWT 18"
Depth(in) Texture fragment% matrix color redox color consistence ade sha e
0-14 loam lOYR 3/2 Friable Weak Granu�ar
14-18 clay loant lOYR 413 Firtn Moderate Biocky
18-34 clay loam ��`��s�3 Firm Moderate Prismatic
34-48 clay loam ������ Firm Moderate Prismecic
Comments:
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� �;��OB�'.'Yde�d';�`T.4,�orio ;s';1,<x�; ��--, � — X O�r.�'_ ��r.e,' �'�YN-'=+, ��" `.�=rz ? r>d,s
Q Boring ❑Pit Elevation 954.7 Depth to SHWT 20"
Depth(in) Texture fragment% matrix color redox color consistence grade shape
0-4 fill soil loam&
clay loam
4-12 loam lOYR 3/2 Friable Weak Granuler
12-20 clay loam lOYR 4/3 Firm Moderate Pnsma[ic
20-36 clay loam lOYR 5i3 lOYR 6/8, lOYR 7/1 Firm Moderate Pr�smatic
�.��`'�� `' �P(# kd���_�?'��'��tc���ts� ��s��ar�: � ` ' �+i� l�;��`��� r.�'.��'i"_.��'n k! t.°t�s�'°�' t''i,�ex..
u ..f.- . .v.. � , rS�,_. ..v3 v. .05�?-.,i .,�,.
'���2 ��:s�__...
�Boring ❑Plt Elevation 958.2 Depth to SHWT 16"
Depth{in) Texture fragment% matrix color redox color consistence grade shape
0-10 loam loam Friable Weak Grenuinr
10-12 loam 14YEi4/2 Friable Weak GrBnular
12-16 clay loam IOYR 4/3 Firm Moderate Blocky
16-32 clay loam lOYR 5/3 lOYR 6l8,IOYR 7/1 Firm Moderate Prismatic
32-36 clay loam IOYR 6/3 IOYR 6/8, lOYR 7/1 Firm Moderate Prismatic
!hereby cert�this work was completed in accordance with MN 7080 and any local req's.
�� . � � '� 'v'"'� iC.�-� 3�
Designer Signaiure Company License#
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� � � Soil Observation Log
www.SepticResource.com vers 12.4
': �. Y ,�� .�` k('as�a�Ir � �� .- �y� . ,�+K� ,[ �1 r y 3f !�,F y���:�,:� dt��":.,`.�,fi,�'�t r��r- x�,,� 2 �:
:'� .`fi ' ,� ��-G 5� . �'*r#1 �:'4"� ..vx�;._�7� ��'� �V�a 4 :.`�:s r �s_� sn.�� c. � FS�. Ss:.":
� � .«n d: � .�..».
Properry�wner/project: Modern ConstiuctiOn Date 6/6/20l 6
Property Address/PiD: 3960 Bayside Rd.,Orono
$'�� .:`�,�4vh-'�'�d-��},:�f�:�-?��i�s.�i�..�+�.�t�,'�,r`�.��+,���i��7�11�kl.�..y{. ����� ��l�.f_��.. '=+=�z £� .i���-�� ^+."ef�f��+r�i�..a.�".�vx�c .�. '
Parent mat!'s: Q Till ❑Outwash ❑Lacustrine ❑Allwium ❑Organic ❑Bedrock
landscape position: ❑Summit Q Shoulder ❑Side slope ❑Toe slope
soil survey map units: �:r(; slope U % direction-
: _. �-v�F '��i"!.?�` � G .��r'�z�i'}�t'�,�" s.. e s ��'=" ��.�i.�`s�.. ii�`r`-.,�—'��' �'h�,�F�AF3��i�Y'�. y� �s�i,,,'�r,�'� ,x;�'` �
�- ;
� ._ .x.��.:
} � > ��a��+r,�' ��,. �h,;�,r�i` �141�� �. . � :r r m, � e,�
i.,� �._,,� s� '��.....:R "� F.o_ _. '. , w. � .. 3.r. .
>.__.... ,.,..._ .
[]Borins ❑Pit Elevation 958 Depth to SHWT
Depth(in) Texture fiagment% matrix color redox color consistence grade shape
0-6 ]oam lOYR 3/2 Friable Weak c,ranuiar
6-14 clay loam lOYR 4/3 Firm Moderate siooky
14-30 ciay loam lOYR 5/3 lOYR 6/8,IOYR 7/1 Firm Moderate Prismaiic
30-36 sandy clay foam IOYR 5/3 IOYR 6/8,lOYR 7/1 Firm Moderate t'rismatic
Comments:
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��-� x��.
�Boring ❑Pit Elevation 957.4 Depth to SHWT 12"
Depth(in) Texture fragment% matrix color redox color consistence grade shape
0-8 loam lOYR 3/2 Friable Weak Granular
8-12 loam lOYR 4/3 Friable Weak Granular
12-30 clay loam lOYR 5/3 Firm Moderate f'rismacic
30-36 clay loam lOYR 6/3 lOYR b/8,I OYR 7/1 Firm Moderate Pcismari�
,r :.. �.1 �j�,
.�O '� �lu�.�`�� �.., +-+���.� ,"��,�F '�1-:� s ��.a � i,..��... �� ..:.�a-���,w,ffrr i �,z..ais�k�n��`���,z.d..«3���.i:A t st � zr�-;
a.� �. � ��� � � �
❑✓ Boring ❑Pit Elevation 961.5 Depth to SHWT 22"
Depth(in) Texture fragment% matrix color redox color consistence grade shape
0-]2 loam lOYR 3/2 Friable Weak Granular
12-I S loam lOYR 4/3 Friable Weak Granular
18-22 clay loam lOYR 5!3 Firm Moderate Prismacic
22-34 clay loam lOYR 5/3 lOYR 6/8,lOYR 7/1 Firm Moderate prismac�c
34-36 clay loam IOYR 6/3 lOYK 6/8, lOYR 7/1 Firm Moderate Prismazic
1 he�eby cere�this work was completed in accordance wrth MN 7080 and any local req's.
�,�.(/�>��(.—�—�—� � ' 1�,� �_riC_ �'�.�
Designer Signature Company � License tt
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� Perco(ation Data Sheet
�::a��1t�i,�,'.,�_�1'i��'I�1d,t1011.,,__�:;� � 1�' L�,�;r u�C�,'��St_t.�ldfi. =J j"13 ;2.=��„t r.''w'"�x''.a.Ln...., � �..�'i�,�v`$.a F�. ��t`..�_..t ,;i i ��.; r F;'
.�F Y. .P.,,,'
property Owner: Modern Construction
Site Address: 3960 Ba side Rd. Orono
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Diameter�6 in Date prepared and/or soaked: 6/6/16
Method of scratching sidewall: knife
ls pre-soak requiried'? es "Not required in sandy soifs
Soak'start time: 12:30 PM Soak"end �0:30 AM �#tt###ilil#NN hrs of soak
time:
Method to maintain 12 in of water during soak automatic siphon
. _ ._. ,m�r t rv, �Rr y :.a �
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Test hole: ilt Location:
Date reading taken: 6/7/16 Elevation: 956.5
Starting time: 8:50 Depth"": 12 inches
Soil texture descri tion:
De th in Soil Texture "'i2 inches for mounds&at-grades,
0-12 loam depth of absorption area for trenches&
beds
Start Reading End Reading Perc rate %Difference
Reading Start Time End Time I Pass
(in) (in) (mpi) Last 3 Rates
___ 1 8:50_ I_.... 9:20 __ ___6.00 3J5 _ 13.3 _ ._ NA NA
2 9:27 _ 9:57 6.00 � 3.87 , 14.1 NA ----- NA —__
3 9:58 10:28 6.00 3.87 14.1 � 5.3 v Yes
Chosen Percolation Rate for Test Hole tt1 3.9 mpi
Additional percolation test data may be induded on attached pages
Design Percotation Rate(maximum of all tests)= 7.50 mpi
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Additional Percotation Data
pQCCO)8tl�n�$Stf4��d�: r � �t s .
... � ��'�'hSw�i f-st`l�. �.. . S � �-;. t - � i
Test hole: 1t2 Location:
Date reading taken: 6/7/2016 Elevation: 954.7
Starting time: 8:51 Depth'": 12 inches
Soil texture description: `" l2 in.for mounds&at-grades, depth
Depth(in) Soil Texture of absorption area for trenches and beds
� 0-4 �filt --
4- 12 loam
(��---� —
L —�--—
Reading Start Time End T1me Start Reading End Reading Perc rate ��Difference �
(in) (in) (mpi) Last 3 Rates Pass
1 8:51 9:21 6.00 0.75 5.7 NA NA
—.�__�.
2 926 9:56 6.00 4.87 5.8 � NA NA
- 3 � 9:59__ 10:29 6.00-- -- 1.00 6.0 4.8 Yes `
� �-- — —
Chosen Percolation Rate for Test Hole J/2 0.9 mpi
S�0 .lJlh�"� {� _...
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Test hote: #3 Location:
Date reading taken: 6/7/2016 Elevation: 958.2
Starting time: 8:52 Depth"": t2 inches
Soil texture description: "•12 in.for mounds&ot-grades,depth
Depth(in) Soil Texture of absarption area for trenches and beds
0• 12 loam
------ - -�
Reading Start Time End Time Start Reading', End Reading Perc rate %Difference
(in) {in) (mpi) Last 3 Rates Pass
__ 1 $:52 9:22 6.Od 1.25 6.3 NA NA
_ _ 2 9:25 � 9:55 6.00 1.37 6.5 NA NA
_ 3 10:00 14:30 i 6.00 1.50 6.7 5.3 Yes
- —.- ------ �
Chosen Percolation Rate for Test Hole#3 6.5 mpi
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� Additional Percolation Data
._ � �. a i : -� � � � � i fi�l� �.wa--,u� �d"h q' 1 ! �
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Test hole: tt4 Location:
Date reading taken: 6/7/2016 Elevation: 958
Starting time:�Depth": 12 inches
Soil texture description: ••12 in for mounds Ft at-grades,depth
Depth (in) Soil Texture of absorption area for trenches and beds
0-6 i loam
6-12 �clay loam
Start Reading End Reading Perc rate %Difference
Reading I�, Start Time End Time Pass
(in) (in) (mpi) Last 3 Rates
------.1-- ---� 8:53 9:23 6.0� 1.87 7.3 NA NA
- ---_- -- --- --�_,.._._
2 9:24 9:54 6.00 2.00 7,5 NA NA
3 10:41 10:31 6.00 2.12 7.7 �� 5.6 Yes
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— -- -- ---E---;----_...-------
I �- -- --- - --
Chosen Percolation Rate for Test Hote#4 7.5 mpi
�y 1' � �i.Q � ��A Y8��:��r�Et1u:+'L���z+i�4.it�x.�"k..�., v,c � k�.ir.. .A..��^',.r��,j�',F�E,I: �� E �q�v�3'�I�t i{4 5r i.7.r..
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Test hole: #5 Location:
Date reading taken:�Elevation:
Starting time:�Depth": �inches
Soil texture description: ""12�n.for mounds 8 at-grades, depth
Depth (in) Soil Texture of absorption area for trenches ond beds
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� Start Reading End Reading Perc rate %Difference I
Reading i Start Time End Time Pass
(in) (in) (mpi) Last 3 Rates
1 � NA NA
-- z � ^ NA NA
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Chosen Percolation Rate for Test Hole#5�mpi
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DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED
PERMIT NO. ' � '"� � � COMPLETED � Z / �
ADDRESS � �� d a
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION �U;�` ` v`�
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE EPTIC INSTALL
2 OWNERICONTRACTOR TO MEET U:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
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INSPECTOR WILL REfURN
❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContra r on site:
Inspector.
White Copyflnspector's File Canary CopylSite Notice
\V
DATE TIME
CITY OF ORONO CALLED IN
iNSPECTION NOTI E SCHEDULED
PERMIT NO. �' '��Z �� COMPLEfED /Z. Z �...��
ADDRESS -� ��C/� k5��� , fi��
OWNER TELEPHONE NO.
CONTRACTOR �l/�u��- �X C�✓�T/�2�%
�; DESCRIPTION / ��2�5
�
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ EWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE EPTIC INSTALL
2 OYYNER/CONTFiACTOR TO ME� U:_YES_NO
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V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContrac n site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice
C��
� E TIME
CITY OF ORONO CALLED IN —
INSPECTION E SCHEDULED �% ��
PERMIT NO.� '� 7 co Ere�
ADDRESS
�NNER TEL HONE NO. '� —
CONTRACTOR �-�-�
� DESCRIPTION , �✓Y-- �
!~y ❑ FOOTING ❑ MO-FINAL ❑ TIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING LLING
�Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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INSPECTOR YVILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR �aTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
O� site:
I�spector:
Whits CcPYnnapecto�'s Rle Canary CopyfSits Notke
� � � �
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� DATE ��� TiME
C OF ORONO �CALLED IN
INSPECTION NOTICE •-j��HEDULED � �j I �/4>'►'`
PERMR NO. �� I LD-'G�It� �� COMPLETED
ADDRESS � Cr� � ' �•-'`�"'`I�-���
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OWNER TELEPHONE N�. �
COKfRACTOR ��'�C �- ; �'.
� DESCRIPTION �d �=� ��d
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBINCa RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ S TIC INSTALL
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V BEFORE COMERIN(3 PERMANENT
�CORRECT UNSAFE CONDiT10N WRHIN HOURS. p pH0T0 TAKEN
INSPECTOR WIIL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �pTATION ISSUED
O INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in advance. (952) 249-4600
on site•
Inspector:%
WMt�CopyAnspector's FlN Canary CopylSib NoHa
,
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E ,, ,� SCHEDULED ��
. � ��L'�� COMPLETED � � /� '"""
PERMIT NO. •; � '
ADDRESS �`�Cc�� �a'-�S oC► `� Oc°C�
OWNER ` TELEPHONE NO.
CONTRACTOR ✓,�`" �°�
� DESCRIPTION
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-460�
OvrnerlContra on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
SEPTIC SYSTEM INVENTORY
Site Address: 3960 Bayside Rd PID 05-117-23-22-0016
Owner Name: Christopher& Katie Loveless
Owner Address: 3960 Bayside Rd Maple Plain MN 55359-
BuildingType: SFD Installer: Wruck Excavating
Date of Permit:
System Type: Mound BR's Designed for 5
In Musa?: No Shoreland?:
SEPTIC TANKS:
Material: Precast Concrete Capacity: 1250 1250 1250 Tank Filter:
DRAINFIELD:
Treatment Area: 63 x 27 Soil Boring: Yes DF Ht above Wt: 3
WELL DATA
Setbacks -Well Tanks: Well DF: Report In File: Depth: 97
INSPECTION RECORDS PUMPOUT RECORDS
77-~ - Gat hd
6/12/2017 New System 6/12/17 Compliance valid until 6/12/2020 6/12/2017 0
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City of Orono Septic Asbuilt Form
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Address: 3960 Bayside Road Building Use: Residence
Installer: Wruck Excavating License# L2714 Date: 6/21/2017
Septic Tanks: 2-1250 Pump Tank: 1-1250 Bedrooms# 5
System Type: EX I ❑ II n Ill n Mound ❑ Trenches n Pressure Bed ❑Other
Draw detailed diagram with measurements indicating distances to tank Risers. Use two(2) points from a
permanent structure. Show locations of drop Boxes and length of trenches
A B
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1 15' 6" 31' 6"
2 : ::
2' 37'
3 40 6
,. .. 4 34' 6" 47'
5 39' 6" 51' 6"
6 47' 58' 6"
A 7
8
9
B 10
11
12
3 ,i
% lat Vi
• SEPTIC SYSTEM INVENTORY
Site Address: 3960 Bayside Rd PID 05-117-23-22-0007
Owner Name: Todd Cheslock
Owner Address: 3960 Bayside Rd Maple Plain MN 55359-
BuildingTvpe: residence Installer: unknown
Date of Permit:
System Type: standard trench BR's Designed for 3
In Musa?: No Shoreland?:
SEPTIC TANKS:
Material: concrete block Capacity: Tank Filter:
DRAINFIELD:
Treatment Area: Soil Boring: yes DF Ht above Wt: 0
WELL DATA
Setbacks -Well Tanks: Well DF: Report In File: Depth: 97
INSPECTION RECORDS _ PUMPOUT RECORDS
Date Notes 1L Date GallonsOfLiquid
6/25/2009 System consists of a seepage pit, cesspool, drywell or lead 6/25/2009 1000
11/1/2005 non-compliant, replace by 12/31/2010 12/9/2004
6/9/2003 non-compliant,replace by 12/31/2010 4/24/1998 1500
5/29/2001 non-compliant, replace by 12/31/2010 10/1/1991 1500
11/12/1999 non-compliant, repair by 12/31/2007 6/1/1989 2000
7/25/1997 non-compliant, repair by 12/31/2007
8/9/1993 slight surfacing
6/25/1991 no surfacing
9/16/1986 no surfacing
12/2/1982 no surfacing
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