HomeMy WebLinkAbout2016-01387 - septic repair CITY OF ORONO * 2 0 1 6 - PJ 1 3 8 7 *
„r 2750 KELLEY PARKWAY DATE ISSUED: 1U22/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2700 COPPER VIEW DR
PIN : 33-118-23-43-0017
LEGAL DESC : ROSCH ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : SEPTIC
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : SEPTIC(REPAIR)
NOTE: SEPTIC REPAIR-PRECAST CONCRETE TANKS
I APPLICANT SEPTIC REPAIR 100.00
TOTAL 100.00
ELMER J. PETERSON COMPANY Payment(s)
5921 DAGUE AVE SE CHECK 20263 100.00
DELANO, MN 55328
(763)972-2420
Minnesota State License#: BUIL-219
OWNER
PETERSON, JEFFREY&ELIZABETH
2700 COPPER VIEW DR
LONG LAKE,MN 55356-
AGREEMEKT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of Ihe date of issuance,or if construction is
suspended for a period of I 80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. ���
j;
,.,:;a,�.,9� �� l.�/���,�22- � � �C��'1 E�J ` � --���� l � i ��i ��'
' Applicant ermitee Signature Date Issued By Signature Date
e ��NO C i�pBoQrono � FOR CITY USE ONLY
2750 Kelley Parkway Date Received: /!�D�—/��9
� � Crystal Bay,MN 55323 � Permit# ��o —��� d" ,/
�� Phone:(952)249�+600 /�
'�,,,,ow` ` Fax: (952)249-d616 �i i Approved By:
� Amount$: �(/V , �
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:
i' = � � Cv
Site Address: � �� DO
Owner _����� Mailing Address:
City: ; �u� Zip:
Home Phone: Alternate Phone:
Contractor/Applicant Information:
,
Contractor/App: -.��t-�� Contact Person:
Addres : � � CJc State License #:
City1� Zip: „� ��,'� Expiration Date:
Phone:�,3 � �7� J ���(� Alternate Phone:
TYPES OF OCCUPANCY
�] Residential ❑ Commercial ❑ Other
� ** ATTENTION APPLICANT **
Fill in all appropriate blanks and check all appropriate boxes.
Tanks:
� Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other:
Number of Tanks:
Size of Tanks:
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
.
PERMIT TYPE AND FEES
New or Replacement System $400.00
Repair Existing System 100.00
�(Y �
(Tanks or Drainfield) Q�
Total $ � � �
The undersigned hereby applies to the City of Orono for issuance of a septic system
installation permit, agrees to do all the work in strict accordance with ordinances of the City
and regulations of the State of Minnesota and certifies that all statements made on this
application are complete, true and correct.
Signature of Applicant � '� ;Jl 3'�-�-�-- Date: �/- 2.2 -l �e
MPCA License No.:
Staff Review: cept /(� enied
�
Reviewer: i�� Date: ' l � "
Reason for Denial: �
Comments (to be printed on inspection card):
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 permit must be picked up in person at
the City offices and work must not begin unless the permit card is on the job site.
*** DO NOT MAIL PAYMENT WITH THIS APPLICATION *'`*
2. Permits will be only issued to contractors holding a Minnesota Pollution Control Agency
(MPCA) Septic System Installers License.
3. All work must be done in accordance with the approved septic system design.
4. The following inspections will be required for all septic systems:
A. Tank installation prior to covering.
B. Drainfield trench installation prior to covering. For mounds, inspection is required after
rough up, but prior to sand placement (sand must be jar tested for silt content) and
again during pressure distribution piping installation in the rock bed.
C. Final inspection to verify final cover depths and to verify that all pump station (where
required) components are functional and comply with codes.
5. MPCA licensed Installers or their DRP (Designated Responsible Person) shall be present
during all inspections.
Page 2
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��
Jose h Olson D.B.A. �
P
Rusty Olson's--Soil and Percolation Testing
Joseph J. Olson--�IPCA License#S10
11-I81 Ri��er��ie�� Rd. rE, Hano�-er, �1\ ��3-tl
(763) -#98-f3779 Fax (763) -t98-8240' , . : .
September 6, 2016 �
Jeffre� K E I izabeth Petc:rson THtS SYS'CEM IS DEStGlVEO�OR
�700 Copper V ie�� Dri�e s BEDROOMS. ANIf iNCREASE iN Nl1MBER
Orono. Hennepin Count} OF�Q{���(I�$�V�JG�TE$�H�$�E$���.
To �rhom it ma� concern.
I ��as contacted b� Elmer J Peterson Compan. to design the repair tor the failing mound s�;tem `
at ?700 Capper Vie�t Dri�e. (n the cic� of Orono. I�he result�ot the in��ction and de�i�zn are a� follo��;.
Soil borin�s indicated that the existin4,rock bed i� plu��ged and bleeding out on the��est end. The
rock bed does meet the three foot separation to the periodicall� �aturated soils. I-herefore the solution is to
remove the e�i;ting mck bed and an� c�f the sand material under the rock that i; nc�t clean. 11�en repla�e it
��ith clean sand to the e�istin��ele�ation. �Then replace the existin��rock bed. This s}�stem is desi�ned
H ith 6 inches of rock and is 68 feet (ong.
The original ;oila under the uphill �ide of the rock bed are at ele�ation.-10�.�3. �1`he bottom ot the
existing rock bed is at elevation.-10�.0 l here is 1.6 feet at sand under the mck bed.
The e�isting tanks��ill need to be inspected that the� do not leak ��round ��ater.
If there is an iron tilter s�;tem in the huuse it must be plumbed out of the s�ste►n.
There i;one rock bed 68 teet in lens�th. This�ti il1 take appro�imatel� I?cubic �ards af rock ��ith
sis inches of rock.
The�lean �and ��ill ree�uire appro�imatel� 2> cubic �ards. 1 his number ma� �an due to the fact
that. Vb'e don't kno�� ho�r much of the sand ��ill be remo�ed until the roek hed is remo�ed.
�The sand� loam cap ��ill require approximatel� �0 cubic �ards.
The topsoil ��ill require appro�imatel} 19 cubic �ard�.
The laterals ��ill take 198 lineal feet oft��o inch pipe��ith 7�3� inch perforations. Clean outs must
be installed on the end of the laterals.
If�ou have an� questions please call.
Sincerel}. CIT�' �F ORONO
SEPTIC PE IT PLA E IEW
1?�'SPECTOR
�"�^ Jose hJ. Olson_____ _ �'E Pp✓-�v�p�RMITNO.�,�,((�.L�r
' p (—'� �IITTEO �
�
APPROVf;p W�TH CORRF.CTfO1��S A3 NOTEp
I-�.1 h'OT AAPROVED-CORREC7'&REStiBM(T
Thcsc cununcqts nrc For your information. All work shall bo dp�
in Gdl compliancc with ull upplicable acptic and zoning cudo.
Rcquiremcnts including itcros not spccifically notcd in this�vierr.
K[ii:P"IHts p[,n�SF,T OIti S1TE AT ALL 7I�1G$
� Minnesota Poflution Compliance Inspection Form
Control Agency
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems
St.Paul,MN 55t 55-4194 �$$T$�
Doc Type:Compliance and Enforcement
Instructions: Inspection results based on Minnesota Pollution Control Agency{MPCA) For local tracking purposes:
requirements and attached forms-additional local requirements may also appty.
Submit completed form to Local Unit of Government(LUG)and system owner
within 15 days
System Status
System status on date(mm/dd/yyyy): 912/2016
� Compliant- Certificate of Compliance ❑ Noncompliant- Notice of Noncompliance
(Valid for 3 years from report date. unless shorter hme (See Upgrade Requirements on paye 3)
frame outlined in Local Ordinance.)
Reason(s)for noncompliance (check al/applicable)
❑ Impact on Public Health (Compliance Component #f)-Imminent threat to public health and safety
❑ Other Compliance Conditions(Compliance Component#3)-Imminenf threat to public health and safety
❑Tank Integrity(Compliance Component #2)-Failing to protect groundwater
❑ Other Compliance Conditions(Compliance Component#3)-Failing to protect groundwater
❑ Soil Separation(Compliance Component �4)-Failing to protect groundwater
❑ Operating permiUmonitoring plan requirements (Compliance Component #5)-Noncompliant
Property Information Parcel ID#or 5ecJTwp/Range 3311823430017
Property address: 2700 Copperview Drive. Orono, MN Reason for inspection: Property Transfer
Property owner: Jeffrey& Elizabeth Peterson Owner's phone 612-747-1729
or
Owner's representative: Representative phone:
Local regulatory authority: City of Orono Regulatory authority phone 952-249-4600
Brief system description: 2-1300 and 1-1300�allon lift station and 680 square feet of mound rockbed. per city records
Comments or recommendations:
Certification
I hereby certify that af(the necessary information has been gathered to determine the compliance status of fhis system. No
determination of future system performance has been nor can be made due to unknown conditions during system construction.
possible abuse of fhe system, inadequate maintenance. or future water usage.
Inspector name: Joseph J Olson Certification number: i255
Business name: Rusty Olson's Soil& Perc. Testing License number: 810
Inspector signature: ---'��� Phone number: 763-498-8779
�
�.--.
Necessary or Locally Required Attachments
� Soil boring logs � SystemlAs-buift drawing ❑ Forms per local ordinance
❑Other information (list):
www.pca.state.mn.us • 651-296-6300 • 800-657•3864 • TTY 651-282•5332 or 800-657-3864 • Available in alternative formats
wq•wwists4-31 • t/24/11 Poge 1 of 3
Property address: 2700 Copperview Drive. Orono. MN Inspector initials/Date J. 0. 9/02/16
1. ImpaCt On PubliC Health —Compiiance component#1 of 5
Compliance criteria: Verification method�s):
System d�scharge sewage to the ❑Yes � No � Searched for surface outlet
ground surface � Searched for seeping in yard/backup in home
System discharge sewage to drain tile ❑ Yes � No ❑ Excessive ponding in soil system/D-boxes
or surface waters. ❑ Homeowner testimony(See CommentsfExpianarion)
System cause sewage backup into ❑ Yes � No � ��B�ack soil"above soil dispersai system
dweiling or establishment. ❑ System requires"emergency°pumping
❑ Performed dye test
Any"yes"answer above indicates the sysiem is ❑ Unabie to v@rify(See Comments/Explanation)
an Imminent Threat to Public Health and Safety. ❑ Other methOdS nOt listed (See Comments/ExplanationJ
Comments/Explanation:
2. Tank Int2g1'ity—Compliance component#2 of 5
Compliance criteria: Verification method�s►:
System consists of a seepage pit. ❑ Yes � No � Probed tank�s) bottom
cesspool.drywell. or leaching pit. � Examined construction records
Seepage pits meeting 7080 2550 may be ❑ Examined Tank Integrity Form(Attach)
complrant if allowed rn locat ordinance
❑ Observed liquid level below operating depth
Sewage tank(s) leak below their ❑ Yes � No
deslgned operating depth. ❑ Examined empty(pumped)tanks(s)
If yes. which sewage tank(s) leaks ❑ Probed outside tank(s)for"black soil°
Any "yes"answer above indicates ihe � Unable to verify(See Comments/Explanation)
system is Failing to Protect Groundwater. ❑ Other methods not listed (See Comments/Explanat�on)
Comments/Explanat�on:
3. Othe� COmplianCe Collditio�5—Compliance component#3 of 5
a. Maintenance hole covers are damaged.cracked,unsecured,or appear to structurally unsound. ❑Yes` �No O Unknown
b Other issues(erectncal hazards etc.)to fmmediately and adversely impact public health or safety ❑Yes' �No ❑Unknown
"System is an imminent threat fo public health and safety
`xplair
c System is non-protective of ground water for other condiUons as determ�ned by inspector ❑ Yes' � Nc
'Sysiem is failing to protect groundwater
Cxplain
www.pca.state.mn.us • 651-296-6300 • 800-657-386a • TTY 651-282-5332 or BOQ•657-386a • Avaitable in alternative formats
wq-wwists4•31 • 1114/12 Page 2 of 3
Property address: 2700 Copperview Drive, Orono, MN Inspector initials/Date: J. 0. 9/02/16
4. Soil Seperation —Compliance component#4 of 5
Date of installation: 5/22/00 ❑ Unknown Verification method�s):
Shoreland/Wellhead protectioNFood Beverage
Lodging? ❑ Yes � No Soil observatron does not expire Previous soil
observations by two independent parties are su�crent,
Compliance criteria: unless site conditions have been altered orlocal
requirements differ.
For systems built pnor to Apnl 1 1996. and ❑Yes ❑ No
not located in Shoreland or Wellhead � Conducted soil observation(s) (Attach boring logs)
Protection Area or not serving a iood. ❑ Two previous verifications(Attach boring�ogs)
beverage or lodging establishment:
❑ Not apptiCable(Holding tank(s).no drainf+eld)
Orainfield has at least a two-foot vertical ❑ Unable to verify(See CommentslExplanatron)
separation distance from periodically
saturated soil or bedrock. ❑ Other(See Comments/Explanation)
Non-performance systems burlt Apn! 1, � Yes ❑ No Comments/Explanation:
1996, or later or for non-performance
systems located in Shoreland or WeHhead
Protection Areas or serving a food.
beverage. or lodging esfablishment:
Drainfield has a three-foot vertical
separation distance from periodically
saturated soil or bedrock.'
"Expenmental". "Other', or Performance" ❑ Yes ❑ No Indicate depths of elevations
systems built under pre-2008 Rules: Type N
or V systems built under 2008 Rules(7080. A Bottom of d�s�ribution med�a 105.0
2350 or 7080 2400 (Advanced Inspector
LiCense�equifed) B penodically saturated sod/bedrock 101.9
Drainfield meets the designed vertical C System separat�on 3.1
separation distance from periodically
saturated soil or bedrock D Required compliance separation' 2.6
Any "110"answer above indicates the system is 'May be reduced up to 15 percent if allowed by Local
Failing to Proteci Groundwater. Ordinance.
5. Operating Permit and Nitrogen BMP"`—Compliance component#5 of 5 � Not applicable
Is the system operated under an Operating Permrt? ❑Yes ❑ No If`yes",A below is required
Is the system required to employ a Nitrogen BMP? ❑Yes ❑ No If"yes", B below is required
BMP=Best Management Practice(s)specified in the system design
!f the answer to both questions is "no", this section does not need to be comp/eted.
Compliance criteria
a. Operating Permit number:
❑Yes ❑ No
Have the Operating Permit requirements been met?
b. Is the required nitrogen BMP in place and proper�y functioning? ❑ Yes ❑ No
Any "no"answer indicates Noncompliance.
Upgrade Requirements(M,nn Stat § 115.55)An immment threat to publ,c health and salery j�TPHS)must be upgraded. replaced.or its use
discontinued wrthm ten months of recerpt of this notice or within a shorter period if required by local ordinance Jf the system is failing to protect
ground water. the system must be upqraded, replaced.or its use discontmued wiihin the time required by Jocal ordrnance. If an existing system
is not failing as defined in law. and has at Jeast two feet of design soil separation. lhen the system need not be upgraded.repaired. replaced.or
its use discontinued, notwithstanding any tocal ord�nance that is more stnct. Th�s provis�on dces not appty ro systems in shoreland areas,
Wellhead Proteclron Areas, or those used in connection with food.beverage.and lodging establishments as defined in law.
www.pca.state.mn.us • 651-296•b300 • SOd-657-386a • TTY 651-282•5332 or 800-657-3864 • Avaitable in alternative formats
wq-wwis[s4-31 • 1/Z4/12 Poge 3 of 3
Soil Observation Log
.�����.j�pticRe.uurr�.���m��r.. I?.J
OH ner Information
Propem O�tiner project: Jeftre� c� Eliz_ah�th P�[er�un Date 9`?'?U1E�
Property Addre,s PID: ?700 Copper�ie�� Dri�e
Soil Sun�eti Information � refer to attached soil survey
Parent matl's: � TU ,_; Outwash � Laastnr,e ^ Aituvium _ Organ�c � � Bedrock
landscape position: � Summ�t �=; Shoulder ``' Side slope J Tce slope
,oil sUrce)�t113p units: L�JA �lupe °u direCtion- Llt1zaC
Soil Lo #1
,_ Bonng u Pit �-:Iz�ati�>n 10�.6 Urpth[o S}il� T 18 Inches
Depth(in► Tz�ture t�a��nirnt°o matrit color redi�� col��r consi�tenc� ��rade �hape
t)-8 Topsoil <;; i i��r� � Loose Loose sin���,=rain
8-I8 Cla��Loam ��3�+ IO�r�I 3 F�riable Strone Iii����,�
18-?�l Clay Loam ;i IOyr� � 10�� 8.1-6 10� Firm Strom: r�n,mauc
loose luu�e
;: ,im��c��r.�n,
friable ��eak ,ranuiar h���cl.�
3� - �0 -
»0
tirnt ntoderate pri,n,ati� plat�
rigid strom; ""'""`
�OOtit �OpSt
�� ,im�l�erain
�� _ �� fri�ible ���11: granular hluck�
.y5� tinn moderate pn,matic p�ai�
ri�id ,tron�� °1a""`
Comments: Soils have iron noduleti in both borin�5
?700 Co en�ie�� Dri��e Soil Log#2
C Boring � P�t Elevation lO3.R Depth to SII���T �0 Inchcs
Uepth(inl Iextur� fra�_ment°o matri�color redo�colnr consistence �_rade ;hape
0-10 Topsoil <3� 10�r� � Loose Loose tiu�gir��rain
10-'_0 l.oam 3� 10�r-1 ; FinTi Stron� t�lu,�,�
?0-'8 Cla� [.oam :; 1(hr� -1 10}-� 8.1-6 10� Firm Strone �'n,mauc
loose loo�e .in_Ic eram
-,:i S
� t?iable �tie�I� :rantdar hl��.l��
�> -�0 -
tirltl moderate prismauc plat�
'{� ma;siee
ri�_id stron�
<j�
loose IOose ,�ngi�grain
friable t�Cc�� granul�r h1��,6�
.i� -�0
tirm moderate pri.n,ati� F,�a��
�;� ma»nc
I"1�1(� St�ptl!?
270Q Co en�iew Dri�e Soil Lo #3
� Bonng :; P�t E:le��atioi� Depth tu SH4���I�
Depth(inl Tezture fra�_ment°o matri.�color redo�color con,istence �_rade shape
.���
loo5e loose ,im_I���ram
tCi3�i�e �te8k eranular bl�kl��
;5_ ;p -
tirm moderate P��+matic pia��
,:0 ri��id stron�� ma„i�e
loo�e loose
t,j� 5111L'IC LfJI❑
;� _ ip
friable ��eak granular hl��cl,�
�(j tinn moderate pri,mau� rim>
f131C� StPOttL ���a�����
loose loc��se
;;i ,inelc_rmn
friable t�eal: ;:ranular biu�V.�
;j- ip �
finn nloderdte prismatie piat�
�� massi�e
ri�.:id strong
�OUSr �OOSe ,�������rain
i;
fri2ble �ti`e2k Lranular bl�+ck�
�� - �0 �
��� tinn nloderafe P���matic p�atc
ri��id ttrong "'a""`
loose loose
;; sins:l�grain
1('i�lblt �ti'zak aranular block�
;j _ i0
tirtn ntoderate prismatic plah
,n m�,.i�r
ri�id stron��
/hrr��hr r�rtrfi•�lrrs tirork�rus complerr��l in uce•orclune•e�rith 1/\ 'p�tp u�?e!u�t1•lc�ca/rey's.
Rusn Olson's Soil & Perc 8l0
Designer Si�nature Compan� License�=
� � � �
� DATE TIME�I/
CITY OF ORONO CALLED IN "
INSPECTION NOTICE, D��.7 3CHEDULED �
PERMfT NO. 5 COMPLEfED
ADDRESS �CO ��i����" l/l�Pc,� ; ��
OWNER LEPHONE . l� ��a 7�r7�
CONTRACTOR ��'�- �-
� DESCRIPTION �� `'�n`
t� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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 ❑ S TIC INSTALL
2 OWNERlCOPfTRACT�R TO ME�YiOi: ! Y —NO
� COMMENTS: � Gk
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W WORK SATISFACTORY`.PROCEED ❑ PROJECT COMPLEfE
� O RECT WORK 6 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑(�RRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTiON REWIRED.CALL TO ARRANGE ACCESS.
Ca11 ror the next inspection 24 hours in advance. (952) 249-4600
OwnerlContra site:
.
Inspector:
White CopYAnsPector's File Gnary CopYlSifs Notks