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2011-00498 - new septic system
� . CITY OF ORONO PERMIT NO.: 2011-00498 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/24/20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 3380 GRAHAM HILL RD PIN : OS-117-23-11-0013 LEGAL DESC : GRAHAM HILL PRESERVE 2 : LOT 000 BLOCK 000 PERMIT TYPE : SEPTIC PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : NEW ACTIVITY : MOUND SYSTEM - SEPTIC APPLICANT SEPTIC NEW 200.00 PATNODE BROS STATE SURCHARGE SEPTIC 5.00 23200 109TH AVE ROGERS, MN 55374 MISC FEE 0.00 (763)428-7393 TOTAL 205.00 Minnesota State License#: 95 OWNER RUDOW, DAVID 3380 GRAHAM HILL RD ORONO, MN 55356- 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 Ihe State Building Code. This permit is for only[he 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 specitied herein.'�his 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 a[any time aRer work has commenced. The applicant is responsible for assuring all required inspections are reqaested in conformance with State,Building Code.This permit may be revoked at an e for due � ��� / / / / App i ant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � p City of Orono � FOR CI USE ONLY ��'g' �� P.o. Box ss �" ti1l 1� . (� �.j� � �a;,,; 2 7 5 0 K e l l e y P a r k w a y �.Y� D a t e R e c e i v e d. �� P e r m i t����� / � ,�... r� �� ��j�i�.,��,. � C rystal Ba y, MN 55323 p-o � ^(�� �y�o (952)249-4600 Amount: $�05 _ �� ��i ��0265 \���a� 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: �� (J U �t���, f�r�v►� � � LL �,,� Owner: 5(0.�� woo� �, �, L, Mailing Address: (�'� ��' �(9� ����-� Clty. `"����A%/L' Any7�tS ZIp. ����Y' Home Phone: ��� - ��17 - �� `j�� Alternate Phone: -Contractor/Applicant lnformation: ���„�� i"� --- �— --� Contractor/App.: ( � l ti�o,�) � -� �,tiS Contact Person: � D �. �-(!v v�� Address: a3�oo ( C�`� �s ��-lv�' State License #: � �? City: �.c��nG��.s Zip: ���> 7� Expiration Date: �L�-� � ��- Phone: 7�.� - �-��� - 7���j'�3 Alternate Phone: (�I-� � `f�`f��5��' TYPES OF OCCUPANCY �.:= � 4.,, �Residential ❑ Commercial ❑ Other PERMIT TYPE AND FEES , t��� New or Replacement System $200.00 ,�C`?C) > � � Repair Existing System 100.00 (Tanks or Drainfield) State Surcharge 5.00 5.00 �,c� Total $ �1 G � � W:\(Permits)\Septic Permit Application-Updated Surcharge 7-1-10.doc 1 / 2 i . � � ** ATTENTION APPLICANT ** Fill in all a ro riate blanks and check all'a ro riate boxes. I will be installing the following: Tanks �Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other (list manufacturer) � Number of Tanks: __� Size of Tanks: -� ( �S� � ��C� Treatment System Trenches s.f. v Mound o�� �� � s.f. 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 corr t. Signature of Applicant e1���'�����`-�-�' Date: � ! �S /� � MPCA License No.: ��- J S Staff Review: �Accept ❑ Denied Reviewer: ���� �(, �`� �� �� � � , Date: Reason for Denial: Comments (to be printed on inspection card): W:\(Permits)\Septic Permit Application-Updated Surcharge 7-1-10.doc 2 � 2 � ` � RECEIVED JAN 2�i 2 01� Joseph Olson D.B.A. CITY oF oROI�C� ����, Rusty Olson's--Soil and Percolation Testing Joseph J.Olson--MPCA License#810 l 1481 Ri��erview Rd.NE,Hanover,MN 55341 (763)498-8779 Fax(763)498-8290 � Revised Jamuarv 12/201 l ORONO COPY I�ebrua��v 09_20U7 Stonc�aoud LLC. i380 Grahmn Hill Road Oruno.fJcnncpin Count� I his on-site Seuase"I reatment System is dcsigned for a Type t.Ilve-bcdruom home in accordance with�h�Minnesutu Pollution ConGol Agencv Chaptcr"108f1 and locul ordinanccs. 1he periudicall�saturated soils��cre located et 18-32 inch�s(motiled soil)_Due to The periodically saturaled�nils.a pressurizcd Vlciund System will need to bc ins[allad to treat szptic ef}lucnt.The boltom of the ireatment area must 6c lucated at least 3'�bove the satu�nted soils. (�hc soils at a depth of 12"have u percolation rate av�ra�,ing 10 MNI. All neighborine wells srz locatcd greatar than]00'away Guna proposed trcatment arc� All tanks nced to be insulatcd if thare is less than nvo feet of cuver over the top of the�anks.A liller needs to be installed on ihe sccond tank.Cican outs must be installed on thc cnd ot'the laterals for maintenance. a pumping chamber will need to be installcd to lifl the effluent to thc treatment area. "I'he power supply a�d Switches must be Incated ou�side ihe manhole and purnping chambcr in a weatherproof enclosure. A wart�ing device must be in,talled�vith light and sound devicrti:this is in case ut a pump failure.The mai�ifold and supply line must have back drainage to the pumpfng chanaber. Keeo all heavv equipment off otthe nroposed treatment areas before.durin and after construMion Thc area arouud boih sites must ba fenced ofi'bv the contractor before anv cunstructio�i beains This Desi�n is not valid and the Svstem wi�l need to be relocatMl if(ailure to protect Llie area�oronosed for On-Site ticwa e Tre�tment occurs. �Vith proper instail�tion amd main�enance,ihis s}�stcro should haee uo problern in Ir�ting sep[ic efiluen�ellectively. Nothing other than gray�4xter,Qaundry.sho�vers,etc.) Human�cater ar�d toilet tissue should be disposed of into thc septic tanks. Gnrbage disposals ure not recommended. l�dditives m�s•[not he used:tfiev mx��eUuse harmful damagc to your s'eptic system. It is recommended that you pump the tanks eveiy two ycars tiinccrch-, _-_ _--�..___ _ Joseph J.Olum �'t`�Y OF bRONO ORONO COPY ����P r r N ItEV�yV,,f-/� �NSP TOR �����t �1��� �ATB - �� PERMITNQ.�,,,,, IYPPROVED AS SUB1�tITT�Q APPROVED WITH CURRECTtOIJB AS NOTEi1 �IIS S'�S1�I IS�F'� '���a��Y���rR���i����n u+x aow ������ ��l�t�e!`��t M full Cwnpiiaaee rrith�il�ppticabla septio aad maiag cvKie. 4nenr�6 �il� Requirsmertes iaciudiog itoms aot spociiic�lly aoicd ia thi��eviaMr. �B�Q����W��ar�wee�► iCBEP?Hf8 lLAl�i SBT OAi SiTfi A►T ALL tUNEi OI;�J:VU COI'Y � � ��I R Y ^�, � \\ � � .��' � �. j Y -� ���� i� ; � � ���� :� = 9c�� � (� , = ..� � � � �_ : - � �:; r ` �__ _ � �.. �1�� ' � - =: Y C u �'. i.` �,. ._.__..—i _.; ` _... _ .._ __ —_�_ y� '. -- _ _._ ,. 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': ( ; � a � Z � m 0 � w �C M � I � �� � ������'� �yy � � �'� �I .w.1 .i J � ..i � � �+ .. a, c, 1s� iu w�w�� 3 �i�a a1 � N� b a. � ���� ���� P �; �� m • ;1���1 ��I � � � � � � � � p .� � a.� � � �) G � ��a �° • � ,�� . r�- lM� � pp �"� � ~ O =1�` � �Q C � � T ��.�� r� v - `g p� �� a� p0 �0 - d� � E ; � tl`�I o p _ r � � �� r < � � � �3� �� � V �Y� ��� u o J «B � �� p� C � �o a == 4 g� . 3 ,�a a� y + - �� + �� �,�'� � a� �� �g MI� �i,: 1 3 •� � � �� �'S' � � Q� 'o �-� CI �~ �� N� ,�- OC ' � O Q s 3 ��r a a 'v � �_ � u8:.—C� Ka' " c� � _ �O O O. ��yy i o �,, p�o W � � � r� � ��� a- X � ^�1 «e U �'i `� a� �� Q � ' �a` � ��;v �o ��a�� � � �� �'���� Q 4 r o ,� O♦ a N M Q � � `% � w sJ����a� � �� � ` �E�t�n � �� � aa � � � P� � � ° y' �� a�^_I.`��.o lri r. Y � � � ,�� � � ' .7t O Y � ���' M C���t ��,� �a � �� a�� M � J 4�_ �� s I ������ � �� ��:3 �3� �� � � M <�I,������ � ���� �� `" %I�}� . � s � s� � � „��_ _ �� �. � �� c � K� � g���� ..� � � " � �� � . � � � �� � �� y ,� � � � a - R 3 � � I������� � �� � ° � `� � `� OSTP Pressure Distribution U��iveusiTY MinnesotaPollution Design Worksheet Of�1�lNNESOTA Control Agency .. _ 1. Select Number of PerJoraCed Laterals in system/zone: �_'� _. �" �� p��'�''.^ f q 7�x 9C�A3..m ,. '> .a�'�,9�P, (2 feef is minimum and 3 feet is maximum spacing) �...' � _-..�. � ' ' �„ � °`'�-' ��'�o�q�,, � _.� 2. SelectPerforatianSpadng: 3.0 ft `�'�_ 5 }"'gy � r;, .o,'�,��a�. � f �i 4 '��9 k�� � � ';�rt.'D1bi�� ; D c�o I 3. Select Perforo[ion Diameter Sire 1/4 inch �-"- '. �.r�-:��.�i�,r��., . l�!u 3 i4. Length of Luterals -Media Bed Length-Z Feet. Perforation can not be cfoser then 1(oot fromf edge. 63 - 2ft = 61 fc IS. Determine the Number of Perforation Spoces. Div9de the 1_ength of Locera(s (Line 41 by [he Perforotion Spocing (Line 2)and I round down to[he neares[whole number. �I Number of Perforation Spoces = 61 ft = �3 ft - Z� Spaces i6. Number o(Per forations pe��aterol is equal[0 1.0 plus[he Number of Perforation Spaces (Line 5). Perforotions Pei Loterol = 20 Spaces + 1 = 21 Perfs.Per Lateral Check Table 1 to verify the number of perforations per latera(guarantees less than a 10 0"discharge variation. The valiie is double i f the a center mani(old is used. �- Totu(Number of Perfo�ations equals the Number of Perjoratrons per Lateral (Line 6)multiplied by the Number of Perforated Laterafs (Line t�. 21 Perf.Per Lateral X �Numlxr of Perf.Latcrals = 63 Total Number ot Perf. 8. Calcula[e[he Squore Feet per Perforotion. IZecommended vo(ue is 4 10 jt' per perforation. ,�,,a,��,o;>�n,.s�w=M� Does not appl y to At-Grades -- Bed Area - 6ed Width(fq X Bed Length(ft) �"����� • � � � ,o� �.ia� o—�'o.se�a:id.._ 10 rc x 63 ft = 630 ft' °" � °`— ,s o.�� , o s� _.....—a:�—r—---rt z o,. =_ _9 o es_ g-+�- Squore roof per Perfaration =Bed Area divided by the Tota!Number oj Perforations (Line 7). -;o o-n �o s�— -- S.0 D 1 : 0 9] I 26 �.65 b30 ftZ < 63 perforations = 10.0 ttZ/pertorations y: '"�> '"�" — — '� 9. SetectMinimumAverageHeod: 1.0 ft ° �r����`�y'yr�.��I��f:a��J� .<. � .,��.�..io.m..�:+..,....rs ._.. 10. Select Per(oration Oischarge (GPM)based on Table IIi: 0.74 GPM per Perforation 11. Determine required F(ow Ra[e by multiplying the Total Number of Perforafions (Line 7)by the Perforafion Dischorge (Line 10). 63 Perforations X 0.74 GPM per Perfora[ion = 47 GPM 12. Select Type of Manifo(d Connection (End or Center): [��end ]ce��ce� t ,� � II OSTP Pressure Distribution UrrtvLxsrrY Minnesota Pollution Design Worksheet ��,- :�1�:��Nf�so�t� Control Agency _ ._. ___ ._�_ --�------�----- -.r�, ---_ F i,:...,:1. . �.-...- i_ - -- ��,T.o...<r,a�g., --� � .: , �., .� �.�-. I F__ . T— _ � .. _ ---- --� •-��i F . _. F� ,_.� i�r.,�..— F �:- ., y-- ��.:-,_. _c._,-.,. �.i — ,-- - � . . . . �,��c_._ _� �_c ���,.�r. �.. ..,.F.: . , __. . �. ..__ J, r ---- --- .._. ----- --- — �__, - — - - � .. �--- -- --- --- — I - -- - is 1, 6J T !I 1S ��t� j �II� � _-- - .. :-- —�� __ a z - - •s i a �s �.�'_. r—� !t .[i -i�..:F.._ ���_. ,La.. I �I `F'✓ �' �r..�.��r .-.� 1 .,-r,r C-,c�., .F ..�i . .. . , � I I .. ' t � �. I ; -- I -.� , : _ __`�.-7_. — �_ —.— ___ __ _ -- ', � E _ in 6.` : t � l J-1 li'v -+- ' �— .____ _ - _" _ —_- , _ __ " 1� 1 _ i.. .i_.- � c.l� .f -� . �- t ._- '= _ "�_ '� ; i _ — 1�i2:_. � . . _._ ..... _—_- —_ I �y_.��_-� —� - .. Table 11 14. Sefect Latera(Diometer based on Table I: 2.00 irt Volume of Liquid in I 15_ Vofume of Liyuid Per Foot oj Distribution Piping: 0.170 Gallons/ft �Pe Pipe Liquid ' �5, Volumeof Distribution Piping = Diameter Per Foot I _[Number oj Perforated Laterofs (Line 1)X Length of Laferols (Line 4)X (inches) (Gallons) (Votume of Liquid Per Foot of Distribution Piping(Line 15)] 1 0.045 �� X 61 ft X 0.170 =� � �� ���$ � gal/ft 31.1 Gallons 1.5 O.t 10 ' 2 0.170 17. Minimum Dase=Volume of Distribution Piping(Line 17)X 5 3 0.380 � 31.1 gals X 5 - 155.55 Galtons _ 4 ���� � , -aeano��s � ". . _. _ man�o pipe, �Manlioldp�pe. '� i a FF r�r,�p�np lean outs 'Allernate location � ot pipe Irom pump ���• A�IE.'�f��d!F;UidI1Vl1 Fi e irom umu of i e Gom um I hereby certify that I have comple[ed this work in accordance with all applicable ordinances,rules and laws. Joseph J Olson 810 O1/26/11 ;i (Designcr) (Signawre} (License#) (Date) II OSTP Pump Selection Desi n � � �V'IVHRSITY ' MinnesotaPoltution Worksheet (.)P�IVN�SOTA �` � �. ConaolA�ency -- � �.i. PUMP CAPAGTY �- I�� ',A, Pumping[o Gravi[y or Pressure Distri6ution: ��;ra��iry �;r�rss��� II I� . If pumping to gravity enter the gallon per minu[e of the pump: �-�GPM I 2. if pumping to pressure,is the pump tor the treatment system or[he collect�on system: '�rooemeocsYsrem �jco��ectiansy:te•» � 3. If pumping[o a pressurized treatmen[system,what part or type o(system: ' Soil TreaUnent Unit I Media Filter Other i4. It pumping to a pressunzed distnbuUon syztem: L 47.0 GPM (Lrne 71 of p�euure Distribu[ion or Line iG of Non-Level or en[er iJ Collection Sysrem) . ..._- .. _._- . .___._ ._._ ...-'-.-__ . . ._. _ __ 2. HEAD REQUIREMENTS - _ _...-_- _- _ S 1 rt . . � 3_ Elevation Dif(eience 10 f[ ai n�ia n,��e� between pump and point o(discharge: __-___ (�"l� 1en9���'"' NOTE:IFsystem is on individuat subsurfaw sewage beatment �=�7 s`^n"°"`--'� � 1 -"Isys[em,mmp(efe steps 4-9. lf system is a Collection System, ����„='' �i�,,,;o�•; skip steps 4,5,7 and 8 and go to Step 10. ���''i � I I ����«�« I _--- -_ ' � I i�� � � 4. Distribution Head Loss: �ft -- -�,�I .. -..--- __._..._. >_.__._______ �1 >:.�_{, k < I 5. additionai Head Loss: �]ft Idue to special eqinpment,etc.) Dirtnbution Head Loss Friction Loss in Plastic Pipe per 100 ft , Gravity Di>tribution = Ott (C=130) � - -�- - - - ` - -- --- Nomina!Pipe Diameter � Pressure DistribuUon based on Nanimum Averaqe Head Flow Rate ' i Vaiue on Presscire Ufttributfon worksheet_ ' (GPM) � ���� �� � 3 � Minimum Avera e Head Distribution Head Loss 10 9.11 3.08 '1.27 0.31 --� tft Sft - ' --- �ft - -- - bft 12 12.77 4.31 9J8 0.44 --- � - -- -- ----- --- T 14 16.99 5.74 2.36 0.58 i Sft �Oft --- 16 -- 7.35 3.03 0.75 0.10 6. A.Supply Pipe Diameter. 2.0 in �g ___ g,�4 3.76 0.93 0.93 e.Supply Pipe Length: 30�ft Z� 11.11 4.58 1.13 0.16 25 --- 16.79 6.92 1.71 0.24 7. Based on Friction Loss in Plastic Pipe per 100ft from Table I: 30 --- --- 9.69 2.39 0_33 Fnction Loss- 5.44 ft per 100ft ai pipe _35 _--- -� 12.90 3.48 0.44 - 4� --- 16.52 4.07 0.57 g. Determine Equivalent Pipe Len,yth from pump d;scharge to soll dispersal 45 �- -- --- 5.07 0.70 area dacharge point. Estimate by adding 25%to suppty pipe lenglh tor i fi[ting toss. Supply Pipe Length(S.BJ X 1.25 EquivalenY Pipe Length 50 . - --- -- 6.96 0.86 � ` 55 � --- --- 7.35 1.02 30 ft x �.t5 = 37.5 ft I 60 --- --- - 8.63 1.20 9. Calculate Supp(y Fric[ion Loss by mul[iplying Friction l.oss Per f00Jf (Line 6)by 65 --- --- -- 10.01 1.39 Supply Fnchon Loss= 70 - -- 11.48 1_60 5.44 ft per t00Ft x 37.5 it - 100 - �.0.�tt M ^ I OSTP Pum Selection Desi I P �n � �`NIV6kSITY � MfnnesoSaPollution WQ�'�(S�Q�t pf� �TfNNLS07'A � , Control Agency � . ._.___. _ _. _ . -.. i 70. Equivalen[length of pipe fittings. ���.� Equivalent Length Factors(ft.)for PVC Pipe� � � Fittings Section 10 is for Collection Systems ONLY and does NOT need to be ' completed for individual subsurface sewage treatment systems. � Fitting Type APe Diameter(in.) t'h 2 3 Quantity X Equivalent Length Factor-Cquivalent Length cace va1vP i.pi i.;a z.o.i - � 90 Ueg Elbov; a.03 5.7J 7 67 � Fitting Type Quantity Equivalent Equivalent � a5 Deg Elbo�•� 2.iS 2.76 a.o9 , Length Factor Length(f[) I Tee-Flo���Thn� 2.68 iq5 5�i� � - -- ' � -'..�... . . . -- -- ---- Tee-6iandi Row 8.05 16.30 15.30-� Gate Vatve X I Seving Check Valve 13.40 t7.20 25.SG i + ' -_ 90 DCa,E(bow X - � ,lnyfc vah�e 70.1fi 25.80 38.a0 45 Deg"elbow X = I Globe Valve 45.60 58.60 8690 _--_- - � &i,tter(lV valve - 7.75 �t 50 Tee-Flow Thru X - - Tee-6ranch Row X � = NOTE:Equivalen[length values for PVC pipe - (ittings are based on calcula[ions using the Hazen� Swing Check Valve X - Witliams Fquatinn. See Advanced Designs for SSI-5 Angle Vafve X = for equation. Other pipe material may require Globe Valve X = different equivalent length factors. Verify o[her --- �- � equivalent length factors with pipe materiat Butterfly Valve X - manufacturer. Valve 10 X = NOTE:System installer should contact system - designer if the number of fittings varies from[he Valve 11 _ X - _ desiQn to the actual ins[allation. A. Sum of Equivalent Len�[h due to pipe fittings: C-�([ -----------. _. __ Hazen-WiUiams Equation for h 6. Tota(Pipe Length =Supply Pipe Leng[h(5.8)+Cquivalent Pipe Length(9.A.) ��, � �� ft +i-� ft -�ft �11 � .. .t��/ }-������ `� �. L � (:, Hazen-WiUiams fric[ion toss due to pipe fittmgs and supply pipe(h,�: Q in gpm l in(eet D m inches C-130 (10.5 .- pipe Diameter°�8'� X (Flow Raie = Constan[)1�H5 X Total Pipe Length(10.6) (10.5 -� �ina.e�) x ( 9Pm+13D)'.es X �.._�(t =�Jft i >>• To[af Head requirement is[he sum of the Elevation Differertce(Line 3J,the Distribution Head Loss�Line 4),Additional Head Loss(Line 5j, and either Supp(y Friction Loss(Line 9),or Fnc[ion Loss irom the Supply Pipe and Pipe Fitiings for collection sys[ems(Line 10.C� NOTE:Supp(y Fric[ion Loss(Lirte 8)need ONLY be used rf NOT a mllection system. NOTf:Friction Loss from the Supply Pipe and Pipe Fi[tinys(Line 9.q need ONLY be used if sysfem is a collection system. 1�.0 ft � S.0 ft � �ft � 2.0 ft = 17.0 ft 3. PUMP SELECTION A pump must be selected to deliver a[(east 47 GPM(Line 1 or Line 2)with at least �8 feet of total head. 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C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z) Z49-460� OwnerlContractor on sit • Inspector. White Copyllnspector's File Canary CopylSite Notice G� � DAT TIME � CITY OF ORONO CALLED IN �� �� INSPECTION NOTICE SCHEDULED ' � � �d"CL PERMIT NO.��LI—����� COMPLETED ADDRESS �3�D ���'��"` �`-� �'c'Y OWNER TEL HONE NO. ��Z C1 ��-F F�S�1�U CONTRACTOR l'�-�-�� >: DESCRIPTION ��� � ��� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT�ON/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C O J 1 i � � � � � O 1 j �— l/ W � Q � C fJ�T � ` '�-- �� � � r � �Hi-� nn� � C�,�� ,Cl` �:5�--�<'��,-�zu � a W �KSATISFACTORY:PROCEED f i PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOA REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIO(V RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site: Inspector. ��__� a ; White Copyllnspector's File Canary CopylSite Notice