HomeMy WebLinkAbout2003-P06691 - new septic system -t PERMIT
C�T� 0 F � �N� Permit Number:
27�0 Kelley Parkwa - PO Box 66 P06691
Crystal Bay, Minne�ota 55323 Permit Type: Septic
(952) 249-4600 Date Issued: 9�4�2003
S1TE ADDRESS: 3155 Jamestown Rd
i L.ONG LAKE,MN 55356
PID: 28-118-23-33-00 2
DESCRIPTION:
Proposed Use: esidenrial
Pemut Class: eneral
Pernut Type: !Septic Permit Sub-type(s): New Septic Sys em
DETAILS:
Approved per resolution�#:
Separate permits require¢:
NOTICES/REMA S:
FEE SUMMARY: I Permit Fee:
$ ioo.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50 i
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TOTAL FEE: $ 100.50
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APPLICANT: lheterson Co. OWNER: �C GATEHOUSE
�921 Dague Ave. SE 3155 JAMESTOWN RD
belano,MN 55328 LONG LAKE MN 55356
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THE UNDERSIG ED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIE
AND AGREES DO ALL WORK IN Sf RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES A D STATE OF
MINNESOTA BU LDING CODE REQUIREMENTS.
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APPLICA T PERMITEE SIGNATURE ISSUED BY SIGNATURE
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Cot�ies: 1-File(Si�nitures Required), 1-Avnlicant,1-Monthlv Renorts, 1-Assessin�, 1-Finance i Page 1
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CITY OF O ONO SEPTIC SYSTEM PERNIIT APP CATION
Boz 66(275 Kelley Parkwa.y)
Crystal Bay Mn 55323 j �
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ITE DRESS J I s s ��`c S �c3�`...n ��. I
JOB S �lD
Occ pancy Type: Residential Commercial Other I
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Pe it Type: New or Replacement System $100.00
Repair Eaisting System $ 50.00
(Tanks or Drainfield)
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$0.50 State surcharge added to above fees
* See fee schedule for non-residential permit fees
Owner's N me• �� '��� �'� ����`�"S� Phone Number: �
Mailing A dress:�f �'� ��3 7`��� R - City: Zi :
Contractor�s Name: . �7�t�S a� �o Phone Number: ?G9� �j 9 '242v
Mailing A�dress: S9 '�-� �0.g�-�. ���. 4 City: ��-"a Zip: '� �'�$
*** DO NOT MAII�PAYMENT WTTH THIS APPLICATION***
GENERAI�INSTRUCTIONS
1. Ap�lications for septic system permits may be mailed or submitted in perso at the City
Offices; however, permits will not be mailed out. The permit must be picked p in person
at the City Offices and work must not begin unless the permit cazd is on the job site.
2. Permits will be issued only to contractors holding a Minnesota Pollution Contr 1
Ag�ncy(MPCA) Septic System Installers License.
3. All'work must be done in accordance with the approved septic system design. D sign reports
are not considered approved unless accompanied by the "City of Orono S ptic System
Approval" cover sheet signed by the City Inspector.
4. Th�following inspections will be required for all septic systems:
A Pre-installation site inspection to include inspector, installer, and general c�ntractor.
B. Tank installation prior to covering.
C. Drainfield trench installation prior to covering. For mounds, inspection is equired after
rough up but prior to sand placement(sand will be jar tested for silt conte t), and again
during pressure distribution piping installation in the rock bed.
D.' Final inspection to verify proper final cover depths and to verify that all ump sta.tions
(where required)components are functional and comply with codes.
5. Individual holding 1�LPCA Installers License shall be present during all inspectio s. A 24-hour
nqtice is required for all inspections.
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate
boxes.
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1. I have received a copy of the system design including the City of Orono Septic
� - System Approval Cover Sheet.
2. I will be installing the following:
A Tanks: �Precast Concrete ; Other Manufacturer
Tank Capacities: 1) �So� �al. 2)m..l�`=�gal 3)/ �S� �
��!ar"r�n'� _ Pu�Clinn. .ef ,
B. Pump Station(if required)
Pump make&model �o--��'. � ��'- (attach pump curve&
literature); system design requires G.� gpm at !$. feet of head.
High water alarm make&model s���� r . Outside
electrical work to be completed by insta.11er�electrician other.
C. Treatment System:
�Trenches:/�4- s.f. Mound
- Depth of rock below pipe�_" Rock bed dimensions ' x '
Drop Boxes Sand bed dimensions ' x '
Distribution Box Pressure Dist. Pipe Diam. �'� "
Manifold Pipe Diam. 2" ��
D. Final Cover/Topsoil to be: bonowed from site
(show location on site plan)
� trucked in
The undersigned hereby applies to the City of Orono for issuance of a septic system installation permit,
agrees to do all work in strict accordance with ordinances of the City and the regulations of the State
of Minnesota.,and certifies that all statements made on this application are complete,true and correct.
Signature of Applicant�--���'�`�-��—�� Date: � ��'2'�3_
MPCA License No. �.��.
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Staff Review: Approval Deniai
Reviewer: Date•
Reason for Denial:
, SEPTIC SYSTEM APPROVAL
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,, �;�,;{, ,� CITY of ORONO
,' � :f ti MunicipalOffices
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�.�9 � g�G Street Address: Mailing Address:
$E g g O 2 7 5 0 K e l l e y P a r k w a y P.O. B o x 6 6
Orono, MN 55356 Crystal Bay, MN 55323-0066
Owner Ian Gatehouse Phone (Home) 952-404-0427 (Work)
Address 3155 Jamestown Rd City Orono State MN Zip
Site Evaluator Steve Schirmers State License# 627 Phone# 763-497-3566
Type of Establishment: Single Family X Multi Family
Commercial Est. Gallons Per Day 750
No. Potential Bedrooms 5 Slope: Various
Depth of Sand: Upslope: Downslope: Soil Sizing Factor 1.67
Perc Rates P-1 30 P-2 10.9 P-3 7.1 P-4 P-5 P-6
Restricting Layer Depth B-1 32" B-2 40" B-3 32" B-4 18" B-5_ B-6 _
Type of Treatment System: '
Standard Alternative Other Performance X
Pressurized Mound System At-Grade System
Gravity Trenches System Pressurized Trench System_X
Gravity Trenches W/ Lift Pressurized Bed System
Holding Tank W/Alarm
Septic Tank Size 1500 combo # of Tanks 1 Lift Tank Size 1500
Pump Brand_2 pumps required GPM _ Head
Treatment System:
Minimum 1002 Square Feet with 12 inches of rock below pipe
Bed Mound Treatment Area
THIS IS NOT A PERMIT. This is a design approval form which must accompany the site plan.
A permit must be issued to a licensed septic contractor prior to installation.
NOTICE TO INSTALLERS: Any changes to the approved plans must have prior approval of the
inspectar (952-249-4600) Call for inspection 24 hours in advance.
ALL DRAINFIELD AREAS MUST BE FENCED OFF prior to building site excavation and
fencing must remain in place until final site grading. Approval to pour footings will not be granted
until the Inspections Department has verified the primary and alternate sites are protected.
NO VEHICULAR TRAFFIC OF ANY KIND is allowed within 20'of tested drainfield sites ever.
ACCEPTED X DENIED By the City of Orono subject to existing regulations and the
following conditions: 1) Old tanks must be crushed and pum�ed.
2) Operating Permit must be filled out and approved b�Cit�performance s s�
3) Alarm must be installed inside house for pump tank.
4) Variance to �o within 75 feet of NEL and allowance of performance svstem due to onlv�lace to
put septic svstem.
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By: ���'I at< I ,�'�" "��--�� `� -�� -G�
Matt Bolterman, On-Site Systems Manager Date
Telephone(952)249-4600 • Fax(952)249-4616
www.ci.orono.mn.us
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. �7�P TESTINGi �/YC. Steven B. Schirmers • MPCA Cert.No. 627
951 Katydid Lane NE • St. Michael, MN 55376 • (763) 497-3566
�AX (763) 497-5011
5tate License #394
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May 13, 2003 C�5 Z� [,f o!�_o y� ? '�.-��.
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� lan 8� Julie Gatehouse '��'�.5�#��� �-�
5 JamPstown Rd. ,,,,�.,,,SEURQON�, ��t�'��� --
Orono, Henn. Co., MN ��AR��MY�I�S�i�► 4�'`
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This site has an existing on-site sewage treatment system which surface discharges
septic effluent in the wet seasons. At the time of the inspection, the system was not
surface discharging but the area was very moist. If the system surface discharges, the
system is classified as an imminent health hazard and must be repaired or
disconnected within 10 months.
This site has very limited space for placing a new system due to low areas, lake
setback & excavated & filled soil. A Standard system under Minnesota Chapter 7080
rules cannot be installed. The proposal is to install a Performance System under
Minnesota Chapter 7080.0179 rules for a Type 1, five bedroom home. The system will
be a pressurized trench system with 14", 18" & 22" of separation from the bottom of the
rock and the seasonally saturated soil (redox features). A Class 1, Multi-Flo Aerobic
Wastewater Treatment System which is classified as standard under Minnesota
Chapter 7080 rules will be used or a unit that has positive filtration and an alarm
equivalent to a Multi-Flo Unit. The highly treated, filtered effluent produced by the
Multi-Flo is over 95% free of the normal sewage contaminants that cause the
progressive failure of conventional systems. The unit will be a 750 gallday. A trash
trap is installed in front of the Multi-Flo. The unit requires to be serviced 2 times a year
which will be done by Schirmers Wastewater 1�reatment Systems, Inc. A 2 year service
� parts warranty comes with the purchase of the unit. After that time, the homeowner is
required to carry a Service Contract at $150.00 a year (2003 price). A report is sent to
the homeowner, city, MPCA & Multi-Flo yearly.
To install the Performance System, approval will be needed from the local unit of
Government. An operating permit is required by the County. The permit wifl need to
include monitoring of the seepage bed for hydraulic overloading. This could be done at
the same time the Multi-Flo is serviced. Lab samples will be needed to test for fecal
coliforms, recommend 1 time a year at a cost of$75.00 to $100.00 per test. The
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samples must � I��� than 2000 colc�nies/100m1 of effiuent. if the sample is greatQr
than this a ne sample will need to be taken in 30 days. Inspe�tion pipes will neeqi to
be instailed to�he bottom of the sand fill and bottom of the rock bed. i
Du� to the loca1tion of the existing tanks, r�commend to abandon, purr� &frll with oil.
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The1st tank will be a �6b8-�gallon trash tfap dosing chamber reversed using the � �
gallons as a tra�h trap and the 1000 gallons as a dosing chamber (pump #1) whic will
dose 15.6 gallo�s every 30 minutes to the Multi-Flo Unit. The effluent will flow gra ity
from the Multi-�lo to the 1500 gallon pumping chamber(pump #2) which will press rize
the seepage bed. The power supply and switches must be located outside the
manhote and pamping chamber in a weather proof enclosure. A warning device m st
be installed witt� a light and sound device, this is in case of a pump failure. �
The Mitigation �'lan is If hydraulic overloadin would occur, a timer cauld be install I d to
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reduce the amaunt of effluent pumped to the system and also by using the 1500 gajllon
pumping chamber allows the effluent to be stored during peak use and pumped to he
system during Imw water use periods. The second would be to install holding tanks.
A water meter wrill need to be installed t� monitor daily water us�.
The soi{s at a depth of 18" have a percolation rate af 24.0 mpi.
A!I neighboring wells are located greater than 100' away from th� proposed treat nt
area.
Keep all heavy�quipment off of the proposed tre�trn�ht area before and after
construction. Tthe treatment area should be marked off before construction. This
Design is not vailid &the system will need to be relocated if failure to protect the ar as
proposed for On-Site Sewage Treatment occurs.
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Nothing other than human waste, toilet tissue, laundry, showers, water softener etc.
should be disposed of into the septic tanks. Iron filters must be diverted out of the
system. Recommend to divert the water softner also. Garbage disposals are not
recommended, due to adding more solids & fine solids passing through to the system.
Excessive amounts of soaps, anti-bacterial soaps, cleaning agents, shower cleaners
used every shower & chlorine agents may kill the bacteria needed to treat septic
effluent. Additives are not recommended. The trash trap, Multi-Flo and pumping
chamber will need to be pumped out when the setable solids reach 50% in the unit.
This will be determined at the time of the services.
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Steven B. Schirmers
C'I 1'Y OF nRC)NQ
SFrTiC P�RMiT �,Ax�V��11�
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"�iiic�ihli� ,cptic rind iuning cudp.
�equircmc!�I�incl�irli,i,���,. ,,,ui,j;�.,�ificu�ly n�r,cd i1t Illlx re 11iMi.
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o'�fr o�F 'fl-F� 'P4a4o56+a -f'v�A�CM�-*'C
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o,rar., - �i° a�4nasw �1.�} s�+Y�- , �r - rv__. ., .
- 3� �ST-��-+c.k �t3.9q�'F�_.N o A4Uq-S �a I bnck tdlli min.
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..._�3¢�o�'Co liav�C��.1U+OY'C..'_!�. ..r4wc� H 1'� L•1� �'� '� .1' f✓�-- bE-o-l��c-il`� FASZ�c�
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� �(oPsG�t,. ssY3v+Grr.�-L 4 • a'D�Pe aio.
�c`r1JrKio� o�R-Sur _ �Y,��i �_ �x,s-s,a� �swvti�
Sl�1�y4��r - f��N�__�' �?0 1bs 30��e,zo�x�,o'z a� :iz�c�•�a. ���('R'�-�1•14" _i �
�u�tiC �o.►J'�4 - i.s" . ��, n t�•�r'��n
n��t�.�f " ---��� 3ae �� )>' _��-I �,rock(ilter mol�al
. roke sidewaUs Q bo�tom to � �
SET-BApCS remove smeor'u�g
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FIOUSE System must be� 3 b��
� Tank�'f� �'properiy fries TRENCH X-SEC i!ON
�2 from bkiqs. .�p, l�+.ol two trenches)
�'�c�s�vv ��� '; Treotmed area ��from lakes,=streams (mmc, lenglh 100) �
p ow4�i- 1.��'� TreotmeM orea�S2-�from propet�fines �
\ oo�from wells` '� '��sO
�t'IbA��-So�
� from bidgs.
L'trom trees �Po+��Y���?��be�^a��� SOIL BORING ELEVAl10NS
. � N^•n �3�Lo.7�. ►na-wc��6a Se��
�p"'"'' !� �- �t1 �So�1 ' � . a�•s � . TH.'I EL.-� ���g
�` . *^'�. =:4�,�!�'so'- �' eso��- -' TH:2 EL.-5d.�r.� Sto.�
��k To k E0`'� ��`�.,��� Grode 1�°lo stope TH.'3 El:.-Sd.l�I• 5�•O
� Droa to Tonic tiw�rP � 9� � TH:4 El.--
At least 41/2�of undsturbed
Ni'n:�I"to 8� '�.p�� � eorth bebween Irenches TH�5 E�--
Mox.l'to4� qpm�r�a ELEVATION ot PROP06ED PUMPWG
4°to fi�dia.pipe �t�u o�el da�G.�YW�M�'s�v�'�sye4 ��,CHAMBER- (graxid elev)
GSd�..l 'f�'�Atal�'PF�RYP R I000 ooe».b 'P4�aSS.�4� b� �o.�s�Q_a�_�ss �,x,.,��r+�,Y--g�.� •7oe•,5.�
'(Mb�.1�-�, W��m'�� ��'�'6L1�lOf.S� .� �� s.,e n + .- 91o•S-ler•1s.3
$Y$�� �$�
rn'E-�L,5 eEORooM- Peroolotia, mte a 0 min.�.,�n(aesign.11�_�ruicr,)
Treotmmf areo required w/,.�ti of rodc filter moleriol_� =�zsq.ft of irench boltam oreo needed=.�e��trench width=�4nf�oF trench needed ,number of dropbaaes•—
���• (m be deterrnined by the instoller)
Number ot taid�s required/ , Ist 1ank�tjaL, 2nd tonl�=9d• � �Soo�,,1 fu.�.,�c�ep�,+��
Clean rock�cu.yds. (3/4��to 2 V2��dio.,inGudes 2wOb0VC �C� �I-r.LJ•KO�'AT�4�.-'R��I.O�U WaYS• PROPERTY OF: I A1� Lo�1'��I.�oL15E
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R�vh4 '�a Purnpng dwrt�er copadty= of do�7y sewoge flow'of� a 9d--��9al+Rese�ve.sfao9elL�9d-, Pipe bak drainoge 9 goL=13�.gol �.� C f �1'�i�S���W+.S, 'C�
do
!.S � �is on,vt f�.o�u u ss�,,•�.r I oo�,(.cap. EJ'�,O�.c o M 5.� 1J�1.3,�._L`(�.
( Reserve storoge =�ge1./bedroam=��,�.* pipe bock drar�oge�gd./IOOiaft�••pipe- length of pipe needed ap�i��ft =�go1J
Q�1m� 'r`el Pump s¢e �l Z' hp w/mercury fbot pump controls �Ss�c--1� � �1'�}�__��S o�S c�!-�L�'�u'� (i fQ��,��.. '�"""�"�^
�,�.M4 ,� ��s N 5� to%_<� •i _ �� x s �f.,,,,�n. S-P TES ::�G / C.
v..-�w -��rn� Note� When oautn,cting bed- , ihis area should be shoped Note� Distante rom treotrnerd orea b neghborvig we11�— pesig�ed By= �
. fo.d'rvert nm-off from entering treatment areo. �'���"�'� ��� �°O .
�„�o�C/I�tn� PH 612-49?-3566
. , . TRENCH 1�.ND BED �NO1tICSHEET
AV.ERA GE DESI�GN FLQtiV �-t; Eswnot�d�wop�t�owa In ciallom p�r
Estimated �S 0 , gpd fset figure A-1). nu r o
�,. d e.droo�m dae t aa�n c��n c�a��v
or measured x j,�(sa,ftfy factor)_ $P 2 300 225 180 60�
Septic tank capadty 4 gallons(see fi�re GI) s a6o aoo s�e of�ne
'WA�. L1�1"4'�+'�4rf'� Y�t)'6rj�O� to,�6�e.S 1MY► 'N�iVP 4 600 37b 2b6 volues
�6 /o o c� .�wl'4Utiv10 L1t
SOILS(Site evaluafion data) e o0o s25 332 c�ss i•
De th to restrictin la = a,ls � �.3 feet ,, > >05o aoo s�o i�«m
P 8 � � � a t 20o e7s �a06 co►umns.
Max depth of system I 2C-3 ft= ft-3 ft= 3� ' ft �,�.� �g 4�,�,�► S�F+�C�o�c. To
Texture Ln lation rate 3 O.O MPI '� s r��-�A-c�ae� sw S.
Soil Sizing Factor(SSF) o/! (..� sqft/gpd fsee figure D-15)
/o Land Slope , a�: T.o�c c� now
TRENCH or BED BOTTOM AREA rtaoberat Mio�m t3q�w uq�daap�iry rri�h ����
For trenches with 6 inch�s of rock below the pipe: eedfOO"°` �r t��'v� rtt in�a�
A x F=__�a d x� � sqft/gpd= sqft so�� �so »u isoo
For trenches with 12 inclaes of rock below the pipe: ;«6 is�oo � 20°°
A x F x 0.8= �t Sc� gpd�c 1,c�7 sqft/gpd x 0.8= o z sq� �.a«9 2000 3aoo 300°
For trenches with 18 incli�es of rock below the pipe:
A x F x 0.66=�gpld x scift/gpd x 0.66= SQft F�r����3����nj��
For trenches with 24 inches of rock below the pipe: »
A x F x 0.6=__eDr c�x sqft/gpd x 0.6 m sqft "'r'"w°""�' s.�'T"'""'' .q,�'r"�� �°"
For vi beds with 6 pr 12 inches of rock below the ,i e; ' ►.��.�,a�• �«r».�a aas
$� tY P P a�bs �a+.ax�,..�a o.0
1.5 x A x F=1S x�,,,.gpd x sqft/gpd= sqft �b�s , �� '.s,
For pressure beds with 6�or 12 inches of rock belt�w the pipe; �
A x F= _.�,Qud x�Sqft/gpd a snft� .sro�o a:r�, z=o
` ��r��,r
DISTItIBUT'ION(Quck all that apply) �..s�a sao-� ��� .ao
Bed (<69�o slope) Drop boxes(any alope) �Rock .,,w.,�,.,, �
T Trenches DistribuHon box(<3�0) Chamber T.
�n ara�uan�...i.�ai.aa�eo�«i�
T Pressure Gravity Gravelless ^��������^•
"Soli hMn`S07i or mat Me w�d plus v�ry fine w�d
' "'Aawun�inwCbRwed:
""M aMr ar pw/oe�nrnvh�Wm mu�t b�wed
SYSTEM tiVIDTH,.LENG4'H and VOLUME
Select trench width 6�ft n-� sa�cn��.aa.na son.i:i g
: t���.css��o:c�.���...r��
If using rock,divide bottom area by width: (H,I,J,K or L)+M= �,n� . � ��
00 2 sqft+ 3.v ft= 3 3 y lineal�eet �'M.iu�+� .au e.xe� s.u«� a.y
Rock depth below distrib hon pipe plus 0.5 foot times bottom area: '��p,i ro5 1• �w�,s.�a o
Rock depth in f t+8�r'f�t x Area(H,I,j,K,or L) Q,,�s suzoim,�s�.,�a�» ae
�_=t�'t't�v 1��X G S�9 C�Q�a f�O� C t 1� 6 to 15 S�ndr Lo�o� 0
Volume in cubic yazds— olume in cuft divided b y 27 �i�� s�e� °
,)3 0 2 cuft+27=�Cuy.ds a ro 6o G�j r ,Lam�a.) a�
Weight of rock in tons=cubic yards times 1.4 s��ci.
��! d cuyds x 1.4=�tons �'°"n`"'"` '
s�arb+r
If using 30"Gravelless P�pe, Flow(A)x Gravelless SSF.(see figure D-9) �h�''
_onr d x li_neal feet/ d= �sa"°°�°'�'r°"'"'. """'""a
gp lineal feet uK.r.�.r«�pa�pe�,..w..au..
"Sou sox.o.A►w.lin...�a+ n,+�
[f using Chambers,H,I,J,pr K(based on height of chamber slats)+ ���n�n���,�
width of chaatber in feet(M}
Sqft+ ft� lineal feet . •�
- rw
AWN AREA '' 'q.
Select trench spacing,cenber to center=,�,feet
Multiply trench spacing by lineal feet R x Q=sqft of lawn area
�ft x�lineal feaeet=��sqft �-2a-x �a`1
I 3/421/ "
AYOUT I �� `
ide a drawing with scale(��ione inch=.�_feet). Show pertinent property boundaries,rights-o-way,e e-
ts, location of house,gara�e,driveway,and all other improvements, existing or proposed soil treatment system,
and dimensions of all elevations,setbacks and sepazation distances.
�eby ce����t I�,iave completed this work in accordance with applicable ordinances, rules and laws.
!/ i-._-...___� ?OM C1 n:-----�a� ��1 ? �/'^�r.L i�_ _�
� NonrLevel Pressure Distribution System Desig
1. Lay out system SYSTEM I .'.". t: ' �� • ' EI�VATION 4St� .t�- �
,
I SYSTEM Z. ' '� � '��' EI�VATION 4�5. 0 i
SYSTEM �� EI�VATION 8 3.o
SYSTEM EI�VATION
SYSTEM ��'����EI�VATION
2. �Elevation to ighest line
Ele Highest-Ele o the Lowest �_-�__�_feet
3. Does Pressure�xceed 5'(Modify design) 2'+�_�_feet Flow Rate(gp )
4. Calculate Pressjure head for each system Pressure Perforation 'ameter
1. Highest System=2'
2. Po+(E1-Ex)=oEx ft 1/8 3/16 /32 1/4
System� Ex `41..0 2+[El-Ex]=2+[�-@�] = Z feet
syst�►� EX 0��02+[Ei-Ex]=2+(�-�,p] =�feet 1 0.18 0.42 .56 0.74
system� EX�..fl2+[El-Ex]=2+[��] =�feet 1.5 0.22 0.51 .68 0.90
System_ Ex t 2+[El-Ex]=2+[__] = feet 2 0.26 0.59 .80 1.04
System_ Ex�2+[El-Ex)=2+[_� = feet 2.5 0.29 0.65 .88 1.17
System_ Ex '.�2+[El-Ex]=2+[_� = feet 3 0.32 0.72 .98 1.28
5. Determine flow rate per hole (table 2) 4 0.37 0.83 .13 1.47
System� P�� Flow Rate�_ � o gpm
System s P3 � F1ow Rate�,�„=�s�gpm 5 0.41 0.94 .26 1.65
System 3 P�}� Flow Rate�/�,-- !.Z te gpm
System_ P Flow Rate= gpm Ma�dmum number of quart�' perforations pe
System_ P_� Flow Rate= gpm laterai to guar„antee<io�o dis�harge variation
6. Calculate flow�foz System 1 Pesrforation
[(length-�)/spacing+lj X flow �reetj� 1'4 l�i 2
c..�-2���-�_�+�_ �.� X,kO=�g�io� 2.5 14 1� 28
7.Calculate the ga�lons per foot
Gallons+Length= ��. + 1 1�. _�_Gallons per Foot 3.0 13 1 26
8. Balance flow for other lengths,spacing,or size 3.3 12 1 25
syst�� Length�x GpF,�_�Gallons 4.0 11 1 23
Gallons��+Fiow rate.�__ �_#of holes
(Length-2') I•10 +(#of Holes-1)�=Spacing .O feet 5.� 1� 1 22
System� Length 1•IZ x GpF�._,�Gallons
Gallons 3�?�.+Flaw rate I��= 1�#of holes
(Length-2').Jl�+(#of Holes-1)�=Spacing .��feet
System_ Length x GpF = Gallons sYsretvi � PTPE SIZE 2 y
Gallons +Fiaw rate = #of holes � stzE ��
(Length-2') +(#of Holes-1) =Spacing feet SPACtNG
System_ Leng�h x GpF = Gallons S�M 2 PIPE SIZE 7"
Gallons +Flolw rate = #of holes ' � s� ��
SPACING .O
(Length-2') +',(#of Holes-1) =Sracins feet �M �_ Pt�e sv..F �"
System_ Length x GpF = Gallons
Gallons +Florov rate - #of holes ' �F slzE ��
SPACINCT L.S
(Length-2') +�(#of Holes-1) =Spacing feet gy�M PIPE S1Z.f
I � s�
9. Calculate total�pm&Calculate System loading � SPACING
Pipe volume x length sYsrFtvt pt� s�e
System I Flow��._gpm �'I x I 10 = 1�.� gal �' srz�E
System "'Z Flow��.�,_gpm .17 x /1 u = 1 k,7 gal SPACING
System� Flow=�'�gpm .)'1 x 110 =15G2 gal Pipe��ter «��s
System_ Flow= gpm x = ga1 1 0.0�5
System_ Flow= gpm X = g� i$ o.ms
_z__----- - �
Zs ��"o
Total =�gpm = SV.1 ¢allons 3 o.�s
4 0.66
� , PUMP SELECTION PROC�DURE
���� �
1. �Detennine pump capacity:
.,A. Gravity distrilbution
1. Minimum required discharge is 10 gpm
2. Maximum sugg ted discharge is 45 gpm. For other
;
establishrnents at least 10%greater than the water supply rate,
but no faster th the rate at which effluent will flow out of the
distribution dev�e.
E. Pressure �istnbuti�n
See pressure disi�ribution work sheet
From A or B Selecited pump capacity: �_gpm
2. Determine pum�p head requirements ���1-�„�
A. Elevation difference 1�etween pump and point of discharge? s��#ree#�eRt�ystem
&.�peic�ef-�iseberge
__�_feet 9o-a
B.Special head requirement?(See Figure at right-Special Head Requirements) totai pipe
leng
"r feet 2A.ele on
inlet differ nce
C. Calculate Friction loss Pk�
------- -- -
1. Select pipe diame�er a`� in �S c�
--------------------- ---- ----- ,
2. Enter Figure E-9 wfth gpm(lA or B) and pipe diameter(Cl).
Read friction loss i�feet per 100 feet from Figure E-9 Specia) Head Require ents
Friction Loss= I ,� 1 ft/100ft of pipe Gravity Distribution 0 ft
3. Determine total pi�e length from pump discharge to soil treatment Pressure Distribution 5 ft
discharge point.gstimate by adding 25 percent to pipe length for
fitting loss.Total pipe length times 1.25 =equivalent pipe length E-9: Friction Loas in Plast c Plpe
J o feet x 1.25 =�.3_feet per 100 fset �
4.Calculate total fric�ion loss by multiplying friction loss(C2) nomino
in ft/100 ft by the equivalent pipe length(C3)and divide by 100. pipe dio ter
- !�� ft/100ft x �a +100=�_ft flo mrate 1.5" 2" 3"
D. Total head required ds the sum of elevation difference(A),special � 2.47 OJ3 0.11
head requirements QB),and total friction loss (C4) 25 3.73 1.11 0.16
S ft+ ft+�1_ft= � 5.23 1.55 0.23
35 6.96 2.06 0.30
Tota1 head: �_feet ao s.9� 2.ba o.39
3. Pu�p selection a5 �i.o� s.2e o.ae
5fl 13.46 3.99 0.58
55 4.76 0.70
A pump must be sele ted to deliver at least a S ,�pm bp 5.60 � 0.82
(lA or B)with at least��_feet of total head (2D) �,5 6.48 ' 0.95
70 7.44 1.09
I hereby certify that I ha e completed this work in accordance with applicable ordinances, rules and la .
?"I �-J3 -(� � date
��� ��� (signature) (license#) 3+ ( )
I
� I
. , � � PUMP SELECTIOi�T PROC��URE ���^'�"�' �
1. Determine punk�p capacity: �
.,A. Gravity distril�ution
1. Minimum required discharge is 10 gpm '�,
2. Maximum sugge�ted discharge is 45 gpm. For other �
establishments at,least 10%greater than the water supply rate,
but no faster tharu the rate at which effluent will flow out of the �
distribution deviqe.
B. Pressure distribution
See pressure disiiribution work sheet j
um ca aci : (o m s� �-�°� `'�`'�`` '
From A or B Selected p p p ty c. gp ��S,�t ,�� s
.
2. Determine pump head requirements:
A.Elevation difference lbetween pump and point of discharge? I�&�net o��schage
�'1 feet ; I �b.c�
B.Special head requirer�ent?(See Figure at right-Specinl Head Requirements) �ta�P�Pe
_,�_feet � 2A.elev on
inlet differ nce
C. Calculate Friction los� pi� . I
i ..----
1. Select pipe diamet�r a .0 in I '�7.c�
----------------------i---- ------.
2. Enter Figure E-9 wi�th gpm(lA or B)and pipe diameter(Cl).
Read fricdon loss i�feet per lU0 feet from Figure E-9 Special Head Require ents
Friction Loss= L=�ft/100ft of pipe Gravity Distribution 0 h
3. Determine total pi�he length from pump dis�harge to soil treatment Pressure Distribution 5 R
discharge point.E�timate by adding 25 percent to pipe length for
fitting loss.Total p�pe length times 1.25=equivalent pipe length E-9:Friction Loss in Ploati Pipe
�_feet x 1.25 = (��feet Per 100 feet I
4. Calculate total fricHnn loss by multiplying friction loss(C2) nominal I
in ft/100 ft by the equivalent pipe length(C3) and divide by T00. pipe dlamdter
- L"5' ft/100ft x (.03 +100=�_ft flpmrate 1.5" 2" I 3"
D. Total head required is the sum of elevation difference{A),special � 2.47 0.73 0.11
head requirements (�),and total friction loss (C4) 25 3J3 1.11 0.16
,�_ft+�_ft+_�_ft= � 5.23 1.55 I 0.23
Total head: _. feet 35 6.96 2.oe o.so
� 40 8.91 2.64 0.39
,3. Pur�p selection as 11.07 3.28 I0.48
50 13.46 3.99 0.58
55 4J6 OJO
A pump must be select�d to eliver at least L� gpm 6p 5.60 0.82
(lA or B)with at least�feet of total head (2D) �5 6.48 I 0.95
70 7.44 1.09
�
I hereby certify that I havejco pleted this work in accardance with applicable ordinances, rules and laws.l,
' (signature) � (license#) S - - I(date)
�
I
� �7-P TE TING� INC. Steven B. Schimiers • MPCA Cert.No. 627
951 Katydid Lane NE • St. Michael, MN 55376 • (763) 497- 566
FAX • (763) 497- 011
State License 394
LOGS OF SOIL BORINGS
lan &Julie Gatelhouse
3155 Jamestowm Rd.
Orono, Henn. Cp., MN
i
Borings completjed on 4-28-03, with a hand bucket auger.
I
BOR - Elev.82.5 - MOTTLED SOIL AT 32" - no standing water pres�nt
in boring. �I
0 - 10" Topsoil dark brown loam 10YR 3/2
10" - 18" Brown ctay loam 10YR 5/3
18" - 32" lr'ellowish brown clay loam 10YR 5/6
32" - 40" F�usty brown clay loam 10YR 6/8
40" - 44" Rusty pale brown clay loam 10YR 6/3 - mottles 10YR 7/1, 10YR 6/8
44" - 60" Rusty pale brown loam 10YR 6/3 - mottles 10YR 7/1, 10YR 6/8
B�t�ING NUMB�R 2- Elev.84.9 - MOTTLED SOIL AT 40"- no standing water pres nt
in the boring.
0 - 12" Tbpsoil dark brown loam 10YR 3/2
12" - 20" B�own clay loam 10YR 5/3
20" - 30" Ysllowish brown clay loam 10YR 5/6 I
30" - 40" Y+ellowish brown loam 10YR 5/6
40" - 52" R�usty brown loam 10YR 5/6 - mottles 10YR 6/8
52" - 60" Rusty pale brown loam 10YR 6/3- rr�ttles 10YR 7/1, 10YR 6/8
BORING NUMB�R 3- Elev.86.6 - MOTTLED SOIL AT 32" - no standing water preser�t
in the boring.
0 - 18" Tqpsoil dark brown loam 10YR 3/2
18" - 32" Brown clay loam 10YR 5/4
32" - 42" Rwsty brown clay loam 10YR 5/6 - mottles 10YR 7/1, 10YR 6/8
42" - 60" Rwsty gray brown loam 10YR 6/2 - mottles 10YR 7/1, 10YR 6/8
i
ZTIFICATION N0.627
�TE LICENSE N0.394
! PERCOLATION TEST DATA SHEET
:olation test readings by S-P Testing,Inc. on 4-29-03 starting at 11:35am. �
:hole locatio
:hole numberl Date te hole was prepared 428-03•
th of hole bottom 1$inch�es. Diameter of hole�inches.
'i.DATA FROM TEST�Q1,E.
EPTH,INCHES SOIL TEXTURE
0 - 10" l�o soil dark brown loam
10" - 18" I rown cla loam
hod of scratching sidewall is koif�. Depth of gravel in bottom of hole is 2_insh�. Date and hour of 'tial
rr filling 4-2& 1•.�m_. Depth of initial water filling is 12 iucties above the hole bottom
hod used to ma.intain at lerast 12 inches of wa.ter depth in hole for at least 4 hours is automatic si
cirnum water depth above hole bottom during test is�inches.
. I Measuremerrt, Drop in water level, Percolation rate, i
�"im� Time i�terval,min inches inches minutes r inch emarks ;
IWater remainin in�est hole � !
�
! 11:35 2:05 6 1 30 30 min �
�
12:10 12:40 6 � 1 30 30 min '
i
12:41 :11 6 1 30 30 min�
I
I I
i � � � j
;olation rate=3Q,.Qxni�iut�s per inch
RTIFICATION N0.627 II
ATE LICENSE N0.394
; PERCOLATION TEST DATA SHEET
�cola.tion test readings e by S-P Testing,Inc. on 429-03 starting at11:36am-
�t hole location,. atehonQle.3155 Jamestown Rd..Orono.
�t hole numbers, Date test hole was prepared•4-2g_03•
pth of hole bottom 1$incl�es. Diameter of hole�inches.
IIL.DATA FROM TEST HOLE
�EPTH,INCHES SOtL TEXTURE
0- 12" To soii dark brown loam —
12" - 18" Brown cla loam
rthod of scratching sidewaill is lmif�. Depth of gravel in bottom of hole is 2_in�he�. Date and hour o initial
�ter filling 4-28-03,.1•.00nm. Depth of initial water filling is 12_i�above the hole bottom.
rthod used to mainta,in at k�st 12 inches of water depth in hole for at least 4 hours is
�ximum water depth above hole bottom during test is�inches.
! I Measurement, Drop in water levei, Percolation rate, �
Time Timel intervai,min inches inches minutes r inch Remarks I
11:25 refill 6 '
11:36 12;06 6 2-3/4 10.9 �� 30 min I
12:09 12:39 6 2-3/4 10.9 30 min
i
12:42 I 1:12 6 2-3/4 10.9 30 min
�
� I
rcolarion rate=1Q,2minutl�es per inch.
t�TIFICATION N0.627
�TE LICENSE N0.394
� PERCOLATION TEST DATA SHEET
colation test readings mac�e by S-P Testin�,Inc. on 4-29-Q3 starting at 1:37am.
t hole location Gatehona 3155 Jamestown Rd., Orono.
t hole number�. Date te�t hole was prepared�-28-03•
�th of hole bottom 1$inches. Diameter of hole�inches.
ri.DATA FROM TEST HOL.E
)EPTH,INCHES SOIL TEXTURE
0 - 18" Topsoil dark brown loam _ __
�
thod of scratching sidewaill is 1o�ifg. Depth of gravel in bottom of hole is 2_iu�h�. Date and hour o initial
u �
er filling 4-28-0�,.1:OOntn. Depth of initial water fillmg is 1Z_iusL�above the hole bottom. ;
ti�od us�to maintain at�east 12 inches of water depth in hole for at least 4 hours is
Kimum water depth abov�hole bottom during test is�inches.
Measurement, Drop in water level, Percolation rate, �
Time Tim interval min inches inches minutes inch Remarks I
11:25 ill 6
' i
�
, 11:37 12:07 6 41/4 7.1 � 30 min i
12:00 12:30 6 41/4 7.1 30 min '
12:43 1:13 6 41/4 _ 7.1 30 min 1
� i
i
i
�
:olation rate=I,l�minutes per inch.
I �
FILTER HANGER
PLATE
. ,
EFFLUENT '
WEIR
FILTER � �O SURGE80WL •
�
INLET OUTLET
ACCESS ,
COVER
ACCESS COVER
PLAN VIEW DOME ASSY.
ACCESS COYEp � �
.. .. 4"P.V.C.
POWER SUPPLY GRADE OUTLET
CABLE — /�' `��" _ __
CABLE TO '' � I
ALARM BOX SURGE 80WL
4"P.V.C. '
INLET 4"P.V.C.OUTIfT
--- BASIN
EFFLUENT WEIR
100•,
87'/:' �
FILTER TUBES
SUBMERSIBIE — � OUTIET END ELEVATION
AERATOR
i � DAYTON,OHIO
�,I 750 GPD REV�DATE D�ES•??�NS
ELEVATION SECTION Multi-Flo Unit
oiuwn►ro�uea
A-1019
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WATE I TtGHT 8� IOCKABIE ELECTRIC BOX Tf�EATE0�f�5T (4 x 4 min)
PLUG OR ELECTRIC CONNECTIONS � ��IN�iDE 80XRIC CONNECTIONS MA�
2' C4NOUIT SCHEDULE 80 6•gpACE 100P OF POWER CORD FOR
MANHOIE COVER CHAINEO d LOCKED -;-- SETTLEMENT I�
SEAL�O MANHOIE RINGS F NA RA ��,
. AT LEAST 12� ' I,
g I.OW GRAOE
��� WIRE FROM PO'WER SUPPLY
PiP P�s TA�ION UP 0�SOIL 7REATMENT�M A
� . /!; , ��'p�'OPER ORA�NBACK
I� SEAlEO TANK COVER �-IF PIPE AT TANK MUST BE IOWER THAN
AN ONi. ��WEEP HOLE� MUSTRDE U5�ED�K�
P�S�ITH�CHORCHAIN
— WEEP HOIE
ALEIEQTRiCAI CIRCUIT�ATE
NOTES� EIECTRICAI Vi►�RE FROM POWER SUPP Y
� Mt1ST NOT RUN OVER ANY TANKS 6U
, Sj�RT_4EYEL.�---1 �•r, - — MUST BE LAiD BESlDE OTIIER TANKSI
" 3�J ,� ALONGWPOSBE PLIICED IN CONOUtT ;
,..
SH�.�:O.EF-I.��--Q— - - ELECTRICAL CORDS fROM PUMP ANq
FlOATS MUS7 BE RUN THROUGH
CONDUIT. WIRES CANNOT HAVE GROU�ID
PUMP CONTROL �l0!►T CONTACT.
��0 ;
Fig re F-8
META�
COVER
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METHODS OF SECURIN� MANHOIE COVER TO PREVENT
, UNAUTHORiZEO ENTRY
�
Figurc C-ta
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� � ''VERTICAL SIDE�V'A�L SEPTIC T�1K "�'I
�-FiNISHEO GRAOE
- — " �� AT I.EAST
IEAST 6"T 12"�pVI�R q" OIA.-�
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��� AT LEAST I" II
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IENGTH ,?�TO 3 TIM TH _�TH _
OIAPIIETER 60� MlNIMU_M r.y.�_ :
.
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MEASURE SCUM� AND Sl.UO K ACCUMULATIONS i
I N THE SEPTIC TAN
_ _ _ _ _
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AI1lILTl !�L
INSTALLATION REPORT
DATE INSTALLE
�-)7-O� QPD SIZE � � � SERIAl.N •
I 'r'��I"' �J�.1'� ti t4�'�'� L1 S� - PHONE N a' �O �7
OWNER/USEF� '� .
AODRESS: Street
� n'"��,aY•1�'? _ CountY `ta�►1-�1 Stats �S� tp , 3 �
City .+-
LOCATION DIRECTION: --�� ` ��' � �� ����S��w�
••�•s-=-%e S tJA�f'�'� W�'�D' _�_ PHONE N - � - S10�
MULTI-FLO D ALER S. - .
ADDRESS: S'tree •
5�. M )G XL� - — State_ '�L..,�) ip �,�5�'� (�
City ,._
APPROVING ftIEALTH DEPT. G1'� d� �'� ��
�p � �o� l�� ' -
AODFiESS: Stree� . . '
City
t"�'�..,�- '�1Q�*� �tate � � $�P
SITE DATE F�AT ��W
TERRAIN: HILLY �
TYPE Of OISCHARC3E: SURFACE DIRECT INTO
SPRAY IRRI(3ATION RETAINED ON 81TE•
SUBSURFACE NO. FT. FIELO LINES �v��- SI.Z.t�t` 33y l.�st�.fT.
FACILITY DATA
NO. BEDROOMB ' NO. FULL BATHS_�. NO. HALF BATH3
DISHWASHER C3AR AGE DISPOSAL WATER 30FTENER
E'STIMATED FLaW PER DAY
OTHER DETAIL�AND INFORMATION: �
� ,� a a,� o �.ti�..
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,
ELEVA tON EfFLUENT DISCHARGE LAYOUT AERIAL VIEW , {
(Show Loc�tlon of F�eility and Lay ut of Plant Insallation)
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�----�4�S �
� HOU�E _.'t„_ i 5 a�
_---_" S
h.,,a�;41� S Tr�,sh PU �Tank
���s r a � _ — =— — —�
----- SKs�t�
-�- �' '�°° _ _ '
Pu�nP -- 3° __ ,, - - -
, tam� �.
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�����,'��� • AAAI r_ ni-•_..fl��.� T1�..�.... Al.iw d.�d�0/Si��74�� �� � 0 M ��4� �8�
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AUU10fIZea ISifl�utVr rur
' Sc�iirrx�ers �1'astewater Treatment Systems, Ir�c. ,�����, .��►��
_ .. . .. . .
951 Ka��tydid�Lame`�����..1Viic�iae�, N�V+����'7� ����'��� . :AERATION QU/PMFNT
, FAX(?63)497-50�� :SALES & ERVICE
�GENERAL INFORMATION •
OWNER�i���'�`��� ���'��"1�'� RESIDENT
AODRESS � ��� ����"�!-� �' ' b'�.t9�� CO TY 'U'�`=—
D/1TE OF INSPEC�ION ' � � " s PHO E ��-b y a
UNIT INFORMATION � ' �
TANKNO. 1YPEOFTANK. - •�" �- - NO.OFMOTORS SER.N MBER�_ ��-
� . I3ECK LrsT t . O.� : : � 0
t�ka MixAd ltquor sanple '��_ O � O O O O >
C F,e C k A l ar+n S y�trn ��� �..�_ O O O
Turn orr ro�r
�,�.e �,�e �,.� � � � A � B� � 0
I n s p e c t E f f l u e�t Q u a�1 1 E y ��� O� /Q\ O s
Vacuuni We1r and FwltUrs /� O
lirsh F 11 ters '�,r L�E 1�' V
7nspoct/Replacs Top G�sket ,�_ +._�
Ins�pact/RnplAce BoEtpn " �_ _.__ 7
� OO O O O
Inapect �lar�n Sansort �__ �_. . Q O O b
• Inspect Aerator • ,+,�_. __�
lurn Pa+er On �
�C:URRCCTIONS IRL•`COMMFNUED: � REPLACEO FIi.TERS�
���°'��"�' � � ' �ErLACE EXrANDE�S k ,
�3� t,1� COMMENTS
c,� u� .
�'a�'fl-ia t9''C pM AN�1�!-W Go�FQ�'G�t'/U�+1.,� •
' � TESTINa INFORMATION •
IN F1ELD TE3T3 TESTS If�L LABORA OAY • .
PH TEMP._ � B.O.O. -
0.0. - � D.O.
C.O.D. _�, ., FECAL COUFORMS
SETTt.CABL�C SQLiQS 96 --�- SUSPENDEO SOLIE�S
:� --�--�-'■- UCENSE NUMBER � �
SIC3NATURE F SERVICE OR REPAIRMAN .
, .
� WHITE/Hseph OepL YELLOW/9111inp Flls � PINK/M�Inl�nu�cs
Schirrxlers �1'astewater Treatment Systems, Ihc. ,��; � � �� ��,��1;�/CQ
_ � . � . .w' . ;AERATION EQUIPMENT
951 Katydid�C:a�rie��=$�:�c�ae�, �����F��763)497-01� : ALES & SERV/CE
, . . .. .. �
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�GENERAL.INFORMATION '
OWNER �;�� ���''���M� �� RESIDENT .
ADDRESS ��.SS ��'''v����'e�.�?�-�l '�-.`� [�2�7"-��lQ COUNTY �}"�{�
gs2 �d�-c��xa�
Dl1TE OF INSPECTION l� a �'�� � PHONE
UNIT INFORMATION � ' �
7/1NKN0. � TYPEOFTANK. � � NO.OFMOTORS SER.NUMBER � �'�—
� . CI3ECK LisT , . . 2 �� ' . � O
� �O O 3 �
Tnko MIxAd Llquor s�+npl� . "�.,.��— OO �O
CheCk AJarm Systarn �.�-- O 8 O
Turn Off Poti+sr e R
R1nae suryo eoMl ' 5 O ^ ✓, O O
lns�ct Effluent Qia1lty LLl?l-� ,_.,._.� O 10 /0` Q
Vacuum Weir and F�lt�n O � O
Nesh F i l ten ��S� ��
lmpxt/Replsc� Top Cask�t �__ �._.�. . .
In�pctct/RnPlecv 8ottan " ,_,__' �— OO O O �O
Ins�,ect ila►m S�nsors �_ �--- � Q O O O
Inspect Aerator • � _,_._._. ..�--
Turn I'a+ar On • '
{;URRCCTIONS RL'COMMENUCD: � REPLACE�FII.TERS q
=�-��-�� ��'"�'��' REPLACE EXPANDERS� ,
COMMENTS
' � TESTINa INFDRMATION •
IN F1ELD TESTS TESTS IN�LAB.ORATOAY • •
pH TEMP_ -
� B.O.O. ��IsH I'D�
o.o. - . �.o. I qo 1 b e Fu��oo rn�
C.O.O. _ � „ FECAI COLIFORMS
SF:TTt.LABL�L SOLJL�S 9b= SWSPENDED SOUDS
� ' UCENSE NUMBER ��`�
,�� C��. .✓'G�-�---'- .�.
SIaNATURE�OF SERVICE OR REPAIRMAN •
� WH�TE/Hsolth Dtp6 YELlOW1811tinp FII• � PINK/Mainlm�nc�
s
." , City of Oronio INDIVIDUAL SEWAG R�CEIVED
P.O. Boz 66 ! TREATMENT SYSTE NOV l 5 2003
Crystal Bay,MN 55356 OPEItATING rERMIT
(952)249-46 0 APPLICATION ��N�F ORONO
� �
Owner's Name:�.-an»Swl+i l��-�+�.�S�t Date Issued: Il- �S-a3
Facility Narx►e: Expiration Date: 1� -�S'Q y
Street Addr�ss of System: '��5� ,9Mts�`dwn R�}
City/Zip Co�ie: D✓t�w0 Telephone: - � -f�" �
*It is the ownCrs responsibility to renew the Operating Permit with the City of Orono. If the
Operating Petmit expires without renewal,the septic system will be considered non-compliant.
1. Detailed des ription of the Individual Sewage Treatment System, its operation and
maintenanc requirements. Include a11 manufactures' recommendations for installatio and
maintenanc . Attach a11 copies of design specifications, calculations, site evaluation, d
service c n acts as well. .
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2. Performanc requirements and monitoring frequency: (*Pazameters require annual mo�toring
at a minim . Other pazameters maybe required based on the situation and list any additional
parameters n t given in the table in the provided blank boxes.) �
*Flow Daily Average Annual
*Total Fecal Ave.2000 Annual y
Coliform colonies/100 ml I�.;m ly�.
of effluent �
5-day BOD
Total
Phosphorus
Total Nitrogen
TSS
*Unsaturated ' N �� Annually Annua y
Soil Depth �y ' �Z
, 1
j _ _ _ __. _ ,_:
�
, .
Comments:
�
i
Person Respo�sible for Monitoring: 5- P T'�t'��"`C . �-' �
Address: �qS l 1�Zq� d� d t� �NS.
City/Zip Code: �t�W1.i �o.aa. 1M�1 SS��to �
Telephone: (0 7 —3 S� �
Signature of Person Responsible for monitoring:
3. Maintenanc�Requirements:(List any additional requirements for this system. Exampl�s may
include Effl ent filter cleaning/replacement or puinp and alarm components.)
Septage All septic tanks
RemovaUmeajsurement
u.�Gv�..�� 9��� `� � -s
S trtti.9�h+,-ad.. �o go
. Comments:
Person Resp�onsible for Maintenance: � T �«
Address: GS"l „�a� d1.:�4 (u�a- I
City/Zip Code: St �M.� C,Itio�l . IM� S S3 Z t� i
Telephone: — `i 1 — . I
Signature o Person Responsible for Monitoring:
4. Mitigation lan: (List any additional component in boxes provided.)
Pump/alann�� S _ � ��Zro .
'�^ � �_ � �So.
O�vo�► S � Sov ,on
2
_ _. __ _ __
1 �-
Comments:
Person Respo sible for Mitigation: -1-cjun '''S��-
Address: �'' � •
City/Zip Code�: o�a��o '
Telephone: °� -y0y �0 y.�-
Signature of P�erson Responsible for Mitigation:
5. Reporting requirements: All monitoring results collected during each yeaz shall be
summarized and submitted by expiration date of the operating permit to:
City of Orono
2750 Kelley P ay
P.O.Box 66
Crystal Bay, M1�T 55356
The person conducting the monitoring and the owner shall sign the annual monitoring resu ts.
All sampling and laboratory testing procedures, if required, shall be performed in accordan e
with Wastewater Standard Methods.
6.Noncompliance:
Violation:
Remedial Actiom:
3
i
i �
Notification:
I hereby certify with my signature, as the Designer, that all data for the operating permit
application is true and correct the best of my knowledge. I agree to indemnify and save City of
Orono harmless from all losses, damages, costs and charges that may be incurred by the City
because of my failure to comply with the provisions of this Ordinance.
Jl� �z �j,�c.�--=— _ 3�l `-� l l ' l� "°�
Signature of Designer MPCA License # Date
S;�Gt�� �•�i�l�l"�-v,'I�5 �/S l lG,�-�S��� Lra, N s'; �co3-�-�°t 7- 3�Iv�
Printed Name SS, vHi�1.��- �N �S3��o Phone Number
Address ,
I hereby certify with my signature, as the owner of the property where this system is to be
installed, that it is my responsibility to maintain an annual operating permit in accordance with
Orono Ordinance No. 199 and MN Rules Chapter 7080. It is the owners responsibility to inform
new property owners of Operating Permit and Performance System. Operating Permits are non-
transferable and all subsequent owners must apply for a new operating permit with Orono.
' ����a � A,r '�<i.,� k.6�';,l��' " �; i�, � � � • ��� , ,; � ' � . �� {� ,� ",
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Signature of Owner Printed name Date
/,� 1,�� n 7 f C
i/�" + � -z.s--�, � '� 3 fi �
Application reviewed by Date Approved or Denied MPCA Reg. #
4
/—
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION�OTIriE SCHEDULED
PERMIT NO. (��oo�`� COMPLETEO �� � � 7-}�-T
ADDRESS 3�SS J��^r`tl 1'�"'^
OWNER ,' CONTR. ��SV �
TELEPHONE N0. I
� DESCRIPTION �C��'�l� :�`S��l
ty 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q
y 03 INSULATION 24/�5 WOOD BURNER7FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12�WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 151 EPTIC INSTALL. 22 POLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
Q OWNERICONTRACTORTO MEET U:�1/ES_NO
� COMMENTS: —� � �'i��.�\ P��v/��.w ��1���
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��WORKSATISFACTORY:PROC ED ❑PROJECTCOMPLETE
W O�RRECT WORK&PROCEE ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR EINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITI NWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETU N
❑STOP OROER POSTED.CAILIINSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CAI�LTO ARRANGE ACCESS.
Call for the nex�inspection 24 hours in advance. (g52) 249-4600
OwnedCon tor on si�e:
Inspector.�,�
White CopyOns�ector's File Canary CopylSite NoHce
✓
DATE TIME
CITY OF ORONO CALIED IN
INSPECTION NOTICE ' scHeou�eo
PERMIT NO. f��o(oR/j COMPLEfED ►A -� 9:3 U
ADDRESS IS S t��'^�51��-�
OWNER �°r1' �� ' CONTR. pt��Sr.,
TELEPHONE N0.
� DESCRIPTION StiQ� � �"'inq�
� 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 ,v1ECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/�5 WOOD BURNER7FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WVATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 $EWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 $EPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL $EPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 $EPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS: �
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W� ❑WORK SATISFACTORY:PROCEED, `�PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REIN�PECTION TEMPORARY
V BEFORE COYERING PERMANENT
❑CORRECT UNSAFE CONDITION WRTHW HOURS. p pH0T0 TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.GALL INSP�CTOR
❑CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for tha next insp�ection 24 hours in advance. (952) 249-4600
Owner/Con ctor on si •
Inspector. ,
White CopyMspector's�ile Canery Copy/Site Notice