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Home My WebLink About2015-01099 - pressure bed septic system �- ` CITY OF ORONO * Z 0 1 S - P1 1 0 9 9 * 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1205 FRENCH CREEK DR PIIY : 10-117-23-23-0001 LEGAL DESC : FRENCH CREEK : LOT 001 BLOCK 001 PERMIT TYPE : SEPTIC PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : NEW OR REPLACEMENT(SEPTIC SYSTEM) ACTIVITY : OTHER-SEPTIC NOTE: PRESSURE BED SEPTIC SYSTEM APPLICANT SEPTIC NEW OR REPLACEMENT 400.00 ELMER J. PETERSON COMPANY TOTAL 4U0.00 Payment(s) 5921 DAGUE AVE SE CHECK 19590 400.00 DELANO, MN 55328 (763)972-2420 Minnesota State License#: BUIL-219 OWNER WINSLOW, CLARK&SHARON 1205 FRENCH CREEK DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. AII 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 l80 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. �'/ ��, �v // � Applican ermitee Signature Date �[ssued Signature Date I � O City of Orono FOR CITY USE ONLY P.O.Box 66 C� , � � � 2750 Kelley Parkway Date Received: I�� IS Permit# L� (5`� Crystal Bay,MN 55323 qmount: $ �(�. � � �.- s (952)249-4600 i'lr.? y� � � yF . G !"�k£SHOR�` CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION (All permits must be approved by the On-Site Septic Manager and/or Building O�cial) Job Site / Owner Information: Site Address: �Z D�� f�� C r.�.l� A�- Owner: ��u-f�t ��^ $��d w- Mailing Address: City: �'rG-2� Zip: Home Phone: Alternate Phone: Contrac#or/Applican#It�fiormation: Contractor/App.:j=��J• P��r�c� �e Contact Person: ��^'� �!'a�e�'�'`�� C� Address: � �Z� �4�'�-c '�"t S� State License #: �� City: I�Lj�^o Zip: s��4�- Expiration Date: Phone: � "l� � �-� 2`� 24 Alternate Phone: TYPES OF OCCUFANCY � � Residential ❑ Commercial ❑ Other PERMIT TYPE AND FEES � New or Replacement System $400.00 T(%� � Repair Existing System 100.00 (Tanks or Drainfield) J�(/��j �� Total �`/ V v 1 / 2 � � '�* ATTENTION APPLlCANT '�� Fiil in all a ro riate blanks and check all a ro riate boxes. I will be installing the following: Tanks �f Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other (list manufacturer) � Number of Tanks: �x- 5��^� e— Size of Tanks: Treatment System �{�t 5'S � � • _� f''�ss�� . � s.f. /1 � Mound s.f. i ;yc Gravel less s.f. Chamber s.f. NOTE: The contractor is required to provide an As-Built of the system before the final inspection. 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 � Date: � "L� -- �� MPCA License No.: `` �q Staff Review: Accept ❑ Denied Reviewer: — Date: � Reason for Denial: Comments (to be printed on inspection card): 2 / 2 / , , CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION GENERALINSTRUCTIONS � 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 sitt 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. A 24-HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. 3 / 2 � �� SP TESTING INC. Steven B.Sthirmers —951 Katydid Lane NE—St. Michael,MN 55376 Cert.No 627 — State tic�,#��4,,�.;��u�,rl6i�.��...,�.,7:��q�,� www.s testin .wastewater c,amcast:n,et-.,.s,chi�rraerswrastewat�r��..._� ;. . . ..._ . - _ .. _ - - _ . __._..._.... .. ;,z r� J uly 28, 209 5 '� CITY OF ORONO : :`� SF,pTIC PE IT PLA EVIEW � INSPECTOR � ✓�S�v � Clark S Sharon Winsiow � PERMIT NO. i n�rkovr:n ns s�;AMITTF.D 1205 French Creek Dr. [] APPROVF.D WTTH CORR[:CTION9 AS NOTF.D Orono, MN CZ NOT APPROV6T)-CORRF.CT&RF.SL'BMIT , Thcsc c<�mmcnts nrc for your inFormution. All work�hatl be Jons , in (ull compliance with ull appliclble septic and zoning aide. Requirements induding items not specifically noted in dtis n:view. KELP"CHIS PLAN SET ON SCCE AT ALL TI�1GS A Compliance inspection was completed for the existing on-site sewage�#�eatrnent system. The system consists 2-15Qp �Il�n se t ��k��,. -15Q0 �la� mping ��.:s..;s..:�.�a�.�..�....:��.-....,.�,.��_.......�.,.,.�;....�..►V......�,�..,:.�.Y.� chamber 8� two trench systems. The west system has 6" of rock below the ciistri6ution pipe � the east system has 12" of rock below the distribution pipe. The system was built in 1999. Soil boring #1 found mottled soil (redox features) at 6.S', elev.91.3 below the ground surface 8� the bottom of the trenches at elev. 94.9 &95.6 leaving a 3.6' 8 4.3' separation fram the bottom of the trenches 8� redox features. Soil borirtg #2 found mottled soil at 6', elev. 93.0 & the bottom of the trenches at elev. 95.1 8 95.9 leaving a 2.1' to 2.7' separation. Soil bori�g #3 found mottled soii at 4', elev. 91.6 8 the bottom of the trench at elev. 92.2 teaving a .6' separation. Soit boring #4 found mottled soil at 5', elev. 90.2 8 the bottom of the trench at elev. 92.1 leaving a 1.9' separation. Soil boring #5 found mottled soil at 4.8', elev. 82.2 leaving a .9' separation. Soil boring #6 found mottEed soil at 4', elev. 92.1 & the bottom of the trench at elev. 92.6 leaving a .5'separation. This system does not meet the required 3' separation for systems built after Aprit 1st 'i996 8 is ctassified as non-co�npliant. The tanks were pumped by Kothrade Sewer, Water 8 Excavating 8 were foued to 6e comptiant. Thank You Steven B. Schirmers 1HtS SYSTEM iS DESIGNED FOR „�6EQROOMS. ANY iNCREASE tFt NUMBER OF 6EDROQMS INVAUDATES THIS DESIGN. SP TESTING IIVC. Steven 8.Schirmers —951 Katydid Lane NE—St. Michaei,MN 55376 Cert.No 627 — State License#394 — Phoae 763-497-3566 — Fax 763-497-5Q11 www.sptestin�.wastewater camcast net— schirmerswastewater.com July 20, 2015 Meredith Howeil 1205 French Creek Dr. Orono,MN A compiiance inspection was completed for the existing on-site sewage treatmenf system for this property. The original design completed by SP Testing, Inc. shows 1 system with 18" of rock below the distribution pipe, only 6" & 12" of rock was found. The original soil through out #he site were soil borings #7, 10 & 11. The originat soil below the system from new SB#2 to SB#$ found a 2.4' drop from the west to the east. This indicates that prior to the system being installed, the soils were excavated o#f. Old SB #10 found mottled soil at 5.5' with 2.4' of soil removed, mottling would have been at 3.1'. The • new SB#5 is in the approximate same located & mottled soil was found at 3' into the original soit. At the time of the inspection 2 systems were found at 2 different elevations 94.9 to 95.7 for the west system � 92.1 to 92.2 for the east system. To repair the system, the west system will need to be removed to the bottom of the trenches & backfilled weth washed sand to meet a 3' separation from the moftled soil (redox featuresj. This will require additional soi! boring � design. Thank You Steven 6. Schirmers SP TFSTiNG INC. Steven B.Schirrners -951 Katydid Lane NE-St. Michael,MN 55376 Cert.No 627 - State License#394 - Phone 763-497-3566 - Fax 763-497-5011 www.sqtestin�.wastewater comcast net- schirmerswastewater.com July 28, 2015 Clark 8 Sharon Winslow 1205 French Creek Dr. Orono, MN This onsite sewage treatment system is designed for a Type 1 system corrected (original soil below the system with 1.2' of sand) Type 1, 6 bedroom home in accordance with the Minnesota Poiiution Controf Agency chapter 7080 & locai ordinances. The existing tanks may be used. The soils on this site are a sandy loom to loamy sand. The system wil! need to be removed, lowest trench at elev. 85.1 & .3' below the system (possible pugged soils elev.94.8) 8 then backfitl with washed sand to elev. 86.0 using SB#2 with mott[ed soil at elev. 93.0 which will meet a 3' separation. A pressurized seepage bed with be instalied with 12"of rock, 1-1/2" distribution pipe, 3/16" perforations 36" apart. Cover with 2"of rock 8 a minimum 8� 6" of loam topsoil. The existing trenches owtsjde of the seepage bed must be roughened up a minimum of 3'from the edge of the seepage bed. The west line is approxirnate 1� must be located prfor to installation. The property line shown is from an old aerial photo. This site has very limited space for access for repairing the systen� 8 may require access from a neighboring property to ins#all the system. The existing pumping chamber will Ilft the effluent to the treatment area. The power supply � switches must be located outside the manhole 8 pumping chamber in a weather proof enclosure. A warning device must be installed with a light 8 sound device, this is in case of a purnp failure. If the tanks have less than 2' of cover, the lids, risers 8� maintenance hole cove�s must be insulated to a value of R10. Cleanouts#or each lateral must be insulated 8 be accessible#rom finished grade in an irrigation box with a bail valve. A!i neighboring wells are focated greater than 100' away from the proposed treatment area. Keep aii heavy equipment off of the proposed treatment area before and after construction. The treatment area should be marked off before construction. This deslgn is not valid 8 the system will need to be relocated if failure to protect the sites for new on-site sewage systems. MANAGEMENT PLAN: The tanks need to be maintained at a minimum of 1 time every 2 years, check with you pumper to set up a schedule. System inspected for areas by owner 8� or Inspector as determined by the local unit of Government. Any other requirements as determined by the local unit of Gavernment. With proper installation 8� rnaintenance, this system shoutd have no problern in treating septic effluent effectively. Nothing other than human waste, toilet tissue, laundry, showers, water softners etc. should be disposed of into the system. Recommend iron filters be diverted out of the system. Garbage disposals are not recommended. Excessive amounts of soaps, antibacterial soaps, cteaning agents, shower cleaners used every shower 8 chlorine agents may kiil the bacteria needed to treat septic effluent. Additives are not recommended. Recommend laundering be Eimited to 3 to 4 loads per day. Thank You Steven B. Schirmers � �� MY�nesata�Pollution ' ' � • �� om l�an�ce .lns ect�o.n �`orm ��;W Con�ral Agenty p p � 524 Lafayette Road North ��St�ng Subsueface gevyage Treafinent Systetns SI.Pau(,MN 55155-4194 � �SSTS� Doc Type:Compilance arrd,E�tor�eme»t instructfons: Inspection resuits based on Mlnnesota PoIlution Control Agency(MPCq) For IocaI tracking purposes: requiremenEs and attached forms-additlanal laal requlrements may also appty, � . Subm(t corrspleted form to Local Unit a�Govemment(LUG)and system owner withln i5 days • � System Status � . � � System sfatus ort date(mmlddlyyyyj; ��3�1 � ❑ Compliant—Certificate of ComplJance �Noncompliant-Notice of Noncam lianc {Valtd for 3 yesrs from report date,unless shorfer�me � P � frarne ouBlned/n Local Onl/nance.j f5ee Upgrade Requlraments on page 3) Reaso»(s)for nqncomppance(check m/!appllcahle) � , ❑ Impact on Public Health(Complisnce Companant #1}-(rnm)per�t thr�af fo pubilc health and safefy � ❑Qther Compi(ance CondiUons(Compllance Component#3)_Immtnent fh�eat fa pubilc health and safety ❑i'ank integrity(CompGance Companent#2)-Fafling fo protect grtwndwater - ❑Other Campliance Conditions(Compliance Camputtsnf#3)-Failinq fo protecf groundwafer � ' �Soi1 Separatian(Complfence Component #4}�Far7fng fo prvfecf grouadwater � ❑Operating permitlmon(toring plan requlremenfs(Comp/Iance Component #5)-Nancompliant Property lnfotmation Parpa(�!Q#orSecJi' �a e: Properiy address: �a,v s �,�� `�`�o`� "`�9�� Reason for insgectian: Property owner: � � � • � � ` or Owner's phone: � Owners representaflve: ;,C.C� Q,�IL��j,,�5�0� � ` Lo�al reguiatory authortty: C.�-(r( d� -��.,�� ' RBp�sentative phone: � � Brief system descrlptton: _ �� `Regulatory authodty phone: Z3 _ayo� _4�covo � 1 � � � n° �.' � iwo -� � _ . Commenfsorrecammenda�ons: S�s,�rn►5 w ..s-< �,oc�.y�,�c �.r� �,. ��, .�,� ��s�� 1�.�ti �,� , REW� ��s�.P��E.., � � . � 1 Certification 1 hs�by certify fhat ai!ffie necessary fnfomtaflon has been gatherad fo detemtine fhe complfance status af this system.�No deterrnrnation of future sysfem performance has been nor can b�made due fo unknawn condltlons during sysfem constructton, possi6le.abuse of the system,Inadequafe metrrtenarice, orfutur�yveterusage, - lnspector name: �f�y{j� � .!�� ----�.L'�hn��.._ Certif'ication number: _{o..a!J Business name: � -� �( Licetise numb2r. Inspector signature: .�� , ` • - ��' Phone numbec � �ta� ��k9� -�,�l t p__ Necessary ar Locatty Required Attachments � �•Soif boring loqs �SystemlAs•built drawing ❑Fo[ms per Iocai ardinance ❑Other.information pist}:_ _, . . WY}W.pCd.Stdte.m(1'US �_ 651•19b•630D • 80Q•657•3864 • TTl'�b5i•281•5331 or 80a651•3864 • Avaltabte!n aitemati�e formats Propariy addre�ss: I �:V� '�-��C,W,r��.(1T �-�-� �� lnspectorin€�aEs/Date:��2�o-S�! 1, tmpact on Public Health—Compiiance compoaent#1 of 5 Com liance criterla: VeNficatlon metfwd(s)• System discharge sewage to S�e ❑Yes �No ❑ Searched for surfaoe ouUet round surface- � Searched for seeping in yaM/badcup in home� System discharge sewage to drain�le ❑Yes �No � ��wg��5 in soii system/D-boxes tS0 or surface waters. ❑ Momeowrter testfmony{See Comrnents/�cp�anation) Syatem cause sewage backup iMo ❑Yes �No � �s��S°�above soil dispersal system�S C3 dwelting or establishmen� ❑ ��m�qutres emergency pumping ❑ Petfocmed dys test Any"yes"answer ebove lndlcates the syai�em 1s ❑ Unabte ta verify(See CommsntslE�cpla,�ation� an lmminent Thr+�et to PubHc Hea/th and Safety. [j p��not ttsted(See Comments/F.xp/ansbon) Commenfs/�cplanation: • 2, Tank Integrity—Campliance component#2 of 5 � Com liance c�it�r�a: . Ver1flcatlan method(s)• Sysfem oonsists of a seepa88 Pft, ❑Yes ❑No ❑ Frobed tank(s}bottor�. cesspool,drywe{t,or teaching pit. ❑ Examined construct�on recorcls Seeaep^e pits meebng 7080.2550 may be ❑ Ezamined Tank integrity Fom�(Attech) lient if eNowed/n lpca/oidMsr�Ce. Sewage tank(s)leak betow the€r ❑Y� ❑�o ❑ �bserved itquid ievel belaw operating depth desi ed o rattn de th. ❑ F.xamined emPfY(PUmP�tantcs{s) tf yes,which sewage tank(s)ieaks: ❑ Probeci autside tank(s)for'btack soti' Any "yes"answer above ina�cates the ❑ Unab[e to verity(See CommentslE�cpianaHnnl system is Falling to Protect Groundwater. ��'��s�'0��r��►ments�xprenanon� CommentslExplanation: . S�-� ��Cv�u�� ,��a�� tu��-ti��{ �� k�.,�-o�.-.�. 3. Other Compliance Conditio�s—Compliance component#3 of 5 a. Maintenance hote covers ar�e damaged�aadced.unsearred,a aPAeai'to struduraUy unsaurtd. ❑Yes' �9 Na p unknown b. Other tssues{elec61�c�1 hszerds�etc.)to immedietety and edve�sefy impad pubfic hea�th or safeiy. ❑Yes` ■No ❑Unknawn "System Is an lmminertt lhrsat to paWlc health and safety �cplain: � c. System is non-pcvtedive of ground wa6er for other bond8ons as d�ned b • �y�r�r�m,��o pro�t�ndw�reF r�� ❑Y� �r�o Ex�alain: www.pca.state.mn.us • 651•296•530t1 • �0�'i7•3864 • • TTY b51-Z8Z•5332 or 80Q�b57•38b4 • Avaitable�attPmai�fire forinatr W�uw�ileirA_71 _ 1 f 9/f 19 Prop�rfy address: 1 �.D 5 '�'�4-S�L�-�l. G'�'��G'o�- lnspector 1�111als/Date: d�� ''�n-1.s� 4, Soil Separdtion—Compliance cpmponen##4 of 5� � � Date of.Installatlon: )a�f�t - E�� lnknown � Yerifica�lon method(s): ShoretandlWellhead praEectlonlFood Beva�age �YB5 ❑NO SO)f ObS9N&t(o11 dOeS►1ot eXp(re. P�9vJOcls 5oU �oa�ing� � observa�uns by fwa indepsndenf parties are suffrcient, Com liance criterla: unless stte conditions have besn atter�ed or locaf ?996,and ❑Yes ❑No �9ulr�ments dtffer. For sysfems buiJt prtor to Aprlt 1, � not tocafed in Short�land or 1Ne11head _ � Conducted soll observatian(s}(Attach boring logs) Profection Ares ornaf senring a foai, ❑ Two previous verificatIons(Attach boringlogs) beverage or lodgtng estabtishment: ❑ Not appl{cebfe(Holding tank(s),no draTnfield) Drainfleld has at teast a two-foot vertfcal � Unable to veclfy(Sea Comments/Exptenatlan) separation distance firom periodically ❑ Other(See Comments/Explanairon) saturated soil or bedrock. � � Non perfomrar►ce sysfems 6utitApril?, �Yes �.No . � Commsnfs/Explana6on: 1996,orlaterarfornon performance � systems locafed In Shoreland or Wellhaad � Pmfectlon Ar�as orserving a�food, • : beversge,arladging esfabllshmenf: . • . � � Drainfield has a three-foot ve�icat . separation distance irom perladtcally � ' saturated soil or bedrack' "Experimenta!'; °Other", or "Performance" ❑Yes ❑No lndiCate de ths of eievations 5�+5-9 a-� systems buitt underpra-2008 Rules;Type t4� s � - y,q—'_s��3-9 a. or V sys(ems 6ultf under 2008 Rules(7480. A. Bottom vf tl�tdbutton media � 56 y a st 5•+ sB�M 9�., 2350 or 7080.2400 (Advancad 1 nspector , � S��i�9�•�s s��y-�o z License requir�d) _ - . 8. periodlcail aatnrated solUbedrock ssa�3 q�� S%��"'"•3 D�ainfleld meets the designed verfical � sa ►�.s�s��,L�� se•s .9 C. $ t8R1.S8 SfBtIQR 5'(6r 3:a•)S73w�L�• separation distance from periodic�liy saturated soil or bedrock. D. uired com lfanca se aratlan' � 3"�� At?y "nQ"answer a6ove Indlcafes fhe systern Js• •May be reduced up to 15 peroent if ailowed�by Loca1 � Failing to Protect Groundwater. Ordtnance. 5. Operating Permit and N�trogen BMP�`—Compliance component#5 of 5 � Not applicable . is tha sysfem operated under an Operating Permit? 0 Yes ❑No; !f"yes",/�below is requf�ed . is#he system required to empioy a Nitrogen 9MP?• �Yes ❑No� !f"yes",B beiov+t is requlred BMP=Best Menegement Pr�ctice(s}specitied In the sysfem deslgn � ff the answer to both questlons ls«no",�fhls sectton.does not need to be compteted. , Com iiance crtteria � � a. Operating PeRnit number. � Have the 0 eratin �Permit r uirements baen met? ❑Yes ❑No � b. 1s ths re uired nitro en BMP in lacs arid �o ed furx�tonin ? Yes No Any"no"answerindlcates Noncomptlance. Upgrade Requirements(Mlnn.Stet§i 15 b5)An fmmfnent tbr+Bet do pubUc�asffh and safety(!TF?HS}must be apgraded,raplacad,or its use dtscantlnusd within ten months ofrece(pt of fhls natice or wffhln a ehorterperfod t!requlred by toc�f ordlnance.lf the system Is fai!(ng to pmiect ground weter,the systam must be upgraderf,replacsd,orits uss dlscon�nuad wlfhfn the tlme requJred bylorr�ondtna�ce.tf an axtsttrtg system rs noi feUing as defined 1n(aw,and hes at Jeast Mro faef of destqrt soll separetlor�,then�ha sqstem nsed r�ot be upgraded,rapeirgd,neplaced,or Its use dlscontfnued,notwtN�standlnp ar+y toca!onifnence that!s more strh�fi(s pinvlslon does notapply io systems fn shorefand arvas, We!lhead Protection A�eas,or those irsed In connectlon wr�h food,beversge,sndlod8ing establlshments as deflned ln faw. . .. . �.� ni.• i�nn nwr ir�v�n�� ' w��i�� www h��A--_AAw •�w�wi� i_-i�_��_ e_ _e._�_.:.._e__..__�_ � // � � '"` ! ��CC.��,I(_ � ��z�2G�-Y� �'�v Propeny address: 1205 French Creek Drive,Way2ata MN 55391 inspector initials/Date: L8 47-49-2015 1. Impact ort Public Hea[th—Compliance component#1 of 5 Com liance criteria: Verification method(s): System discharge sewage to the ❑Yes ❑No ❑ Searched for surface outtet round surface. ❑ Searched for seeping in yardlbackup in home System discharge sewage to drain 61e ❑Yes ❑No � �cessive ponding in soil systemiD-boxes or surface waters. ❑ Homeowner testimony(See CommentsiExpranation� System cause sewage backup i�to ❑Yes ❑No � �glack soii"above soit dispersat system dweqing or establishment. ❑ System requires"emargency"pumping ❑ Per�ormed dye test Any"yss"arrswer above indlcates the sysfem is ❑ Unable to vetify(See Comments/Explanation) an lmmineni Threat to Pubtic Health and Safety. ❑ Other methods not listed(See Commenis/Explanation) Comments/F�cptanation: 2. Tank lntegrity—Compliance component#2 of 5 Com liance criteria: Verification method(s): System consists of a seepage pit, ❑Yes �JVo ❑ Probed tank(s)bottom cesspool,drywetl,or teaching pit. � ❑ Examined canstruction records Seepage pits meeting 7080.2550 may be ❑ Examined Tank Integrity Fonn(Attach) com lianrifatlowedin rocarordinance. [] Observed liquid tevet below operating depth Sewage tank(s)leak below their ❑Yes (�No desi ned o ratin de th. � - � �xamined empty(pumped)tanks(s) tf yes,which sewage tank(s}leaks: ❑ Probed outside tank(s}for"black soil' Any "yes"answer above indicafes the ❑ Unable to verify{See Comments/Explanation) system is Failing fo Protect Groundwater. ❑Other methods not Iisted;Ses Commants/Explanatrorr) Comments/Explanation: ,�- /j�j0 ��(. �G J kr l3�;��r s t a (�l u c e - Ta.:�/cs ,`�J SCt'�:S�Gc:.'t"Orl,� COni�l�i'�dnJ. ! Business Name: Kothrade Sewer,Water,Excavating,Inc Business Address: 12059 Whitetait Ln,Hanover MN 55341 Business Phone: 763.498.8702 Company Representative: Larry Bursch MPCA#: 0192/9199 Signature• �,c� l �zc-L• 3. Othe� ComplldnCe Conditions—Compliance component#3 of 5 a. Maintenance hole covers are damaged,cracked,unsecured,or appear to structurally unsound. p Yes' p No ❑Unknown b. Other issues(etectricat hazards,ete.}to immediately and adversely impact public health or safety. ❑Yes' ❑No ❑Unscnown *System is an immfnent threat to publfc health and safety Explain: c. System is non-protective of ground water for other conditions as determined by inspector p Yes' ❑No 'System is failing to protect ground�+vater www.pca.state.mn.us • 651-29b-6300 • 800-657-38b4 • T7Y 651-282-5332 or 800-657-386A • Available in altemative formats wq•wwists4•31 • t l2d/t2 Page 2 of 9 SP TESTING /NC. Steven B.Schlrmers —951 Katydid La�e NE—St.Michael,MN 55376 Cert.No 627 — State License#394 — Phone 763-497-3566 — Fax 7b3-497-5011 www.s testin .wastewater comcast.net— schirmerswastewater.com SOIL BORING PROFILE Clark Winslow 1205 French Creek Dr. Orono, MN - Soil borings completed with a bucket auger on 7-23-15 SOIL BORiNG #'! - ELEV.97.8 - NO MOTTLED SOIL PRESENT TO A DEPTH 4F 78". 0 - 14" Fill soil brown sandy loam '14" - 22" Fill soil pea rock 22" - 2S" Fill soil sandy ciay loam 26" - 34" Original soii brown sandy loam 10YR 4!2 34" - 60" Brown loamy rnedium sand 10YR 5/3 60" - 66" Brown foamy coarse sand 10YR 5/3 6fi" - 78" Brown ioarny medium sand 10YR 6/4 S�IL BORING #2 - ELEV.99.0 - MOTTLED SOIL PRESENT AT 6' - NO STANDING WATER PRESENT IN THE BORING. 0 - 12" Fiti soil loam 12" - 30" Fiil soil sandy loam 30" - 36" Original soil brown sandy loam 10YR 4/2 36" - 50" Yellowish brown loamy medium sand 10YR 5/3 50" - 58" Yellowish brown loam 10YR 5/6 58�' - 64" Yellowish brown sandy loam 10YR 5/6 64" - 72" Light brown med'eum to fine sand 10YR 6/4 72" - 78" Yeflowish brown fine sandy silty loam 1�YR 614 - distinct mottles �OYR 6/8, 10YR 7/1 SQlL BORING #3 - ELEV.95.6 - MOTTLED SOIL PRESENT AT 48" - NO STANDING WATER PRESENT IN TME BORtNG. 0 - 8" Fill soil sandy loam 8" - 16" Fill soii pea rock 16" - 20" Fiil soii brown sandy loam 20" - 28" Original soel brown medium sand 1�YR 4/2 28" - 46" Brown fine sand 10YR 513 46" - 48" Brown loamy �ne sand 10YR 5/3 48" - 60" Brown loamy fine sand 10YR 5/4 - Distinct mottles 70YR 6/8, 10YR 7/1 60" - 72" Brown fine sandy silty loam 10YR 6/4 - distinct mottles 10YR 6/8, 10YR 7/1 SDIL BORtNG #4 - ELEV.95.2 - MQTTLED SOIL PRESENT AT 62" - NO STANDlNG WATER PRESENT 1N THE BORiNG. 0 - 24" Fill soil sandy loam 24" - 60" Original soif brown medium sand 10YR 5!3 60" - 62" Brown fine sand 10YR 513 - distinct mottles 10YR 6!8 62" - 76" Brown loamy fine sand 10YR 6/2 - distinct mottfes 10YR 6/8, 10YR 7/'! SQIL BORING #5 - ELEV.96.1 - MQTTLED SO1L PRESENT AT 58" - STANDING WATER PRESENT IN THE Bt3RING at 58". � - 12" Fifl soil loam 12" - 16" Fil! soii sandy loam 16" - 20" Fill soil pea rock 20" - 22" fiil soi! ioan� 22" - 58" Original soil brown loamy sand 10YR 4/3 58" - 66" Brown fine sand 10YR 5/3 - distinct mottles 1 QYR 6/8, 10YR 7I1 fi6" - 72" Brown silty loam 10YR 6/3 - distinct mottles 1QYR 6/S, 10YR 7/1 SOIL BORtNG #6 - ELEV.94.3 - MOTTLED SOIL PRESENT AT 48" - STANDING WATER PRESENT IN THE BORlNG at 52". � - 22" Fill soil loam, sandy loam � medium sand 22" - 38" Original soi! brown medium sand 10YR 5/3 38" - 48" Brown coarse sand 10YR 5/3 48" - 52" Brown loamy cosrse sand 10YR 413 -- distinct motttes 1�YR 6/8 52" - 56" Brown loamy rnedium sand 10YR 6/4 - distinct motttes 10YR 6/8 56� - 72" B�own sandy loam 10YR 6/4 - distinct mottles 10YR 6I8, 10YR 7/9 SOIL B4R1NG #7 - ELEV. - NO MOTTLED SOIL PRESENT IN THE BORING. 0 - 12" Topsoil dark brown sandy loam 10YR 3/3 12" - 18" Brown sandy loam 10YR 4/3 18" - 22" Brown ctay loam 10YR 5/6 22� - 30" Brown ioam 14YR 5/6 30" - 34" Scown ctay loam 10YR 6/4 34'" - 42" Brown loamy fine sand 10YR 6I4 42" - 60" Brown medium sand 10YR 614 60� - 66" Brown coarse sand 10VR 6/3 66" - 78" Light brown fine sand 10YR 6/3 2011 purplecode Pressure Bed Design www.SepticResource.com (vers 92.fi) Property Owner: Clark Winsiow Date: 7/24/2415 Site Address: 1205 French Creek Dr., Orono p�p; Comments: instructions: �� =site spetific input � =adjust if desired C] =self-calculated (D�NOT ADJUST) ►) C�bedroom Type C] Residential System 2) 900 GPD design flow 3) No Garbage disposat or pumped to septic 2-1500 gallon existing a� 30Q0 Gat Septic tank (code minimum) 3000 Gal Septit tank(design size / LUG req'd) an options: none s> 0.78 GPD/ftZ Soi[ Loading Rate 1154 ft2 bed (code minimum} 1250 ft2 (design size / LUG reqd) (must match soil boring log} s� 25.0 ft desired bed width, teads to a 50.0 ft bed length (25'maximum) � 3.0 ft lateral spacing 3.0 ft pertoration spacing {maximum 3 for both} end feed�manifotd connection $) C�laterals 48.0 feet long f7.0 perfs / lateral 136 perfs total (1/2 perf ineans the first perf starts at the middle feed manifoid) 9) 3/16 inch perfs at �feet residuat heaci gives 0.42 gpm flow rate per perforation ( if bed has> 1'of cover, increase residual head for cleanout req's) for this perf size& spacing, Ft pipe size on line 12, max perfs/tateral= 22 , line#8 must be less--> OK io� 4.0 doses per day (4 minimum) �U 225 gatlons per dose (treatment volume) i2? 1.50 inch diameter taterals (or smatler) will meet"5x pipe volume" 1.50 inch diameter taterals (or smaller) must be used to meet"4x pipe volume"requirement 2.00 inch diameter laterals (or smatler}wi(t meet"3x pipe volume" i3� 17d feet of 2.0 inch supply line leads to 29 gallons of drainback votume (Tip: "top feed" manifotd to controt the drainback) Fa) 254 gallons TOTAL pump out volume (treatment+drainback) is> 22 feet vertical fift from pump to dispersal area, leads to a ib) 58 GPM C� 45 feet of head, Pump requirement ( >50 gpm may require additional 3-6'head atlowance for discharge assy) ��) 1500 gal Dose tank(code minimum) 1500 ga[Dose tank (design size / LUG req'd) at 17.00 gpi �e) 14.9 inch swing on Demand float, or Timed dosing of 4.4 min ON (confirm pump rate with drawdown (to deiiver Average flow, 66%of Peak design flow} 9 hrs OFF test and adjust as necessary) �9) 12 inches from bottom of tank to"pump dFF'float ?o) 27 inches from bottom of tank to"pump ON"ftoat, or 12 inches to"timer ON"float if time dosed ?�) 30 inches from bottom of tank to"Ni Levet"float, or 40 inches to"Hi Levet"ftoat if time dosed ?2) 990 gatlons reserve capacity (after High l.evet Atarm is activated) 23) 72 inches, or 6.00 ft. to Redox or other lirniting condition � (This must match the soil boring log} Treatment zone contains�inches of 0%soit credit, and �inches of 50�soil credit aa> 36 inthes, or 3.00 ft. of vertical separation required leads to bottom of rock no more than: elev. 96.0 zs� 36 inches, or 3.0 ft. Betow existing grade CRITICAL FOR FUTURE CERTlFICATIONS!!t 26) 12 inches of rock belaw the pipe 2 inches of rock to cover the pipe z�) Overatl Dimensions: 25.0 ft. wide by 50.0 ft. long Pressure Bed zs> Rock Bed materia[s: 25 ft. by 50.0 ft. by 14 inches total, plus 20%gives 65 yd3 or•1.4= 91 ton I hereby certify that I have completed this work in accordance with atl applicable ordinances, rutes and laws. 0 f�.r- O��Y'�t�,�G�1�(��Ll�s '�""'y � -��1� ' 3�� 7/24/2015 Des9gner Signature Company License# Date Installer Summary 3000 gatlon Septic tank (minimum) Tank options: none 1500 gallon Dose tank {minimum) at 17.00 gpi 58 GPM C 45 ft. of head, Pump required 14.9 inch swing on Demand float or 4.4 minutes ON time Ez �hours OFF time 27 inches from bottom of tank to"pump ON"float, or 12 inches to"timer ON"float 30 inches from bottom of tank ta"Hi Levet Alarm"float 174 ft. of 2.0 inch supply line with end feed manifold connection �taterals 1.50 inch diameter 48.0 feet long 3.0 ft laterat spacing 3/16 inch perts 3.0 ft perforation spacing No Effluent fitter&alarm 8 clean out�r vatve box assembly Pressure Bed: 25.0 ft. wide by 50.0 ft. Long Bottom of rock no more than: 36 inches, or 3.0 ft. Below existing grade 12 inches of rock below the pipe Overall Dimensions: 25 ft. wide by 50.0 ft. long Pressure 8ed Rock Bed materials: 65 Yd3 or"1.4= 91 t�n INSPECTOR CHECKLIST - Pressure bed 1205 French Creek Dr., Orono � WELL secbacks: 20'to pressure tested sewer line (5 psi for 15 min) 50'to everything i00'to dispersal area with shaltow well PROPERTY LINES setback: 1d'to everything Road secback: outer ditch, or 33'from center of township road, or 65'from center of cnty road LAKE/BL[1FF setback: 20'for btuff. Lakes: GD_, RD_, NE_ Protected wetland Building setbacks: 10'for everything, 20'for dispersat area. � WATEit LINE under pressure se�0'to bed,tank 8 sewer(ine. (etse sewer tine > i2"betow) � Sewer tine& baffte connection (no 90's, 3'between 45's, min slope 9"in 8', max 2"in 8') {no depth req's, clean out every 100', Sch 40 D2665 or F891) � Septic tank and risers {water tight, insuEated, proper depth, existing verified by pumping) mfg 3000 gallons none � Riser over outlet, riser over inlet, b"+inspection pipe over any remaining baffles. � No effluent filter Fr alarm � Dose tank risers and piping (water ti�ht, insulated, proper depth, drainback) mfg 1500 gattons � dose pump 58 gpm 45 head VERIFY PUMP CURVE 4.4 min ON 9 hr OFF � f(oat setting drop 14.9 inches LABEL pump requirements and drawdown on riser or pane( � Cam lock, weep hole, supply iine access (no hard 90, pipes reachabte from grade - 30") � supply pipe sloped 1/8"+, supported by sch40 sleeve, and buried 6"+. 8 spiice box /cantrol panet /electrical connections flow measurement: CT, ETM, time dosed, home water meter � Bed dimensions 25 X 50.0 � Rock depth below pipe 12 inches � Rock bottom elevation 36.0 inches from Grade to bottom of rock(max} � cover depth of 12"+ VERIFY 8 taterals {i-2'from edge of rock) 1.50 inch pipe size 3.0 ft tateral spacing � 3/i6 inch perforations (smatler is ok) � 3.0 ft pertoration spacing Air inlet at end of laterals, and at top feed manifold. VERIFY ciean outs (deep bed 2'of head} (no hard 90's) 4"inspection pipe to bottom of rock, anchored VERIFY Abandon existing system if necessary ��Re-use existing tank certification monitoring plan and type well abandonment form if necessary 0 . v, . ' :� � ; � � A�� - �,s.- �� !� � s � ��'�� i \ �;��c � ��.� � � .�� °o �� c � 'a� � � ` � � rt �� v i ,�'� _ � , � '�I� � ` ` 11 ' h Y � ..,' �b � � �' 9�a Di °'�, s.�� .o `i � � C• � - \ 1 t ,' �� yV � ~� 1� �� . � � . r ��' a � i� �. ;t ti C � `, �� J..�r� 4�� v�'�4 ��0 �,;\ ` �1 :'' . //' , u • , , `; . �$ �-w `�I f � ` �� ~ � ''�,,, '�` v �� ,,+''� •.i'i � � � , ` 9- ' r�, % a��n �,9y� � �`� � r �� u� � r. �,;. y _ �'� � r i�� . � �� : �� ,_ � � � �� c . ��'n �� `��-� � 4s�¢r�� '�� ,� ,�� -0�; . �r� { •� �� v j t��iN� � C �o � � � i G ' a t� a k 0. J1� � _ . 4S �t!t �/3 �• �.�,. � ,, . 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Tank�.' from pcoperty 6nes . s�� 4»�-- i.�.' : ' .5s� frorn welis . . � .L� Erom•bidgs. � ' _ v u Treatment orea .Z.��frorn {aSces,��strearns ' � � Tredtment area 3�. from property 1'ules ' . � • . 50�from wetis s��;'��:�.Sca.'.. .. � � frocri bld�s.�g.fo d�¢v��to • � ' ' .r�from trees ote�Power s+upply md s�ritches tix�st be in a weaiher S01L ' �outside�pumpbig dwmber. •-8g.•Cr� � . 87u•7 �f ____ �__�.. � °i43.�t�-CJ °�°r,0 C'nc�sC+NL• ,;L,rn'v�. ' , . � . ' - u�� ' '�q.�� .. •. • . �,•��5��*�v ��N� _a=�a�i�4 YF� . . � ' � �r�- . . P_ � , i'�"�F�a� i 9h.o . ' • '�o � Tadk ' � i -- ' �--� v��As�i� �� Grode�°Jas(ope • OroA to Tank . . °�' ?50�`�'� �.,., �R ��fi>v., f�� s�a -�� ,_ \J i�,�t.,'�Jtb-t1�,9s.S . � � lufiri t"io 8� . 7�•� � Pixnpuig qy. _ Maic.1:'to�4` � ' ' Chamber � SEEPAGE -BED ��s�tz� . ..�{.�io 6"dib.pipe• � : ' ' 1��o�.? • . . . ..._ SYS"T�M DEaK� 9�0 96�!vr1";. �I$ 41 S t1.�e''C� ' . . . �Yf'E^S ttv BEOf�00M - Percolation rate min.�r�ch (design_te-_�_muk/i�):• � I� . - 7reatment m�ea required w%� of ruck frrier materiat� --.+10°/a ��Sc�sq.ft of trench botfom . r �X��v�, SJumber of iaNcs req�iured.,''g. , Isf iank 1 obgal., 2nd tonk�.Ogol. rrurum�x.ns . � Clean rocic�5 cu.yds. (3/4��to 2 t1Z��dia.,inctudes 2��above pipe) . • • ' p . Pumping cfwmber copodty= 25°/a of daily sewage•flow af9oc�9qt.�galf Reserve.,sia�ge�9os2r}ol.t Pipe�ack drvinoge�9al= tiri gal�c�op��`..• _ � ~ al. �� . 9i P Pe �..P�:-12-��) � ( Reserve storoge =)5ci gaL/bedroom=��)�'* pipe back d�noge:12 9 /IOOfiRft.--� P�pe-,len ti of i needed a v . /-', . r a�U�� Pur�p size �v hp w/merwry floaf p�m'►P controls t.1.y� '`�5� 1.-1�'� '�'Q�``��l�!kl��---�-�-c1-'� � �. � L`'�- • . • 1�Iote� When oortsfruciirig bed �-' ,�tfds arep shoub.be slx�ped . htoie� flistance fr treatment cuea to neighboring �t�s— Des' x�� , � to diverl run--off from entering lrentment vrea. G'�� 'D`� �� . . DotE . i � { � � �� • A�� " �s.' � �; �o n ;� � ' �� \ �'�`� �-, G ' � � �� . , g ��rt � :� �� :' y ��; ,� � , � � � �, � ` , , , � , �' " �o e P .9 . ,� Q\� �.�� ' � � 1(� `G � t ♦ � ,Q". ' 1 . t� �-, k�. ,rvr �.p Ty y. t ,� `r�C y Sr ; � 1 i' , 1t � y �7 p �� r..� �., � J�..-'��„�,_✓� � � v C►�� l t `1 . � � � v � �� , �� , 1,,. �� *'� �r � , � � , , , ' � :�� ~ �. � � ' �, •a�N � 9 G ., - � `4.G� D , y A �,� N , � � 1. w �,� : �� : � �Z�� c �L � `'�:� � 4y`�� s s�r�� '� -0�� c , a��: I s� � V ; � � � ; � ; ; i ��N�j � c o a� ' a t�• a k A J1 � �,�] _ . �.S F�n us � .�� 1` .. G '6 ` �v ��'� � � � � � c � ' �` -n � C � � k ��y,��w(,�., � " � ��' ��.,r� y is �fG Li�' y�. � '" !¢ � -Q ��. �� {�-�,-" , � �- '� o • f . i9 �I� �r � �� Ni�. ' � � � �-�� s ` � � � � �c,s ' !' � :�' 'b � � ! � 1 �` �� G �� (�� r� . 1 ' � L � � � � if' . � 7 � ,� . � G i'� , � (G . cA . T r-. ° � �� ' , �— I � 1 i ( � Roger Peitso From: Roger Peitso Sent: Tuesday, September 08, 2015 9:22 AM To: 'Deb' Subject: RE: Clark Winslow Deb, I have received your request for a variance to the 20 foot setback required by Orono City Ordinance for the absorption area of the pressure bed. Do to the limiting conditions of this site and that we can get a Type I system installed if we relax the 20 foot requirement of the City to the State requirement of 10 feet your request will be granted and the septic permit will be issued as designed. Any questions please call, Roger Peitso Building Official City of Orono Phone: 952-249-4600 Direct: 952-249-4625 Email: rpeitso@ci.orono.mn.us Fax: 952-249-4616 �C��+O .� � - , .,x�,�,•. From: Deb [mailto:sptesting.wastewater@comcast.net] Sent: Friday, September 04, 2015 9:13 AM To: Roger Peitso<rpeitso@ci.orono.mn.us> Subject: Clark Winslow ThankYou i DATE TIME ' , CITY OF ORONO CALLED IN INSPECTION NOT�E SCHEDULED PERMiTNO. ��-S — O10�1Q COMPLEfED _�� /�� ADDRESS J Z�� ✓�C/'�.0�'t C✓'G�e k �.'yi l� OWNER TE EPHONE NO. CONTRACTOR �l�'�✓� C� ��"�� DESCRIPTION S�r`-� ��/ �� Ga r/�� ll� ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: � . � � fed sm - / �� e � � � �!9/'in r s' ' o . � ci'l �n � C�2S s�f �2S ° u�e� �7L -7 � � W � Q � 2 W Zc W � � J d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT i_7 CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4f)�� OwnerlContra on site: Inspector. ' White Copyllnspector's File Canary CopylSite Notiee � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT��E �l�CHEDULED 9.�— PERMIT NO. �� S COMPLETED l0� ADDRESS �Z�� G��i. �rc��C l�i��v�6 OWNER TELEPHONE NO. CONTRACTOR �; DESCRIPTION ty ❑ 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR T ME U:_YES_NO � COMMENTS: �G� ��iC,7, a �,�X�cl� �`I ?c �'r � � O � C a'�/�-PGtv�r �i e 01!i1 � ° °I— �a-��'i � �� 'r l�i /S W � Q � � 2 W 4 �� /.� z v W � J d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra r on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � `� �L�`^ �p AT � TI�� CITY OF ORONO CALLED IN �v �� INSPECTION N TIC / G�jCHEDULED /D-�p�S � PERMIT NO. �� ` 0 �`�cOMPLEfED ADDRESS �'Z d 5 ��-CiYI [�C- � OWNER TE HONE NO.I�� O�- SOf'� CONTRACTOR , • � DESCRIPTION �� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlGRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � / J � ��[A.�—�S!�L!!/ �" � J � u�m � G�� — �� ° ,�� s Q Se i� s -s l` �%�� CG�a z 7 d��' � -� �l e �K e e �i � �� a.7�" ��1 c s �i�� W � j d W ❑WORK SATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT i_7 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR W4LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlConVac on site: Inspector. White Copyllnspector's File Canary CopylSite Notice