HomeMy WebLinkAbout2015-00717 - new mound septic ' CITY OF ORONO * 2 0 1 5 - 0 0 7 1 7 *
� 2750 KELLEY PARKWAY DATE ISSUED: 06/18/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 333 HOLLANDER RD
PIN : 25-118-23-43-0005
LEGAL DESC : REG. LAND SURVEY NO. 1281
: LOT 000 BLOCK 000
PERMIT TYPE : SEPTIC
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : NEW OR REPLACEMENT(SEPT[C SYSTEM)
ACTIVITY : MOUND SYSTEM-SEPTIC
NOTE: NEW MOUND SEPTIC SYSTEM
(3)PRECAST CONCRET TANKS- 1250, 12Q 1600
MOUND-4608 S.F.
APPLICANT SEPTIC NEW OR REPLACEMENT 400.00
STATE SURCHARGE SEPTIC 5.00
PATNODE BROTHERS INC. TOTAL 405.00
2841 LANDER AVE Payment(s)
ST. MICHEAL,MN 55376- CREDIT CARD 5822 405.00
(612)919-01 12
Minnesota State License#: sept-L3843
OWNER
TANNER,JOHN&DONNETTE
333 HOLLANDER RD
WAYZATA, MN 55391-
AGREEMEI�IT 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 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[he State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date fssued By Signature Date
CITY OF ORONO * 2 0 1 5 - r� 0 7 1 7 *
` ' 2750 KELLEY PARKWAY DATE ISSUED: 06/18/2015
' ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 333 HOLLANDER RD
PIN : 25-118-23-43-0005
LEGAL DESC : REG. LAND SURVEY NO. 1281
: LOT 000 BLOCK 000
PERMIT TYPE : SEPTIC
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : NEW OR REPLACEMENT(SEPTIC SYSTEM) �
ACTIVITY : MOUND SYSTEM-SEPTIC
i"
NOTE: NEW MOUND SEPTIC SYSTEM � �
(3)PRECAST CONCRET TANKS- 1250, 12Q 1600
MOUND-4608 S.F.
APPLICANT SEPTIC NEW OR REPLACEMENT 400.00
STATE SURCHARGE SEPTIC 5.00
PATNODE&SONS .����� TOTAL 405.00
23200 109TH AV �" � ,� '� Payment(s)
ROGERS,M�74� � � CREDIT CARD 5822 405.00
(763)428�3
Minn�6'ia State License#: sept-95 �
OWNER
TANNER,JOHN& DONNETTE
333 HOLLANDER RD �
WAYZATA, MN 55391-
AGREEMENT AND SV�bRN STATEMENT
The work for which this permit is iss ed shall be performed according to
the approved plans and specificati s,applicable City approvals,and the
State Building Code. This permit is�ef 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 the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has wmmenced.
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.
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Applicant Permitee Signature Date [ssue By Sig ure Date
1
City of Orono F R USE ONLY
���� 2750 Kelley Parkway Date Received�+� Psrtnit����� ��
Crystal Bay,MN 55323
(952)249-4600 Amo�nt: $'�
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CITY OF ORONO-SEPTIC SYSTEM PERMIT APPLICATION
(All permits must be approved by the On-Site Septic Manager and/or Building Official)
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Site Address: 3�� /`/a ��an A�r Q�� ��e.-
Owner: �d r1� �nn�r' Mailing Address:
City: ��D h d Zip:
Home Phone: Alternate Phone: 6/� - �f'� � O�lf�
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,�F=� ,,;�� ��, �. ,.r,r s*'�p'
Contractor/App.: f�a 'tno � ,R���i��1 ��. Contact Person: ��u�•+ C�a���-J
Address: �?5��/ �a,���r � �c . State License#: L 3�y3
City: Sf-�i c .� Zip: .SS 3 7G Expiration Date: �- / 7- � O/�
Phone: 6 i 3 -9/9-a�r� Alternate Phone: 7 C 3- Y�'-3 y!G'
,..: :; � .r'T,7 '�fi 4i P'�4� �, :.� ... � � � �� .. �, ��
4�'� a a':. , �, .s g< �... �.ab � .P xy t x�$"✓h b �'�1,e �a��,2`t Sv-
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�s:
❑ Residential ❑ Commercial ❑ Other
i" �� �`�' �,��`���"�����'�� S�`�" z,4�`,�:�w( '�,� �d�`"'+'�«�" t �� �.� 1��t �F� 'fF
'�'�.�.�. 5.t�,.iy t ��rY��i�d. '",.ya��.�'S"�d t.��. ,� �!. . � r "r�c' :a. ,�' tl..aa wt3 �4" �r "�'`'�'t xx
New or Replacement System $400.00 -,' yoo.od
Repair Existing System 100.00
(Tanks or Drainfield)
State Surcharge 5.00 5.00
Tota1 $ yo s. o0
1 / 2
"�a� � �.a �h '��.������: t�i��m�'��,yc'�rR�r�,;�,+�„+ 5�' ,��r� .�. �. �' {�,w. - f `'���a� �k».�,,.
',�� a t �'� �'"� ,���:�✓Ym�3�- :c�'f �»1��j+favµ.�* fiy � '� �� r {�0�
K�',rK�t ti��r` �'s xi.�t v :`. sp�r t� ���r�„3'����Sa''' 4 a -, .`�8.y�� � � ^� a rs t �'� �+ b` � � �,
d*'"� `� �"�" ' �'� `�`��%;rs � �%�h':, �,���n,s�� � �,:s;� !�,i��"i�*`,a�.. � e'�":� ,�: 'e�", a�� � °�',.
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I will be installing the following:
Tanks
[,� Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other
pist manufacturer)
Number of Tanks: 3
Size of Tanks: j a So 1 aS v /�o 0
Treatment System
Trenches s.f.
�_ Mound �16 a � 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 correct.
Signature of Applicant /`�—� , �� Date: G–� � �o/�
MPCA License No.: L 3 � �3
Staff Review: Accept De ied
v
Reviewer: Date:
Reason for Denial:
Comments (to be printed on inspection card):
2 /2
CITY OF ORONO— SEPTIC SYSTEM PERMIT APPLICATION
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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.
A 24-HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS.
3 /2
pLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: �� !'/ �llQ6L�.Q�/' !i'f I/�i Permit No.: ���'���r�
/� � �- ;
Description of work: 6��/i')"fG �2l���e� � ��Uate Rec'd: �
Septic review by: Date Approved: � �
Zoning review by: Date Approved:
Building review by: Date Approved:
Grading review by: Date Approved:
Zoning District: Zoning File#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
Survey Submitted: � Yes 0 No Date of Survey: Revised date(?):
Pro osed Setbacks:
Front(Lake) Rear�Street) ( N S E W ) ( N S E W ) O e uildings Wetland
t Side Side
Defined Height: Pe k Height: FFE: FF inus 6 feet= (Existing Contour)
Perimeter(linear feet)= 50% = L.F. below grade #of Stories
FOR A BUILDING WITH A BASEMENT OR CRAWL PACE: FOR BUILDING ON A SLAB FOUNDATION:
The distance betwe the lowest proposed The distance between the top of
START WITH floor(of the basemen r crawl space)and START WITH slab and the highest point of the
the highest point of the oof. roof.
If you have a... If you have a...
• GABLE OR HIPPED ROOF
• GABLE OR HIPPED OOF(no (no windows): Subtract half
windows): Subtract h f the distan the distance between the
between the highest p t of the of highest point of the roof to
to the low point of the co espo ding the low point of the
SUBTRACTION gable or hipped roof corresponding gable or
(BASED ON . GABLE OR HIPPED ROO (with SUBTRACTION hipped roof
ROOF TYPE) windows): Subtract half e istance (BASED ON • GABLE OR HIPPED ROOF
between the top of the ighe ROOF TYPE) (with windows): Subtract
window and the high t point the half the distance between
roof j the top of the highest
window and the highest
• ALL OTHER RO TYPES(flat, point of the roof
mansard,etc): o subtraction. . ALL OTHER ROOF TYPES
SUBTRACTION Subtract the distan e between the (flat,mansard,etc):No
(BASED ON basemenUcrawl ace floor and the subtraction.
EXISTING highest existing rade adjacent to the ADDITION Add the distance between the top
GRADES) foundation O 0 feet(whichever is less). (BASED ON of slab and the highest existing
EQUALS Defined bui ing height EXISTING grade adjacent to the foundation.
GRADES
EQUALS Defined building height
Shoreland District MCWD Permit A erage Lakeshore Setback g�uff
Met?
� Yes 0 No P rmit Number: 0 s 0 No � N/A � Yes � No
N/A—see attached Setback:
Stormwater Quality Existing Hardcover Proposed
Overlay District o Hardcover Varian Required CUP Required
Tier circle one (��and sfl %and s
0 Yes � No � Yes � No
1 2 3 4 5 Type(s): Type(s):
Updated: January 2015
c:\users\rpeitso\documents\plan review checklist 2015.docx
REMARKS (in-house):
Fees to be Char ed YES NO
P$rmit
Plan Review
�tate Surctia,rge
Investigation Fee (/
SAC-Number af SAC Units
Other(specify) �'�
S uare Foota e $ er S uare Foota e
Basement X = $
1 S'Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: $
Orono Inspections Required Work Requiring Separate Permits Required State Permits
� Site 0 Plumbing � Grading/ Filling � Well
0 Silt Fence/ Erosion Control 0 Mechanical � Fire 0 Electrical
� Hardcover Removal eptic � Water Connection
0 Footing � Fireplace 0 Sewer Connection
� Poured Wall � Masonry 0 Lawn Irrigation
0 Foundation Survey � Mfg. � Landscaping
0 Foundation Waterproofing � Other(specify)
� Radon Rock Bed
0 Framing
0 Insulation
0 As-Built Survey
� Final
� Other(specify)
REMARKS (in-house): � �C C T m C9(� r/ — �� �'t [J
�nks, �c�e�' f3� �� �a�^ '�e�� �na �
Other Review: Reviewed by: Date Approved:
Access: Existing: � YES � NO New: � YES 0 NO
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED
Updated: January 2015
c:\users\rpeitso\documents�plan review checklist 2015.docx
� � REVIEWED for CQDE COMgPLiA�NC�
, � ���� KED BY bATE � � ��
�R��� PLAN CHEC
. � �
__ -- — h �iSon D.B.A•
�osep
� __ il and Percolation �esting
�usty �lson s So
3oseph J.Olson--MPCA License#81�5341
ll 481 Riverview Rd.NE,Hanover,MN
(763)498-8779 Fax(7631498-8290
Revised February 28,2015 '
December�0,2014
John T'anner
333 Holiander Drive
�rono,Hennepin County
This on-site Sewage T'ream,ent Syscem is designed for a Type 1 five-bedroom home in accordance v��ith the
tN�nnesota Pollut;on Control Agency Chapter 7080 and locai ordinances.
Tbe peri��aily Saturated soils were located at 20 inches(mottled soil).Due to the penodically saturated
soils,a pressurized mound system will neecj to be installed to treat the septic et�luent_The botcom oi�ct�e
treatment area must be located at least 3''above the saturated soils.
The existing septia system does not conform to the state code chapter 7080
All nei�hboring wells are greater than 100'�om proposed treatment areas.
The soils at a depth of 12"have a percolation rate averaging 1 l MP[.
The existing septic tanks r�Sr he a�b �a-�done�d and two new 1300 gallon septic tanks need to be instal led.
All new tanks need to be insulated if there is less than two feet of cover over the top of the tanks.Clean outs
must bc installed on the cnd of the laterals for maintenance.
A new I�AII.aallon lift station must be installed to tift the efftuent to the treatment area."Che power su�ply 3nd
switc es must `oca e ou�de the manhole and pumping chamber in a weatherproof enclosure.A waminj
device must be installed with light and sound devices;this is in case of a pump failure.
NothinQ other than Prav water (laundrv showers etc.l Human water and toilet tissue shouid be
disposed of into the septic tanks Garba�e disposals are not recommended.Additives must not be
�sed• thev mav cause harmful damag�e to vour septic svstem.It is recommended that vou pumu the
tank eve„r�two vears for two septic tanks.
Sinc�erely,
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' OSTP Design Summary Worksheet UNIVERS[TY �
Minneso[a Pollution �;\ ��,;„\
ControlAgency OP tiI1NNES0'CA "^�^
. ^ Property Owner/Client:John Tanner Praject ID;�v 06.72.13
Site Address:333 HoQnnder Road,Orano.Henneptn Counry Date: 2/28/15
7. DESIGN FIOW AND TANKS
A.Design Flow: 750 Gallons Per Day(GPD) Note: Tbe eshma[ed deslgn flow is considc�red a peak flow�ale I
. .. . _._ ... . _.. .._ . - - ...... _ --includir�g o�;ety fu::or.For.leng.tsrm psr�o mance,Lh¢av<r�g� _ __._. . . �—_^ ^ /
...�...B.SepUt Tanks: dnily Jlowls rerommended lo be<�oj thfs value. Cn� � � / �j n ��� s��H
Mlnlmum Code ReqWred Septk Tank Cap�dty: 225D Gallons,tn 2 Tanks a Compartments
�C � �
Recommended Septic Tank Gapacity: Y150 Gallons,In �7anks or Compartments � � r' d��Q/'C�
Effluent Screen:�� Alamr.� (
C.Holding Tanks Onfy:
Minimum Code Required Cnpadty:�Gallons,in �Tanks
Designcr Recommrnded Capxity;�Gallons,1n � Tanks
Ty�of Wgh Levcl Alann:
D.Purry�Tank i Capadty(Cale Minimum):��Gnllw�s Pomip Taok 2 Ca{wcity�Code Minimwn�: �GeQons
Pump Tonk 1 Capaciry(Detlgner Rtt�: ��Galltxis Pump lunk 2 Capacity�Designer Rec): �4allons
Pump 1 36.0 GPM ToW!Head 15.0 ft Pump 2f_�GpM Total Ncad �ft
Supply Pipc Dia. 2,00 In ppte Volumc:�gal Suppty Pipc Dfa.��in Dosc Volume:�gal
2. $YSTEM TYPE
TYPC d 5011�frcatnu.rrt n�M f7�s�wr,al pmi` �-- --..
�(,)Traidi iJ ecd (!:M�ml �Waviry Dd66�rtiw� QQ P<sttre qstrlbuUonievel �)Rczwr<UhtrGRbn�hlevel
C�ry� ^,udd��x�Tank (;earmae� •Selection Requfred 6enchmark Eleva[lon: 700.0 ft
6enchmark Laat(on: Top of door Lhreshotd
Systam Type Type of pisMbutlon Media:
�r;TY(�2 I �-i 7 ype 11 (-1 TY{�11I �';Type IV �'7 Type V �Inainneld kock �_]Re�y�xr.nnl TmntmrM Maia:
3. S�TE EVAlUpT10N:
A. �epth to Limitlng Wyer. 10 i� 1.7 It 8. MeasureA LnnA Slope%: 15.0 �
C. Elevation oi Limitln�Laycr.� 90.5 D. So1l Tezturr. C�ey Loam
E. Loc.of Restricive Elevatlon: F. Soil HyA.Loading Rate: 0.45 GGD/!t�
G. Mintmwn Rc:qUlred Scparation: 36 In 3.0 f[ H. Pcrc Ra[e: 17.0 MPI
1. Codc Maximum Deptn ol5yste�n: Mound in Comments:
4. OESIGN SUMAAARY
Trench Design Summary
Oispersal Area�f[' Sldewa�t Depth���n Trench Width�tn
Totat Lineal Feet�(t Number o/Trenches�� Code Maximum Trench Oepth�in
Contour Loading Rate�ft DesigneYs Max Tre�Kh Dep[hC�in
Bed Deslgn Summary
Absorp[ion Arce�«' Media Below Pipe�_��n Codc Maxlmum Bed Depth�in
Bed WidCh�ft Bed Length�ft ucsigncrs Max Bed Dcpfh�in
' � `�� OSTP Design Summary Worksheet uN�vERs�TY �`:,���,�_x.
Minnesota Poliution OF 1�INNESOTA �
Control Agency -�-�'�\.
Mound Design Summary
���� 625.0 ft2 Bed LenS� 63.0 ft Bed Width i0.0 ft
A65orplion Width 12A ft Ctean Sand Lift 1.3 ft Berm�dth (0-t%)�_�ft
Upslope 8eim Width 9.0 ft Downslope Berm Width 27.0 ft Endslope Berm Width 15.0 R
Total System L�gth 96.0 ft TotalSystem Width 4g.0 ft Contour Loading Rate 12.0 gaUft
At-Grade Design Summary
Absorption Bed Width�ft �Ptio����ft System Height�ft
Contau laading Rate�gaUft upslape Berm Width�ft Downstope Berm Width�ft
Endslope Berm Width�ft System Length��ft System Width�ft
Level Ft Equal Pressure Distribution Summary
No.of Perforated Laterals�_� Perforation Spadng�ft Perforati�►Diameter 7/32 in
Lateral Diart�eter 2.OU in Min.Detivered Volume�gat Maximum Delivered Volume 188 gat
Non-tevel a�d Unequsl Preswre Dl�n'buEion Summary
Elevati� Pipe VoUme Pipe� Perforatia�Stre
(ft) Pipe Size(in) (gaUft) (ft) (in) Spac�n4(n) ���3(�?
Lateral 1 Minimum Delivered Votume
Lateral 2 ��al
Lateral 3
Lateral 4 hAaxirtxim Delivered Yotwne
Lateral 5 �8at
Lateral 6
5. Additionat l�o for Type IV/Pretreatment Design
A. Cciculote the ovYganic toadinq using optia�1 or 2
1. Org�tt toading e Pounds of 80D X Units
�_�tbs/day X �-� _ �tbs BODJday
2. Org�ic Loading to Pretreatrnent Unit=Design Flow X Estimoted 80D in rt�lL in the etfluent X 8.35=1,000,000
�d X �mg/L X 8.35+1,OW,�� �lbs BOD/day
B. Type of Pretreatment Unit Being InsWlled:
C. Calcuta[e Soil Treaaa+ent System Orgonic la�ing: Ibs.BOD/day=Bottom Areo =lbslday/ftZ
��lbs/day� �ft2- �lbsldaylfiZ
CommentslSpecial Design Considerstions:
1 hereby ceriify that I have completed this work in acoordance with all appticabte ordinances,rules and laws.
loseph J Olson �,-�""'""�� �' 810 02/28/15
� ner) � (Stgnature) p-icense tl) (Date)
OSTP Mound Design � - �
- UNIVERSITY - ` �
Minnesota Poltution �yorksheet � � /O S�Q e OF MINNESOTA t� ��` �� "-;;;�
Control Agenty p U.��
1. SYSTEM SIZING: Project ID: v 06.12.13
a. Design Ftow: 750 �P� TABLE IXa
B. Soit Loading Rate: 0.45 GPD/ft2 �OADING RATES FOR DETERMINING 80TTOM ABSORPTION AREA
ANO ABSORPTION RATtpS USMG pERCOLATION TESTS
Trcatme�rt�LevN C. .Sreatme�u-Levet A,�A-2,8,
C. Depth to Limiting Condition: 1 J ft �u
AbsorPtion Absorption
PercobCon Rate p�p�d � MouM
D. Percent Land Stope: 15.0 % � p���g �,��
(�) ADsorptbn Abwrption
(+�k=) Ratio 49�R1) Ratio
E. Design Media l.Aading Rate: 1.2 GPD/ft2 _
cO t � �
F. Mound Abwrption Ratio: 2.60 °''°' 1-z � +-s �
0*oo b{Fice sa-O 0_6 2 � �.6
Table i ana toamv hr�e�;ttq
1hOUtaQ CONTOUR Lt7�QlNG RATES: 6�O'S �•�$ �� � 1.6
taea�rfld ' iexture-derivQd
Contour �c tc`° 0.6 2 o.�s 2
Par�Rats �R aiound abscrpcon ra:fo �o3��ng 3,to as o.s 2.a o.�s z
. Rate: as�o ca o.as 2s o.s 2e
-50a�p: t.�. t 3.2.D.Z.1.2.6 s 12 61 m�20 . 5 0.3 6_3
. >t� - - - -
h�-�tc n,p; oe s.c _,2
. "Systems with these values are not Type I systems.
: �zo;��p;� �s.o• _6• Contour Loading Rate(linear toading rate)is a
recommended value.
2. DiSPEFtSAI MEDIA SiZfNG
A. Catcutate Dispersat Bed Area: Design Flow=Design Media Loading Rate=ftZ
750 GPD = 1.2 GPDlftz = b�S ft2
If a larger dispersal media area is desired, enter size: 630 {�z
B. Enter Dispersat Bed Width: 10.0 ft Can not exceed 10 feet
C. Catculate Contour Loading Rate:Bed Width X Design Media Loading Rate
10 ft2 X 1•2 GPD/ft� = 12.0 �allft Cnn not exceed Table 1
D. Catculate Minimum Dispersat Bed Length: Dispenat Bed Area =Bed Width =Bed Length
63U ft2 = 10.0 ft = 63.0 ft
3. ABSORPTiON AREA SIZING
A. Catcu(ate Absorption Width: Bed Width X Mound Absorption Ratio =Absorption Width
10.0 ft X 2.6 = 26.0 ft
B. For slopes>1%,the Absorption Width is meawred downhitt from the upstope edge of the Bed.
Calcutate Downstope Absorption Width:Absorption Width - Bed Width
26.0 ft - 10.0 ft = 16.0 ft
. DISTRIBUTION MEDIA: ROCK
A. Media Volume:Media Depth X Length X Width
1.00 ft X 63.0 ft X 10.0 ft� 630 ft3 = 27 = �yds
' ' S. QISTRIBUTION MEDIA:REGISTERED'tREATMENT PRQDtKTSt CHAIYIBERS AND QFLOW ;
. . �
A. Enter Dispersat Media:
B. Enter the Component Len�th: ��ft Enter the Component Width: ��ft
C. Number of Components per Row=Bed Leagth divided by Component Length(Round up) �
� ft - L�J ft= �components/row ;
D. Actuat�d Length=Number of Components/row X Component Length: �
�components X �ft = �ft �
E. Number of Rows=Bed Width divided by Component Width (Round up) �
�_� ft: �� ft= �� rOws Adjust width so thfs is an whole number.
F. Total Number of Components=Number of Components per Row X Number of Rows j
�_i X � = Qcomponents �
i
6. MOUND SIZING
�:
A. Cakutate Minimum Uean Sand Lift: 3 feet minus Depth to Limiting Condition =Clean Sand Lift i
3.0 ft - 1 J ft = 1.3 ft Design Sand Lift(optional): �ft
B. Catculate Upstope Height:Ctean Sand Lift +media depth+�a�r(1 ft.)=Upstope Height '
� � Q �� I
1.3 ft + 1.0 ft + 1.0 ft= 3.3 ft �
C. Select Upslope Berm Multiplier(based on tand slope): 2.48
Land Slope�Yo 0 1 2 3 4 S 6 7 8 9 10 li� 12
Upslope Berm 3:1 3.00 2.91 2.83 �JS 2.68 2.61 2.54 2.48 2.42 2.36 231 2.2fi 2.21
Ratio 4:1 4.00 3.85 3.70 3.57 3.45 333 3.23 3.i2 3.03 �.94 2.86' Z.78 2.70
D. Calculate Upslope Bem�Width:Multiplier X Upstope Mound Hei�t =Upslope Berm Width ;
2.48 ft X 3.3 ft = 9.0 ft
E. Calculate Drop in Etevation Under Bed: Bed Width X Land Slope�100=Drop(ft)
10.0 ft X 15.0 % = 100= 1.50 ft ;
F. Catcutate Downslope Nbund Height: Ups[ope Height+Drop in Elevatiai =Downs(ope Height
3.3 ft + 1.50 ft = 4.8 ft �
;
G. Select Downslope BeRn Multiplier(based on land slope): 5.55 ,
Land 5lope�0 0 1 2 3 4 5 6 7 8 9 10 11 ; 12
Downslope 3:1 3.00 3.09 3.19 3:30 3.41 3.53 3.66 3.80 3.95 4.11 4.29 4.48' 4.69
Berm Ratio 4:1 4:00 4.17 4.35 `4:54 4.76 5.OD 5.26 5.56 5.88 6.25 6.67 7.14t 7:59
H. Calculate Downslope Berm Width:Muttiptier X Downstope Hei�ht =Downslope Berm Width '
�
5.55 x 4.8 ft = 27.0 ft '
i. Catculate Minimum Berm to Cover Absorption Area: �wnslope Absorption Width+4 feet ;
16.0 ft +�ft = 20.0 ft ;
J. Desi�n Dow+nstope Berm=greater of 4H and 41: 27.0 ft �
K. Select Endslope Berm h�ttiplier. 3.Q0 (usuatly 3.0 or 4.0)
'
L. Catculate Endslope Berm X Downslope Mound Height =Endslope Berm Width
3.00 ft X 4.8 ft = 15.0 ft .
M.Caltulate Mound Width: Upslope Berm Width+B�i yyidth+pownslope Berm Width
9.0 ft + 10.0 ft + 27.0 ft = 48.0 ' ft
N. Calculate Mound l,ength: Endslope Berm Width +Bed Length +Endstope Berm Width �
15.0 ft + b3.0 ft + 15.0 ft = %.0 '; ft
7. MOUND DIMENSIONS � ' '
f ' '
---------Upslope {4.D�-----9.0------- -------- - ,
,� �,:
� �:
� ,
, ,
� ,
� o Endslo e (�t.L) L��spersak Sed: i2.B x 2.C) � Endslo ', �a.�►,
� v �5.0 10.0 X 63.0 � 15.d
, r ,
� � � �
� �
'� ' � i
� � �
� � �;
� ',` 2 0 �;
� � Downstope (4.J) ��
� ------------------------ ------------ —--------- i
i
1
Totat Mound Len th (4.N) 96.0
�
,
4" inspection pipe
18"cover on top 27 a ,
� �
U slo e berm f4.D) Downslo e berm 4.J) '
9.0 �
12"cover on side5
(6"topsoil) ;
Clea�i sand lift {4.A) �.3 �
5 .
t � �_ t !_;� 1�tJ_`�' 1 !,L '
L.itl `1 _ rr� .U:�ll;•�'_._'- ( . �_ --'_ ---�_._.___..__1.7 _ -- --- _ '
Absor tion Width (3.A) - --- ---��_ -----
Note: 26.0
For 0 to 1%slopes, Absorption Wid�h is measured from the Bed equalty in both directions.
For stopes >1�, Absorption Width is measured downhil( fram the upslope edge of the Bed.
;
Comments:
i
�
�
i
. i
� i
. i
. � � ,
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i .
� OSTP Mound Materiats Worksheet UNIVERSITY � � y
Mionesota Polfution OF MINNESOTA � ;.� ,,_��
Control Agency
ProjectlD: v 06.12.13
A.CalciAete Bed(rock)Volume:Bed Length(2.0 X 8ed U�tdth .B)X Depth=Vo(ume ft
63.0 ft X '10.0 ft X 1.0 = 63fi.0 ft3
Divide ft'by 27 ft'lyd'to catculate cubic
630:0 � + 27 = Z3.3 yd3
Add 20%for ta�structabitity: 23.3 ydi X 1.2 = 28.0 yrd3
B.Calculate Uean Sand Votume:
Vdume Under Rxk bed:Average S�rd Oepth x�n Width x Media Length=c�it feet
2.1 ft X 10.0 ft X 63.0 ft � 1312.5 ft3
For a Mounef an a stape from 0-1lG
Voltane from L =1NP���Height-1)X Absorption Widih Beyond Bed X Media Bed length)
ft -1) X X 'n =
Votume from Width=((Upslope Mo�aid Height-1)X Absorption Wid[h Beyond Bed X Me�ia Bed 1Nidth)
ft -1) X L_ __�� X 1_�ft '
Total Cieon Sand Voiume:Yotume rom h+Voiume from N?dth+Volume tlnder Med►a
{� + ft� + ft� = ftz
F�a Mound on a siope greafler U�1%
Ups[ope Vofume:((tJpstope Mow�d Hefgfrt-1)x 3 x Bed 1engUi)Y 2=wbic feet
(( 3.3 ft -1) X 3.0 ft X � 63.0 )+2= 220.5 ft�
Downslope Votume:(l�rvasl Herqht-1 x Downslope Absorption 1Nidih x Medlo Length)+Z=[ubit feet `
(( 4.8 ft-1) X 1b.0 ft X 63.0 )+2= 1932.0 ft�
Endslope Volume:(DoNmsf Mound Height-i)x 3 x Medlo WJdth=a�bic feet
( 4.8 ft-7) X 3.0 ft X 10.0 ft = 11�_0 �
Total Clean S�d Volume:Ups[ope Vofurtre+Downslope Volume t Er+ds! Vofume+Vdume Under Medio
220.5 ft3 + 7932.0 �' + 175.0 ft' . 1312.5 ft'= 3580.0 ft'
Divide ft�by 27 ft3/yd3 to caicutate cubic yards: 3580_0 � = 27 = 132.6 y�
Add 20;K for constructebility: 132.6 yd'X 1.2 � C_59.�yd'
G Calculate SarMy Berm vdume:
Totcl Berm Volume(�prox):i(Avg Mound i�ight-0.5 ft topsoft)x Nbund Wid[h x A�btmd t.engd�)*2=tubi[feet
( 4.1 _ 0.5 )ft X 48.0 ^ ft X 96.0 )�2= 8256._�ft3
Toto(Mourrd Vo(ume-Clemr Sond Nolume-Rock Votunre=cubic jeet
s25e.o� � . sseo.o r�' - �o.o � _ ��e.o rc'
Divide ftl by 27 ft'!yd'to calculate cubic yards: �.0 ft� � 27 = 149.9 yd'
Qdd 20%for tonstruCtebility: 149.9 y� X 1.2 = 179.8 yd;
D.talculate Topsoi!Moterinf Volume:7ota(Mound Width X Tota!AAoand Lengtt►X_5 ft
48.0 f[ X 96.0 ft X 0.5 ft � 2304.0 k3
Dtvide ft'by 27 ft'/yd'to calalate cubic yards: ��.0 ft' � 27 a 853 yd'
Add 20%for constructability: 85.3� yd' x 1.2 = 102.4 y�
OSTP Pressure Distribution - � � �
- • UNIVERSITY > � -�� `
Minnesota Potlution Des� n Worksheet �-�� � -�
Controt Agency
� OF MINNESOTA �� �'��ti,�
Project ID: . v 06.12.13
1. Media Bed Width: �0 ft
2. Minimum Number of Laterats in system/zone=Rouded up number of[(Media Bed Width-4) :3] + 1.
( i0 -4)+ 1 = �taterals Does not apply to et-grades
3. Designer Selected Number of LaterQ(s: ��taterats
Cannot be iess than tine 2 loctepr in at-qrodes) ._. „b__- : -
4. Select Perforation.�acing: 3.0 ft � �- � � __ _ �
5. Setect Perforation Diameter Size: 7/32 in ' � . ' ,�md~ � _
fi"of
w�1't.:{
6. Length of Laterais =Media Bed Length- 2 Feet.
63 - 2ft = 61 ft Perforation cun nor be c(oser ihen i foot from edge.
� Determine the Number of PerforQtion Spaces. Divide the tength of taterols by the Perforation Specing
and round down to the nearest whole number.
Number of Perforation Spaces 51 ft = �_�ft = 20 Spaces
Number of PerforQtions per 1_aterat is equal to 1.0 ptus the Number of Perforation Spaces. Check table
8. below to verify the number of perforations per lateral guarantees less than a 10%discharge variation. The
value is do�te with a center manifold.
Perforotiorts Per Leteral = 20 Spaces + 1 = 21 Perfs. Per Lateral
Maxim�n Number of Perfara��pn5 Pet Latera!to Guarantfe�10Tb Distcharge Yariation
!,inc Pesiarat�r,�s 7132 f�ch Perforations
Perfarat�o�Spaang(Feeti Pi�Diameter ilnci�es) PerForation Sp�cing Pipe�ameter(lnches)
S 15� tt; � 3 tfeetl t t� i�� � 2 3
7 1Q t3 18 30 60 2 it I6 2t 34 d8
2�: F R 16 28 5� 2�� 10 1� 24 32 64
� 8 12 16 25 52 3 9 �4 t4 3Q bd1
3'161nch Perforaiians t`8 inch Perforations
Pipe Diameter tisxhes) Perforation Spxirx3 t'ipe EAimeier�Mthes}
Pe�forat�n Sparirt3 fFce[}
9 �u i�4 2 3 (��e�� � t�4 �ti4 2 ?
2 f2 18 2d 46 81 2 2t 33 #4 �� i49
Zi. 12 17 1# AO 80 2!� 2R 3� 41 64 135
3 f2 15 22 37 75 3 2Q 29 3� �4 128
9• Total Number of Perforotiom equals the Number of Ferfarations per Laterat multiplied by the Number of
Perfornted Latern(s.
21 Perf. Per Lat. X � 3�Number of Perf. Lat. = 63 Total Number of Perf.
10. Select Type of Manifoid Connection (End or Center): �' Er►d ❑ Cenoerr
11. Select Ca[era(Diameter(See Teble): 2.00 in
, �
� � � _ OSTP Pressure Distr�bution �; � :.
. :` UNIVERSITY ;,�{ .. ,.`��.4 .�,,
Minnesota Potfution Desi�n Worksheet OF MINNESOTA '' x' 'ti-'�''��'
Controt Agenc
12. Calculate the Square Feet per Perforation. Recommended vrrlue is 4-11 ft2 per perforation.
Does not cppl y to At-Grades
a. Bed Area = Bed Width (ft)X Bed Length (ft)
10 ft X 63 ft = 630 ft2
b. Square Foot per Perforation =8ed Area divided by the Totnl Number of Perforations.
630 ft� - 63 perforations c 10.0 ftZ/perforations
13. Setett Minimum Avervge Head: 1.0 ft
14. Setect Perforat�on Discharge (GPM) based on Table: 0.56 GPM per Perforation
��. Determine required Flow Rate by multiplying the Totol Number of Perfs. by the Perforarion Uischarge_
63 Perfs X 0.56 GPM per Perforation= �� GPM
16. Votume nf Liquid Per Foot of Distributlon Pipfng(Tnb(e I!): 0.170 Galtoris/ft
�7, Votume of Distribution Piping = Tabie 11
_[Number of Perforaterl Laterats X Length of Laterals X (Votume of votume of Liquid in
Liquid Per Foot of Distribution Piping] �'�
pipe Gqu�a
� X 61 ft X 0.170 gal/ft = 31.1 Gattons Diameter Per Foot
(inches) (Galbns)
18. Minimum Delivered Volume=Votume of Distribution Piping X 4 � o.oa5
1_25 0.078
31.1 gaLs X 4 = 124.4 Galtons 1.5 0.1 t0
2 0.170
�� w�� 3 0.3�
i 4 0.661
rr _ ____._
i p���mP , -C�eanouu `"— —
.
,'�
i Manitold pipe.
i �
af10UIS ♦ r� �
� �• � �
• ----
aiternate laation '
of ' from `n�renwK mw,i�
of pipe 6nm{wmp
P fmm
Comments/Speciat Design Considerations:
- OSTP Basic Pump Setection Design ,T,,,i,� i ; .. ,:_ �,
RSITY � •
;2innesota Poiiution Vllorksheet OF MINNESOTA F r ���` �" , ,
3�`r.^, r,,. �\�
ConuolA ency ' � _
�
;, �AIP GAPACII'1f Pmiect 10: i v 06.1213
PumPins to Gravity or Pressure DistrSbution: O tra��y Q vress,re Selection �
required
i
i. If pwnping to g�avity enter the gailon per minute�the p�anp: ��GPM (f0-45 qpm) �
2. If pumping to a pressurized fistributiai system: 36.0 GPM I
� 3. Enter pinnp descriPtion: I
2. HEAD REQUIREIIAENi'S ` an�w��
.._'�'•: ;
A. E[evation Difference �ft �,,, '
s��
between p�np and potnt of disdiarge: j , -
�-----� ,ue,vme e�aew��.
B. DiStribution F1edd Loss: � 5 Uft - --- - emae�ice
'-----� - - - �.
C. Additionat Head Loss: ��ft{a,e m spectat e�vmen�,ecc.� :'__ ... -;
r---------------- ---------- -------------�
Table I.Friction Loss in Piastic P.ipe per 100ft
Diseribtttion Head Loss F�o�y Ra�e� p� piameter(inches)
Gravity Oistribution= Oft ,
(GPM} �i1 �1.25 �1_5 2
�--r------:
Pressure Distribution based on Minimum Average Head 10 ! 9.1 ; 3.1 7.3 � 0.3
Value on Pressure Distribution Worksheet: 12 12.8 i 4.3 � + 1.8 � 0.4
i
NCnimum Avera e.He�d Dlsiribution Head Loss �4 17.0 5.7 � i 2.4 ( O.B
1 ft 5ft 16 + 21.8 � 7.3 ; �3.0 � 0.7
2#t 6ft 18 � � 9.1 � ;3.8 � 0.9
5ft 10ft
20 � tS.t �4.6 1.1
25 � 16.8 ' '6.9 ( 1.7
D. 1.Supp(Y Pipe Diameter: 2.0 in 30 i 23.5 � ;9:7 }� 2.4
35 � . ;i2.9 j 3.2
2.SupptY Pipe Le�th: 25 ft 40 I ;16.5 i 4.1
F " PI c ' t from 7aM I• `�5 � � 20.5 ; 5.0
E. riction Loss m asd P�pe per OOft e . 50 + � � 6.1
� �
Friction Loss= 3.32 ft per t00ft af pipe 55 I i ' ; 7_3
60 I � i 8.6
F. Determine Equivaient Pipe Length fram pump discFiarge to soil dispersal area distharge 65 + � ! c 10.0
poirtt. Estirnate by adding 25%co supptY Pipe length for fittir�loss. SuAP1Y�Ae�+3� 70 ; � 11.4
(D.2) X 1.25 a Equivntent Pipe l.ength 75 � t 13.0
25 ft X 1.25 = 31.3 ft 45 � � � :. 16.4
� 20.1
G. Calcutate Supply Frictia�Loss by multiplying Frfction Loss Aer f00ft (Line E)by the Equivn(ent Pipe Lenqth (Line�and divide by 100.
Supply Friction Loss= �
3.32 ft per 100ft X 31.3 ft = 100 = 1.0 ft ;
H. Tota(Heod requirement is the sum of the Devatiort Dfffererxe (I.ine A),the Distribution Htad Lou(Lir�B),Additanal Hedd Loss(l.ine Cj,and the
Supply Friction Loss(l3ne G)
9.0 ft + 5.0 ft + �ft + 1.0 ft = 15.0 ft
3. PUMP SEi.ECTION �
A pump must 6e selected to deliver at least 36.0 GwiA(�ine�or�ine 2)with at teast 15.0 f�o�towt r�a.
Comments: �
' . .
' � Soil Observation Log ►
www.SepticResource.com vers 12.4
Owner Information
�
Property Owner/projecr. Crary Vacek Date 12/2;1/2014
Propercy Adclress!pID: 333 Hollander Road,Orono,MN �
;
Soil Snrvey Information ❑ reter m at�cned sai s�'
Pat�ent matPs: 0 T�N ❑ � ❑ � ❑ IWuvium ❑ Orgartic � Bedrodc
t�d����►: ❑ �t a �� ❑ �� ❑ T�� �
soil survey map units: L22ll2 slope 15 % direction-downhill �
;
Soil L #i �
� ��9 ❑ � Elevation 92.2 Depth to SHWT 20" '
Depth(in) Texture fraSment% matrnc color redox cdaa� consistence grade � shape
�
�
0-10 Topsoil �35 10yt3i2 Loose Lo�e ; Singic�ain
�
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i
I 0-20 Clay Loam 45 10yr4/3 Friable Strong ; B�ocky
i
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20 26 Clay LOam <35 10yt514 10y4/8,1-6/IOy Fitm Strong ; Prisnaaic
�
�0056 lOOSB i single grain
�5 friable weak � granaiar blocky
3$-S� firm moder8te i Prismatic platy
�50 rigid strong massive
loOse lOOse si„�8�,
�5 friable weak ! granular b�octry
35-50 firm q7pdetate ' P�� p��
>SO rigid �ng � m�ssive
�
Comments: i
�
( �
_ . .
333 Hollander Road,Orono,MN Soil #2 • •
a � o � E���oII �2.� Depth to SHVVT ao° �
Depth(in) Texdue fragment% matrix color redox color consistence grade � shape
0-10 Topsoil <35 10yr32 Loose Loose ;s;ngk grain
10 20 Clay Loam <35 I Oyr4/3 Friable Strong 's�ocky
;
i
20-26 Clay Loam <i5 lOytS/4 10y4/8,1-6/l0y Firm Sn'ong ��,ismacic
Ci5
35-50 Firm Strong �Pris�natic
>50 ;
<35 loose loose j sin8�8�
35-50 friable weak ;�a,,,,1ar y�ocky
>50 � moderate i P�� v��v
rigid strong '"'�'�0
333 Hollander Road,Orono,MN Soi�L #3 '
� ��9 ❑ � Elevation 92.2 Depth to SHwT 20" ;
Depth(in) Texture &agmern% matirix color redox color consistence grade � shape
0-10 Topsoil <i5 10yr32 Loose Loose j Siogtc gain
�
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10-20 Clay Loam 45 10yr4/3 Friable Strong �s�oct�y
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20-26 ClayLoam 45 10yr5l4 10y4J8,1-6110y Firm Strong �erismatic
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�35 loose loose i s�S�
35-SO
frlSble WeaiC ` g�utffi b10Cky
>50 � moderate I prismeac P�
rigid strong ' �
loase loose ' ���
Ci5 fri�ble weak ; �amn�tar blac�cy
35-SO firm moderate ' Prismatic platy
�SQ tigtd �png massive
1 hereby certify this work was completed in aecordance with MN 7080 und arry loca!req's. !
Rusty Olson's Soil 8c Perc " 810
�gner Siguat�ue Company � Lice�se#
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Percolation Test Data Gh��#
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LtL.-
Percolatino test readinas m2de bv: Rusty Olson's Perc.startina at 11:Q8 A.M. On 12/21/14 '
___;�«: sss Hotlander Road i
--..:� :sumoer. i
���ie i�ole was areoared: 'i2l20/94 �
u�ptn oi hoie bottom_i2'_inches, Diameter of hole 6'_inches.
Soi!data from tesf hole:
Ueptn, incnes 5o�t texu�e
0-1 tl" aaric Brown Loam i Oy�3r'� �
10"-12"` Brown loam 9flyr4�/'s
I
Method of scratchina side wall: Knife �
�epth of gravel in bottom of hole 2 inches: �
Date af in�tiaf water filiing 12l20/14 de�th of inittal water fitling 12 inches above the fiole bottom �
Methad used#o mairrtain at least 92 inches of water depth in hole for at leasf 4 hours Automa#ic Siphon
nnaximum waier aeptn above hoie bottom dunng tests 6 inches ;
Tim� Time t}eath Drob in H20 Perc R�t� .
11:19 11:49 6" ?,? �z�
11:52 12:22 5" 2.2 1��
92:23 1253 6" 22 1�F
AVERAGE PERC. RATE 43.6 � MPt
Percolation Test Data Sheei
Lic.#810
Percolating test readings made by: Rusty Oison's Perc_starting at 11:08 A.M. On 12/21h4 !
Location: 333 Hoilander Road
Hote number. 2
Date hole was prepared: 12/20l14 '
Depth of hole bottom_12`inches, Diameter of hote,6° inches.
Sa(data from test hole: �
Depth, inches Soil texture
0-10" Dark Brown Loam 10yr3/2
10"-12" Brown loam 70yr413 ,
Method of scratching side wall: Knife
Depth of gr�vei in bottom of hole 2 inches:
Date of initiat water filling i 2/24/14 depth of initial water filling 12 inches above the hole bottom ;
Method used to maintain at ieast 12 inches of water depth i� ho)e for at least 4 haurs Automatic Siphon
Niaxm�um water�epth above hoie-bottom during tests 6 inclies i
Time Time Depth Drop in H20 Perc Rate ;
11:20 11:50 6" 3.5 S.6
11:51 12:21 6" 3_3 9.� �
12:24' 12:54 6" 3.3 g.1
AVERAGE PERC_ RATE g,g �µp�
�"�r �
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CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �S �
PERMIT NO.���L��rf���7 �7 COMPLETED
ADDRESS �� � '�
OWNER TELEPH E NO�(� !Z-�1 I�G�I Z
CONTRACTOR L�—��l���
� DESCRIPTION ��C'�`'
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAtNT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
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� ❑CO ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WIIL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952� 249-4600
OwnerlContrac on site:
Inspector.
White Copyllnspector's File Canary CopylSfte Notice
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE --/ SCHEDULED � ��� �• � �
PERMIT NO.�c=1�� -cC:'�( ► 1 COMPLETED
ADDRESS �_�3� �c�C«-rLc��_t- � ,r---
OWNER -��� �� TELEPHONE NO. Ls�� ��1��� e 11�
CONTRACTOR �1�C,h� c�, E' �t-O� .
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��: 7�-��� -�
�; DESCRIPTION —��'�`� `�-� � � �
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION
Z
Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ P�UMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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❑CO ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONOITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerfContra on site:
Inspector. �"^�� �
� - / ,
White Copyflnspector's File Canary CopylSite Notiee
iw r� �� 'r��DATE TIME�
V OF ORONO CALLED IN �
IrvaPECTION NOTIC SCHEDULED
PERMIT NO. � rI COMPLETED
ADDRESS �3 v«�
OWNER TELEPHON O. !Z r�`p�l�Z-
CONTRACTOR a--�d� �a S
� DESCRIPTION ��7yG �!l�1�� � !7� �C.t!��
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAI ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUIL7-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ EPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
�___-_--_-.�/►
� COMMENTS:
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V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
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� 249-460�
OwnerfContr r on site:
1
Inspector.� . c�-� � -
White Copylinspector's File Canary CopylSfte Notiee