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Home My WebLink About2010-01172 septic CITY OF ORONO rERMiT No.: 2010-01172 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1190 LYMAN AVE PIN : 35-118-23-43-0034 LEGAL DESC : REG.LAND SURVEY NO. 1067 : LOT MB BLOCK MB PERMIT TYPE : SEPTIC PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : NEW ACTIVITY : MOUND SYSTEM-SEPTIC NOTE: INSTALLING(3)PRECAST CONCRETE TANKS-(1)TANK- 1500 GALLONS,(2)TANKS- 1,000 GALLONS EACH MOUND SEPTIC SYSTEM-500 S.F. � ALLEY EXC.PAID FOR THIS PERMIT 12/30/10 WITH A CHECK THAT WAS SENT AND MISAPPLIED TO THE HOMEOWNER'S UTILITY BILL INSTEAD OF TO THE PERMIT. ACCOUNTING IS ADJUSTING THE ACCOUNTS AND PERMIT WILL BE ISSUED. BGS/PZJSP � APPLICANT SEPTIC NEW 200.00 ALLEY EXCAVATING STATE SURCHARGE SEPTIC 5.00 5508 LATHROP AVE NW TOTAL 205.00 ANNADALE,MN 55320 (320)2742528 Minnesota State License#: 92 OWNER PALMER,BRIAN&NLIA 1190 LYMAN AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming 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 I 80 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 the State Building Code.This permit may be revoked at any time for due cause. / / � Applicant Permitee Signature Date Issued B 'gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. CITY OF ORONO—SEPTIC SYSTEM PERMIT APPLICATION 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 24HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. , , W:\(Permits)\Septic Permit Application-Updated Surcharge 7-1-10.doc f � 1 ' / . � � �� J� City of Orono FOR CITY USE ONLY i'g'�� '� / / ��7 O O", P.o.BoX ss ��L�la /b-D °2� f ,;, 2750 Kelley Parkway Date Received:� Permit#� �� j`��'�. t�,� Crystal Bay,MN 55323 ��•,J,�`:� (952)249-4600 Amount: $ �_��i / N � /�/I � // /�-- ��'�/� r�S CITY OF ORONO - SEPTIC SYSTEM PERMIT APPLICATION ��vL (All permits must be approved by the On-Site Septic Manager and/or Building Official) � / Job Site/Owner Information: �=' `� � Site Address: �� ' � ��lrY� c: � � � Owner: �Y� c%,i�1 /�r' I J /�''� F �Z Mailing Address: City: (�� l� 7� U Zip: ��3c1 � Home Phone: Alternate Phone: Contractor/Applicant Information: Contractor/App.: 1�l'�� ,�1�'c�f� ��i Contact Person: - ` f�� +� Address �-��C.�� L�1 � 1� r c,o /� �.�P ��'�State License #: �� -� City: �/`JNt��j�`--��' Zip: 5 S 3�� Expiration Date: � 1 � � '`�" � � Phone: �_� �� ` �� l �'; � � �5 y Alternate Phone: /� TYPES OF OCCUPANCY 'd Residential ❑ Commercial ❑ Other PERMIT TYPE AND FEES New or Replacement System $200.00 ,T C�i (:U �:c.v Repair Existing System 100.00 (Tanks or Drainfield) State Surcharge 5.00 5.00 Total $ ��`-' � ` "�' �. V1(;\(Permits)\Septic Permit Application-Updated Surcharge 7-1-10.doc 1 / 2`� �,�o I will be installing the following: Tanks j�Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other (list manufacturer) Number of Tanks: Size of Tanks: �� Treatment System Trenches s.f. � Mound 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 Applica � Date: ,/�� -� / � MPCA License No.: �7� T ♦ t l Staff Review: �Accept ❑ Denied Reviewer: .%� Date: 1 ot—7— t 0 Reason for Denial: Comments (to be printed on inspection card): � W:\(Permits)�Septic Permlt Application-Updated Surcharge 7-1-10.doc 2�2 City of Orono Payment Register Page: 1 Receipt Dates:12/20/2010-1/3/2011 Jun 16,2011 01:53PM Report Criteria: Workspaces: FRONT COUNTER,PSN,PZIMMERMAN,SPETTIT �ReportJ.Payment amount={_}205.00 Receipt Payment Check Payment Change User ID Number Date Type Payor Number Amount G Total Paid Total Applied Amount 12/30/2010 Recefpt Group 02 2.005281 12/30/2010 Check ALLEY EXCAVATING 20025 205.00 Y 205.00 205.00 .00 Sandy Total Receipt Group 02: 205.00 205.00 .00 Totall2/30/2010: 205.00 205.00 .00 Grand Totals: 205.00 205.00 .00 Summary By Payment Type Payment Type Amount Less Change Net b�'b� � � � 1�3� (l0 Cash 1,850.68 73.25 1,777.43 �L�� . Check 226,304.44 .00 228,304.44 l� Credit Card 2,019.39 .00 2,019.39 ' Gn��"� PSN CC 580.50 .00 580.50 ��G� � ,JT'� � PSN Check 428.41 .00 426.41 � Grand T tal : 23 181.42 73.25 231 108.17 �� o s 1, , �P�'' ' b I ('l?/ U�a'D 2,��D' �� P��' �I� I I � 00� V ;; :� ` �� Ly�� r - �� — c� � �� I � � �� G -� c.�u I �� G=GL Updated r►� • ��5�RY5� � ��a7V�o�1 ��..� � � Mk; ��i. V��'� lu, I I 'i�''��'� fr�l1� k � R ! 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Q�,t31J2[11Q �illing 3�20 �PTC 0 A�ukomatic�in� 55,00 0�,�1 j�I1D �linq �Q �"�i4"f� "� '�uu�r��l��i�� `�' „. � �tt. �„a,'�'Y: Q3/31�2tI10 �Ilina� �'i20 Ri�tYC 0 A�ukorsiat�c 8�inr�, , 25.00 'Ofi jOP,f�t11�0 f�k ° 7 � „ �7P'3I+J f�t�, ,. , :n1�5.�= S/� �. iz��zQio �m� � se��c o �itie� . F , 2�.oa- � 03�'3i f�D11 �lir�p �fi41 5EPT� � �to►�i��Gt1�I ', , 60.`Op� �G�(�G 03 j31 J2�i11 Ba1lirag 3541 STI++�'f'R. 0 Autarc�c BaGng 49.84 -�p� � Q3,�i;J2D11 �lin�g �41 REC'YC �'�A�kad�t;6Mfrig `•• ' .75.75' r►g 03J31J2011 Real�oc �70 * Q Credit Bal�nca R,�ellc�tiom .00 �� r aD10—D 1117� _ .....� ... _ . _._..... . _....mm,� . ..._.._..,_� ..,..._, ._._..�_ ._ .__---- ---_....�._.,.�__m�..�,. ...�..�..__,..�.. .. _,�.,,.,,..,... � surm,eriae___.__ _.,._._�__ ..._.w.... ._,._..�.,_..�.�.___ � � �tdj�#�rrents � BMlins� � Ir�+areSt Q �Par,�m�c�s 1 n , t_.:.��.._�...._u_ _M�. ..�.....,.�......y�.. c��►v ��r�dy�n:�aavr�4�a�, ��< <w�. ��, 4,_88, B�. EQ W 2 EXISTING W� �04 DRAIN FOR MfD. MED. TOILET COC. -" �� O '� CAB C� 820 CAB CDUH4024 CDUH3224 L � �� _ � � � � — � EX T. � � —� WOOD W/GLASS � 8 LT i� `� �N I I '� MASTER I I . BA/HROOM I I 201 I � I C.T I I ,�� BEOR02 M I � N J� 3�"3�' �i N EPDMRG Z-'a° '-6' �� 2'-6" J I3'-2" HARDW000 i ; N201� FOAMBA N � I � I HANDH D��... VALV � - I �.... iy SEAT N W.C. ^ I , SHOWER Z�� '� 2p2 : 2016 I EXISTlN6 ORA /N ALL BUILT lN I <'o BEL W BOOKSHELVES � EX/ST.DN. ry�' � � �i/inp STAIR HALL I �-NEW CAS[D p� EXIST. - 2o I OPENING GUARD RAIL °' � I ��. HARDW000 N I P r-g° 81 � 3��2 �� 5�-9" 2'-8" 3,�� I � OFFICE I ryph '� zo3 I � HARDWOOD N IKEA � I CAB/NETS � TEA 4 IWO BnTHR00M CABINET - I or 205 q@OVE zuma C.r TOILET I or �K� bain ult�a OPEN I CABINfT _ SNELVES �' � — — — — - — — — #- — — — — — — — — — — � � � CDUH2820 r_SB• CDUf 14024 '�REWORX CRICKET,SEE 1/A3.7 AND E202 E20.? !'I 7/A2.0 i �1R��'(� +G�PX Onsite Wastewater System Design Report CITY OF ORONO SEPTIC P RM T N RE I� INSPECTOR �� j DATE ' — i OPERMIT NO._________ APPROVEp AS 5[:BM[TTEA � APPROVGD WITH Ct)RRECTIOI�TS AS NOT�D NOT APPRQYED-CDRR6CT�RESU8IAIT Thcse commcnre are for your informatioa. Ait work xhali bo ek�qe in full complianee with oll applicable septic And zoniny cucle. Rcquiremcnts including items not specitically notcd in this rrview. KEEP THlS PLAN S6T UK 51"iE AT ALL TIy�S (7�:c�A:�'� i'�Ji�' THI SYSTEM IS OESI6NED FOR �'-� � ,�,�EOR80MS. ANY tNCREASE IN�R OF BEDROOMS INYAUDA7ES FHIS DEStt�l. Prepared for - ' Brian Palmer ��:.�_,� ,_, L�:;:�.`�' November 2010 � � t � � Onsite Wastewate� � �' j Systeni � � Design Report � ► � � a k � # t ; � � � � � � ` � E � � Wenck File#2296-02 , � Prepared for: � � BRIAN PALMER 1190 Lyman Avenue Orono, Minnesota 55391-9671 �� ; � � + , � � � Prepared by: '�� November 2010 WENCK ASSOCIATES,INC. 1800 Pioneer Creek Center � P.O. Box 249 '_�_-_��/��Wencl� Maple Plain, Minnesota 55359-0249 � (763) 479-4200 � , � � � r � November 15, 2010 � Brian Palmer 1190 Lyman Avenue � Wayzata,MN 55391 Subject: Onsite Wastewater System Design � Sub'ect Pro : 1190 L an Avenue• Ci of Orono Minnesota J P�3' Ym � tY , � Introduction � The subject property contains an existing house, driveway, shallow well, and Onsite Wastewater System (OWS), as shown on the Certificate of Survey completed by � Gronberg & Associates, Inc. located in Appendix A and on Figure 1. The homeowner intends to make improvements, additions, and needed repairs to the house and is in need of upgrading the OWS (a.k.a. septic system). The existing OWS is located west of the � house and will be abandoned in accordance with City of Orono ordinances. • Design Parameters for Proposed OWS: � o Number of Bedrooms for the design: Four(4)Bedrooms ■ Design Flow: 600 Gallons per Day o Expected Wastewater Characteristics: � ■ Influent to Septic Tank BOD = 150-225 mg/L TSS = 125-180 mg/L � Oil and Grease= 10-30 mg/L Fecal= 100,000-1,000,000 fcu/100m1 � Soil Conditions The Hennepin County Soil Survey (Appendix B) indicates the site is underlaYn by a � Lester-Kilkenny Complex formed in calcazeous loamy glacial till deposits. These soils generally have a depth to seasonally saturated conditions at less than three feet. The soil descriptions completed from the three soil borings (Appendix B) in the drain field area � depicted on Figure 1, indicate evidence of seasonal saturation (i.e. redoximorphic features) at 30-32 inches, requiring the installation of a "mound" drain field. The mound system is being designed with a one foot sand lift to ensure a three foot vertical � separation distance will exist to seasonal saturation after construction. Two saturated hydraulic conductivity tests were performed in the drain field area with a � constant compact head permeameter. The results of the tests (Appendix B) indicate a rate of water movement into the soil of approximately 5-10 minutes per inch at the depth tested. � � 1 � � S stem O eration: Descri tion of Treatment Process � • Primary Treahnent- Septic Tanks Wastewater gravity flows from the house into a 1,500 gallon septic tank. Gravity flow continues to a second 1,000 gallon septic tank. Within the first tank the �� sewage separates into three distinct zones: a scum layer, a sludge layer, and a clear layer. Liquid from the center or the clear zone of the first tank flows into the � second tank. Additional settling occurs in the second septic tank with a less pronounced sepazation into three zones. � • Final Treatment and Dispersal—Mound Drain Field Effluent from the second septic tank will gravity flow to a 1,000 gallon lift tank. � Effluent will be screened for additional solids removal by passing through an effluent filter prior to discharging to the mound drain field through a high head turbine pump. The effluent is dispersed into the mound through a pressured lateral � piping network. As the effluent trickles down into the sand and underlying soil aerobic biochemical processes remove viruses and bacteria. ., �� Installation Details 1. General � a. Additional specifications are provided in the design worksheets (Appendix � C),materials list(Appendix D) and attached figures. b. The installer of the system must be licensed by the MPCA. � c. All construction and components of this design if not explicitly detailed must conform to the City of Orono On-Site Sewage Treahnent and Disposal Ordinance and Minnesota Rules Chapter 7080. � 2. Septic Tanks , , � a. Required: 1,500 gallon and 1,000 gallon single compartment precast septic tanks. � b. Installation by the contractor will include but not limited to; abandonment of the existing tanks and installation of a new schedule 40 PVC sewer line from the house to the septic tanks. � c. All pipe connections must be watertight. Tanks must have cast in place rubber grommets in the inlet and outlet openings. � d. Install according to manufacturer's recommendations. � � 2 � � e. All tanks must be waterti t. Tanks should come from the manufacturer S� with a tank/riser adapter precast. � 3. Lift Tank � a. 1,000 gallon single compartment precast concrete lift tank b. All pipe connections must be watertight. Tanks must have cast in place � rubber grommets in the inlet and outlet openings. c. Install according to manufacturer's recommendations. �� d. All tanks must be watertight. Tanks should come from the manufacturer with a tank/riser adapter precast. � 4. Drain Field Lift Pumps � a. High head e�luent pump that will deliver a minimum of 38 gallons per minute with a total dynamic head of 38 feet. � b. Install effluent pump within a screened pump vault. c. Extend 2" sch 40 PVC discharge pipe from top of pump through riser. Install a 2" camlock to disconnect pump in line between the puxnp and � riser. The camlock must be within reach of the ground surface. d. Drill a 3/16" hole in the dischazge pipe at the elbow or other lowest point � to allow for pipe drain back. e. Use mercury floats to control pump operation and provide a high level � alarm. 5. Risers � a. 24" diameter heav du corru ated PVC i e extended to 2-3" above Y tY g P P finished grad'e. ' � b. Attached all risers to tank adapter with adhesive and waterproofing agent. � 6. Riser Covers a. Use insulated fiberglass covers with rubber gasket and 2" of polystyrene � for each riser. Attach riser cover to riser with stainless steel bolts or screws. � � �+ 3 � � 7. Drain Field � a. Proposed drain field: 10' x 50' = 500 square feet of a pressurized mound drain field. � b. Excavate the drain field at the location depicted on the Figures and staked onsite. � c. Cut any vegetation to a height of 2-3". Remove any trees or brush that is within the proposed drain field area. �� d. Ensure the soils are below the plastic limit and rough up the soils within , the area of the mound to a depth of 8 inches. � e. Install clean washed sand meeting the requirements of State Code Chapter 7080.2220, subpart 3, item C, in the mound area. � f. Create a level 50'L x 10' W x 0.9' D, rock bed by installing clean sewer ' rock,meeting the requirement of Minnesota Rules Chapter 7080. � g. Install the lateral distribution network with (3) 2" laterals above rock bed with flushing valves at the end of each lateral. Cover laterals with 2" of clean sewer rock. � h. Install 4" observation pipe to the bottom of the rock bed and 1 foot above finished grade. � i. Cover entire bed area with a non-woven geo-textile fabric that is not so heavy as to prevent good air exchange. Install a sandy to loamy soil � material over the rock bed with a depth of one foot at the center of the bed, tapering to six inches at the sides. � j. Install six inches of topsoil over the entire mound. Establish a vegetative cover over the entire mound. � , , � 8. Lateral Network a. Each bed will contain (3) 2" sch. 40 PVC laterals with 1/4" orifices with spacing detailed in the design worksheets (Appendix C). � b. Install a 2" sch. 40 PVC su 1 line from dischar e i e from the lift PPY g PP pump to a 2" solid manifold. � 9. Insulation � a. Installer responsible to take measures where freezing potential is high (under trails, paths, driveway or long sewer line runs, etc...) to protect � � 4 � � from freezing. Recommend using 2' x 8' sections of 2" thick polystyrene insulation centered over pipe. � In addition to the information provided here the City of Orono Code requires the following and must be followed by the contractor: � Pumping stations.In order to standardize installation and electrical connection methods, the following pumping station requirements must be met in addition to Minnesota Rules chapter 7080: � Electrical connection. i. A watertight, lockable electrical box must be mounted on a four-inch-by four-inch treated redwood or cedar post. � ii. All electrical connections shall be made within the box.Pump connection must not be made using a direct line(plug-in only). Wire entry to the electrical box shall be sealed with a watenight material such as foam or putty. � iii. Alarm and pump floats shall be on separate electrical circuits. iv. Electrical wire from the power supply must not run over any tanks but must be laid beside the � tanks and placed in conduit along the electrical post. v. Electrical cords from the pump and floats must be run through a rivo-inch PVC(or equivalent)conduit(schedule 80)with a one-inch gap between the conduit and the electrical � box.Electrical cords must not run through or under the manhole cover. Wires must not have ground contact. Pumping chamber. � i. Pressure pipe exiting the pumping chamber must be laid on a uniform slope up to the soil treatment area for proper drain back. The pressure pipe must be sleeved inside a larQer diameter pine for additional support ifspanningeround that has been excavated.If the pipe � at the tank must be lower than union to get elevation for drain back, a one-quarter-inch weep hole must be used. ii. When the soil depth above the pressure distribution pipe is less than 3 1/2 feet, insulation � must be added to achieve an insulating factor egual to 3 1/2 feet of soil to decrease the potential for jreezing(Styrofoam or concentric piping are acceptable methods).Piping under hardcover,such as tennis courts or driveways,shall be insulated pipe or equivalent. iii. A reserve capacity egualing 75 percent of the anticipated daily flow must be allowed in the pumping chamber beriveen the alarm activatBon level and the pump tank inlet. 1 1 � Limitations - Our investigation, layout, design and recommendations aze based on data submitted. If � conditions considerably different from those described in this report are encountered, we should be called to observe the conditions. If proposed construction is changed, we must be notified to evaluate the effect of the changes on the wastewater system. � � . � � 5 � � Maintenance and Monitorin�Requirements � Information for homeowners about proper operation and wastewater generating use can be found http:/is�tic.umi�.eclu;�uwner�s�'iti�iex.htin � Minnesota Rule 7080.2450 has the following requirements for a system owner: 7080.2450 MAINTENANCE. � Subpart 1. General. All ISTS must be operated under the regulatory requirements of part 7082.0600.ISTS and all components must be maintained in compliance with this chapter and manufacturer requirements. � Subpart 2, items A and B, are intended to apply to ISTS and systems that do not qual�as an ISTS, but receives sewage such as cesspools, drywells, leaching pits, or other pits. Subp. 2. Frequency of assessment. � The owner of an ISTS or the owner's agent shall regularly, but in no case less frequently than every three years: � A. assess whether sewage tanks leak below the designed operating depth and whether sewage tank tops, riser joints, and riser connections leak through visual evidence o.f major defects;and B. measure or remove the accumulations of scum,grease, and other floating materials at the top of � each septic tank and compartment, along with the sludge, which consists of the solids denser than water. Subp. 3.Removal of material. � A All solids and liquids must be removed by pumping from all tanks or compartments in which the top of the sludge layer is less than 12 inches from the bottom of the outlet baffle or transfer hole or whenever the bottom of the scum layer is less than three inches above the bottom of the outlet baffle or � transfer hole. Total sludge and scum volume must not be greater than 25 percent of the tank's liquid capacity. B Removal of accumulated sludge, scum, and liquids from septic tanks and pump tanks must be � through the maintenance hole. The removal of solids from any location other than the maintenance hole is not a compliant method of solids removal from a sewage tank, and this method does not fulfill the solids removal requirement of this part or a management plan.Liquid and solids removal from clean-out pipes is allowed for holding tanks. � C.A.fter removal o.f solids and liquids, the system shall be brought into compliance with part 7080.1970, item C. Covers secured by screws shall be refastened in all screw openings. If the maintenance hole does not extend to finish grade, it'must be brought into compliance with part ' � 7080.1970, item C, or secured by covering with a minimum of 12 inches of soil. D. Pump tanks must be maintained according to this part. Sludge must be removed if within one inch of the pump intake. � Subp. 4. Toilet waste treatment devices and privies. A For primitive dwellings using toilet waste treatment devices in low dwelling density areas, septage ' disposal from these devices by the owner must be in accordance with local ordinances. If no ordinance exists, the septage must not be discharged to surface waters, drainageways, steeply sloping areas, or wet areas in a manner or volume that is harmful to the environment or public health or that creates a nuisance. The material must be buried or covered with soil. For site conditions not met in this subpart, � the solids disposal from toilet waste treatment devices shall be according to subpart 6 by a licensed maintenance business. B. When the privy is filled to one-half of its capacity, the solids must be removed.Abandoned pits must � have the sewage solids and contaminated soil removed and must be filled with clean earth and slightly � 6 � � mounded to allow jor settling. Removed solids shall be disposed of according to subpart 6. Subp. S.Additives. � ISTS additives, which are products added to the sewage or to the system with the intent to lower the accumulated solids in sewage, must not be used as a means to reduce the frequency ofproper � maintenance and removal ojsewage solids from the sewage tanks as specified in this part. The use of additives does not fulfill the solids removal requirement of this part or a management plan.ISTS additives that contain hazardous materials must not be used in an ISTS. � Subp. 6.Septage disposal. Septage or any waste mixed with septage must be disposed of in accordance with state,federal, or local requirements,for septage and other wastes. If septage is disposed o,f into a sewage or septage � treatment facility, a written agreement must be provided between the accepting facility and the maintenance business. Subp. 7. Use ojsoil treatment site. � Activities on the current soil dispersal and treatment system or the reserve soil dispersal and treatment area as specified in part...., that impair the current or future treatment abilities or hydraulic ` performance of the soil treatment and dispersal system are prohibited. This includes, but is not limited � to, covering all or part of the soil treatment system with an impermeable surface as determined by the local unit ojgovernment. Disclaimer � f t is made be ond the manufacturers warrant for a s ecific art or No claim o warran y y y p p item. Neither the designer, nor the installer will be held liable for failures do to � unforeseen events, or misuse and neglect by the homeowner. I certify that this plan, document or report was prepared by me or under my direct �I supervision and that I am a duly licensed Professional Soil Scientist under the laws of the State of Minnesota. If you have questions, please feel free to call. � Sincerely, � ( /f ' . , /�/ ' . � Peter G. Miller, P.S.S. MPCA Designer#C2341 � Wenck Associates, Inc. Business License#L1282 � � � � 7 � � � • Figures � � � � � � � � � � � � r � � � � t � Q . � °� . � � � � � o . :. . . : �� N N , 3`�� N B2� d 9 > �o . � ^ , ' � �' .... N � ,�g� M �G� � ' • � o �3 � � 8? � v N r r`q80 a , `�AY�+s,� • ... �� • � �Ly�• . WETLANDS STAKE � �eyo 8? . � BY OTHERS � �9 ' euacTOP • 1�., DRIVEWAY � BM 1 : 989.73 x�.� ~ . � �? (Ground ahot rtwrked wtth flag) ... d Sewer ,� '� �o��, Cleanout � BM 2: 983.50 � � oEac o¢ , , ssa (Nail in etep, 2nd step. Ecat side) • • . IExisting Well .�'' 8�)9 . . n �QSTING� ,�� ' Existing Tank . 9 6, CA9N0- �� • � to be b Hous� z� ... qs�,,+�, � Abandoned �.► �.,o Proposed Mound • ' . '��No�,�w,� a7,A '�j� q �� A M 9N.50 _.., �S''��j�N'• 4" Sch 40 PVC °' °in1 . � ,�,,, � . . � Sewer Line � �o Soil �y°� • '�,��T euacroP °D � , DI�VEWAY O � � Borings �� MNDOT RIGFIT OF• '�� WAY MARKER B14 �?�. Proposed 2" Sch 40 PVC �•• Supply Line '� 1500 Gallon �,,o . ' Septic Tank Proposed • 1000 Gallon ��WpY E��T ti � . 60�� MNDOT RIGHT OF• Septic TO � WAY MARKER B73 Proposed �� ' ' ....• ,p0 ' r' � 1000 Gallon . ' .�j � ; Lift Tank . $ � • yo°� ��j � • � . • � BLACKTOP DRIVEWAY • u� � T ' 120.00 ... $UIVey N°' � euacTOP Provided by DRIVEWAY Gronberg & � , Associates, � Inc. .; � � � � Y j DWN BY CHK'D APP'D PROJECT Palmer Septic Design TTLE Figure � � 40 o zo 40 �� RML PM PM Site La OUt � � DWG DATE CLIENT y N � RML PM 11/15 10 ��/15/�� Brian Palmer pROJECT N0. SHEET N0. REV NO c� GRAPHIC SCALE IN FEET °�°n�""Oa°t°8• 1IIQ• �Mae�« "'""''"°1dL0m / co�►t3ns a�ne«�s �eoo�w a..�c�ar �ea-as-+zoo SCALE " ' ZZJ6—O� � REV REVISION DESCRIPTION DWN APP REV DATE �apa Pbtn,wr 5535a �es-4�e-4uz � =4O � � � � � � � � � � � � � � � � � � � � � M:\2296\01\WKS\FIG3 with survey 111510.dwg Plot Date & Time:15 November 20102:36 PM o � � � D � L n ' C� � n o � D m � z � � a � m � � � � -, 0 3 � � J 3 ^ c � I � � � D � � cn r z � — 0 m N C� A � Z o z �q� f � � z v � v ; 4 ` � � � w �� . m � � o , ' 1 �� L �� ` �5 �� 1 - , �� _� � (� � �� N W 0 0 �s � � W N � O 6? cn v v o � � � Z � Ns m r D � r�'1 n n j � _ � � s � g p �� O � � � . O � � O L � d p. C� � �� A � �. z � a 'ti � � � a co a v � �D 0 0 � � 1 .7 � � � N O fD . 0 � A w � � O � � � � G � ' N �� a �. .P , 7 � �p O N N� � � N � N � �m ` t�j1 a ? O��i � m� �' �P � O 0 0 � � 'O N N O • � C) � � s W � � � �-� � � o � �o°o Q N �0�.y �—Z� v � �oG rn � .�� • . �°2 Z � . . o • t : ; � � .....�. ... ..._..._._.,_.� __..._._�.�., App e n dix A � � Site Survey `� � � � � � � � �� U W � CERTIFICATE OF SURVEY FOR z� � I BRIAN E. PALMER Wa � � � 6 OF TRACT A, R.L.S. N0. 1067 L E•� � ORONO , OAKS HENNEPIN COUNTY, MINNESOTA g LUCE LINE TRAI U�� a � i �� a � � I � � M 1 � w a n I � �� o � � I V I p MOST NORTYE%Y A ��3 COfOER OF TRACT A _ � RL.S.N0.1067 `,• I� � w� � � I A pq� g i �� I R=2235•2 �,�0 �L j)' z � O� � `j(�,� `/ a I �'V v �� ,56n w°°w m e s �$,S, C�g886 " ,(�'O ,�' C3 i p,1p°43 's' � 8 �� '� '� a "°°°�•�\� �,��. '�j,.,. ��qd b $ i ,v ^ 'a ; �,4,a.68 �� P` `4�1j �.�' � � a. s� �o a �� /I�' \ � e33' \\\2g,s��' ��0" �S.!' • � ^ C� ` e�'9 \\ �j `� � �� V �"�"�'�"_'� �L�,` \ .��S � � �� ._a-��_�—" '_'�'�.� /�� IA' `��'�, � � \� �� j � � ��' P G M �G� �� `�.(L � i cv �, m¢a�wc,�,,ro �o X j � I � � �as ocu��o � � N�n�. ��2Bo sb_ � �\ �'�,l �, er onfxs `b �. '� R� I � w„' w,� \ `� �\�, S� � �?)9 CO� I `' � `� �` � 'S .A � \ S� — \ X I J� �. WE.LNDS 5T,11� \ � BT OTlERS B} !�� 4 � . \, BIACKTOP O 8�,9 L� ,I � &""m � � N I M14 ORIVEWAV n �em�xa � ��$ � I �r �, \� '� � � �A„�'\ °b\f,,� �g� � � I \ �� vI$ \ �!W po O a1C TNN s�� . I � `\ WMUEE BZ 4 N �, � (' �g w E � �'�, �� o tj �S �o W.t°. o �i\ � � , � 3 �O �\ �\ ��c\ Y��o � � 3 f '� � � /� �� \ � �,'Mo�q�� `€ i I � \`\•\_'� � � P°'j°" \��\\� �'•�jq 4;p�"W�� I ,\`\ I BLApC70P �m O P� \�� 1hk�� \\ N��, ""_'7\ o O� � _T U�R 3 �` � I O M WAY MAPo(ER 811 W 2J� o�; yj � .\, i owvew�r O o ��S�E� ,`�� woor raart ov ��' L g 5 0 I �� } Z Z� ♦ `� � 1 � _zom � .\ � �\ �� f� e��'y� wr,root a�ar+eu � o I '� ! � �WAY EASEICM oo L 0 T 1 � � � I �� Q } a rw�cT�. � � I ,�. ' $ nis w.iae� ��T�T B �oop O � ^ � � � � ; N 8��48�`�., w �' � �.��. 5� G� � � � ��,, � � � ,zo.00 �- � � P � z � � T R A C T B sao.4� ,� � Q � ; R�1�(TOP / I � I ORNEWAY �" LEGAL DESCRIPTION OF PREMISES : (from Certificate of Title No. 1208705) O �V � i � � That part of Tract A, lying easterly of the following described line: Beginning at the most nartherly corner of said Tract A; thence southerly to o point on the � / O � J Q South line of said Troct A, distant 120 feet west from the Northeast corner of Tract B, Registered Land Survey No. 1067, Hennepin County, Minnesota which I lies southwesterly of Line A described as follows: Line A: 8eginning at right of way boundary corner B13 os shown on Minnesota Department of Transportation I � � Right of Way Plat No. 27—134; thence northwesterly on on ozimuth of 302 degrees 53 minutes 43 seconds olong the boundory of said plot for 58.51 feet to � right of way boundary corner B14; thence deflect to the left along the boundary of soid plat on a tangential curve, hoving a radius of 11,279.16 feet and � I I o delta angle of 03 degrees 42 minutes 00 seconds, for 728.39 feet to right of woy boundary corner B15 ond there terminating, ALSO That port of said Q Tract A, lying westerly of the following described line: Beginning at the most northerly corner of said Tract A; thence southerly to a point on the South line � I �yJ of said Tract A, distant 120 feet west from the Northeast corner of Tract B, Registered Land Survey No. 1067, Hennepin County, Minnesota 1 ~ � o : denotes iron marker 60 30 0 30 60 i (� I Bearings shown are based upon on ossumed dotum. Q � This survey shows the boundaries of the above described property, the location of on existing house, � � I � I deck & steps, existing well casing, blacktop driveway, wetlands as delineated by others, and septic 5 C A L E I N F E E T system thereon. It does notpurport to show any other improvements or encroachments. i �o-in � � � � Appendix B .. � � � Soil Information � � � � � � � � �, � � � � � � � i � � � � � � � � � � R !� � � fi� i Soil Map—Hennepin County,Minnesota (Palmer Residence: 1190 Lyman,City of Orono) � � � fV fv! � Hl � OI � 456560 456580 456600 456620 456640 456660 456680 456700 456720 456740 44'S8'45• , . ,. . ... 44'S6'45" > , . �. � ,�` � . , +-. g� , � " .� ' g.:. � �� a _� AP � o � .-�, d .; - � �a�r,�`� " o s W ' `.,.. . ., � _ a , �.C�� .�,. .....,, -,.#.' z�.,��... - . �C ��- N� m ^ r i i Q C ,. - �.. ,�� . �� ,. _ ` : �� . �, � .� . �� a � � � � �� ,� �' � - � �, �.,. �. � 4 , � ro s � r � _ �,, n o s o . . ' , ''. -' m c0 �� , �k :. . .Y� � ., � _ + � �-.�.- �, _ � ,� . O ,. � �q ' P , . . . .: ,. . ;� •�: �.'� \ c . I ': �: , b � • . . , r�".`; � ,r � � � � � a�3Y.:,Ay O �� , I � �' I I fl ""�k�a 4 .. � �4. .. iv . .._, I. } � � '� � �� , �- g � � .. t _� �. � o � � a I � m � a � `...� � �"�...y "Y` . �t f ..., �k �.. ,�.. � *{� l:. . . .,, �� „�. � �- � � o � �. � ; � �- , � r: � �� ,. � � � � � . m .%, a. . -..� ,.,, . ';.,•< < --.r . . � � � �.+ .. > ,�a-.� �� .-� ;:. � � . . '�� - . ��j` �n;.; ' �. h �� , �� ,� � �_ � .� �� ' �3 � g s � � � ;� � '� � � r � � < , � �: _ ---� � � .,�, .. `�3; _;� � � � �� s g .. � � �. � .�° x -- . , -- , �.: ` _"�� . 44°58'41" ., -. _ �._... .,:_. ._ ..�!-... -:>:.. �_ .,,,.��... _�� ... ._ .... .. 44'58'41" �- , 456560 �555AC .�5.=�� .a55E20 4566aC + ..-_ z�5°.�� s5�.._„ 459720 456740 "v "' Map Scale:1:935 if printed on A size(8.5"x 11")sheet i6 M fV "' Metefs " rn A 0 70 20 40 60 m N Feet 0 50 100 200 300 U,S� Natural Resources Web Soil Survey 11/15/2010 � Consenation Service , National Cooperative Soil Survey Page 1 of 3 � � � � �' � � � � � � � � � � � � � � Soil Map—Hennepin County,Minnesota (Palmer Residence: 1190 Lyman,City of Orono) MAP LEGEND MAP INFORMATION Area of Interest(Aol) � very stony spot Map Scale:1:935 if printed on A size(8.5"X 11")sheet. Area of Interest(AOI) ,� wet Spot The soil surveys that comprise your AOI were mapped at 1:12,000. Sotis � ocner Please rely on the bar scale on each map sheet for accurate map Soil Map Units measurements. Special Line Features Special Potnt Features -__ Gully Source of Map: Natural Resources Conservation Service �.� siowout Web Soil Survey URL: http://websoilsurvey.nres.usda.gov . . Short Steep Stope Coordinate System: UTM Zone 15N NAD83 � Borrow Pit X Clay Spot ^� aher This product is generated from the USDA-NRCS certified data as of Polkieal Features the version date(s)listed below. � Closed Depression � Cities Soil Survey Area: Hennepin County,Minnesota y, Gravel Pit Water Featurea Survey Area Data: Version 7,Aug 2,2010 ., Gravelly Spot Oceans Date(s)aerial images were photographed: 7/18/2003 � Landfill Streams and Canals The orthophoto or other base map on which the soil lines were /� Lava Flow Tranaportation compiled and digitized probably differs from the background � Rails imagery displayed on these maps.As a resuR,some minor shifting �, Marsh or swamp of map unit boundaries may be evident. � Mine or Quarty � Interstace Highways Qo Miscellaneous Water US Routes p Perennial Water Major Roads v Rock Outcrop �v Local Roads -f Saline Spot . . Sandy Spot = Severely Eroded Spot p Sinkhole j> Slide or Slip � Sodic Spot � Spoil Area Q Stony Spot U� Natural Resources ' Web Soil Survey 11/15/2010 Conservation Service National Cooperative Soil Survey Page 2 of 3 � � Soil Map-Hennepin County,Minnesota Palmer Residence: 1190 Lyman,City of Orono � Map Unit Legend � Hennepin County,Mlnnesota(MN05S) Map Unit Symbol Map Unit Name Acres In AOI Percent of AOI L22D2 Lester loam,morainic,12 to 18 percent slopes,eroded 1.0 34.6% __- - - - - - -_- -- - __—_ _-- __ � L41 C2 Lester-Kilkenny complex 6 to 12 percent slopes, 1.6 54.6°k eroded --- __ __ - —.__ y — --_ -- - -— _ __-- L41 E Lester-Kilkenn complex,18 to 25 percent slopes 0.1 3.9% --....__ _ -_--- _----- --___ - __- -- -- _ � L50A Houghton and Muskego soils,depressional,0 to 1 0.2 -6.9�0 percent slopes Totals for Area of Interest 2.9 100.0% � � � � � � � � � � � � t�S1>�� Natural Resources Web Soil Survey 11/15/2010 � Conservation Service National Cooperative Soil Survey Page 3 of 3 � � � Ksat Tests � Measurement No. 1 Conducted By: RML Location SB#1 Date: 7/21/2009 Weather Condition Cloudy Temp: 80 deg F ' Horizon B Source of Water: Tap Hole Depth(cm): 33.02 Actual water level in hole: � Distance Between reference level Initial: 8 and soil surface(cm): 35.5 Final: 8 Distance from the hole bottom to Radius(r): 2.54 the reference level(D): Clock time: � Desired water depth(H): 8 Start: 1427 Constant-head setting(d): Steady: 1500 � Reservoirs Used for Measurement of the Steady-State Flow Rate Flow Measuring Reservoir Only: Both Flow and Main Reservoirs: x � Clock Reservoir change in change in Flow Q Q Ksat Time Reading time water level (cm3) (cm3/min) (cm3/hr) (cm/hr) 1500 25.9 0 0 0 #DIV/0! #DIV/0! #DIV/0! � 1505 24.5 5 1.4 147 29.4 1764 16.8 1510 23.3 5 12 126 25.2 1512 14.4 1515 21.9 5 1.4 147 29.4 1764 16.8 � 1520 20.5 5 1.4 147 29.4 1764 16.8 1525 19.1 5 1.4 147 29.4 1764 16.8 Average of last three measurements: Ksat= 16.8 cm/h 9.07 min/in � gpd/ft2 Comments: � � . � , � � � � � T:�2296 Palmer101�Ksat Tests.xls\SB 1 Wenck Associates, Inc. � � � Ksat Tests � Measurement No. 2 Conducted By: RML Location SB#2 Date: 7/21/2009 Weather Condition Cloudy Temp: 80 deg F � Hori2on B Source of Water: Tap Hole Depth(cm): 33.02 Actual water level in hole: Distance Between reference level Initial: 8 � and soil surface(cm): 37 Final: 8 Distance from the hole bottom to Radius(r'): 2.54 the reference level(D): Clock time: � Desired water depth(H): 8 Start: 1535 Constant-head setting(d): Steady: 1603 Reservoirs Used for Measurement of the Steady-State Flow Rate � Flow Measuring Reservoir Only: Both Flow and Main Reservoirs: x � Clock Reservoir change in change in Flow Q Q Ksat Time Reading time water level (cm3) (cm3/min) (cm3/hr) (cm/hr) 1558 26 0 0 0 #DIV/0! #DIV/0! #DIV/0! � 1603 23.3 5 2.7 283.5 56.7 3402 32.4 1608 20.5 5 2.8 294 58.8 3528 33.6 - 1613 17.8 5 2.7 283.5 56.7 3402 32.4 1618 15.1 5 2.7 283.5 56.7 3402 32.4 � Average of last three measurements: Ksat= 32.8 crrUh 4.65 minrn � gpdfft2 Comments: � � , , � � � � � T:�2296 Palmer�01�Ksat Tests.xls\SB 2 Wenck Associates, Inc. � � � � Appendix C � � Design Sheets � � � � 1 � r � � � � � � � � ��E ��t . � Design Flow and Soil Worksheet N°�E 5` Minnesota Pollution �'r" ' � Control Agency X�'�..,�`.�,'' � 1. AVERAGE DESIGN FLOW: Note: The estimated design flow is considered a peak A. Estimated Design Flow(GPD): 600 �Pd flow rate induding a safety factor. For long term performance,the average daily flow is recommended to � or Measured Flow(GPD):flow times safety factor be<60%of this value. � gPd X � �SPd � Design F(ow: 600 Gallons Per Day(GPD) System Type B. Septic Tank capacity: 2500 Gallons �TY�I ❑Type II ❑Type III ❑Type N ❑rype v � Number of Septic Tanks or Compartments: 2 Effluent Screen&Alarm? Yes � � � Table 1-Design Flow(Gallons Per Day) Table II-Septic Tenk Capatity Number of Classification of Dweliing Number of Septic Tank Liquid Atinimum Capacity with Garbage Disposal and/or Bedrooms 1 �� 11 tll �� gedrooms Capacities(Galtons) Sewage Pumped to Tank" � 2 or less 300 225 180 : 3 or less 1,000 1,500 3 450 300 218 4 600 375 256 4 or 5 1,500 2,250 5 750 450 294 • 6 or 7 2,000 3,000 � _ 6 900 525 332 _ 8 or 9 2,500 3,750 'Flows for Classification IV dwellings are 60 percent of the values as determined for Classification I, II or III systems. 2. SITE EVALUATION: � Teuture Group A. Depth to Limiting Layer: 30 inches 2.5 ft �;i rexcure Group N � Type of Soil Treatment and Dispersal Area Caarse Sa�d 1 B. nhedlum Sand 2 �Trenches �Bed �At-G2de �Mound Fine Sand 3 Coarse Loamy Sand 4 Medium Loamy Sand 4 � Type of Distribution Ffne Loamy Sand 5 C_ Very Fine Loamy Sand 5 �Gravity Distribution �Pressure Distribution-Level �Pressure Distribution-Unlevel Coarse Sandy loam 6 Medium Sandy toam 6 Ff�e Sandy Loam 7 � Very Fine Sandy Loam 7 D. Landscape Position: Shoulder �oam 8 Silt�oam 9 Clay,Loam 10 E. Estimated Percent Land Slope: 5.0 % Silty Ciay Loam �o � Sandy Clay Loam 70 or Rise Run sandy t ay �t F. Co(cu(ated Slope = � .- � x 100= � ctay ii � � � � � � ;�, . . , ,,�*h_ . � Design Flow and Soil Worksheet �AGE � Minnesota Pollution ' ,'r"�N, Control Agency 'LL��'�.,:�r; � 3. SOIL LOADING RATES: Use either A.or B.below A. 7080 Table IX B. 7080 Table IXa DETAILED SOIL DESCRIPTIONS(SOIL PIT PERCOLAIION lEST LOADING RAl'E � REQUIRED) SIZING (GPD/ftZ) Faster than 0.1' 0.00 Texture Clay Loam 0.1 to 5` 1.20 � 0.1 to 5 (soil texture Texture 10 groups 3 8 5) 0.60 Group 6 to 15 0.78 16 to 30 0.60 � Structure 31 to 45 0.50 AG to 60 0.45 61-120 O.24 � Grade Slawer than 120 0.00 'Rapidly permeable soils: see 7080.2260 Consistence Slowest measured � 9.1 percolation rate: Select Soil 0.45 Loading Rate: Select Soil Loading Rate: 0.78 � C. Design Loading Rate: 0.45 GPD/ft2 � � 4. ORGANIC LOADING(if pretreatment is being used) Organic Loading =Design Flow X Estimated BOD in mg/L in the effluent X 8.35: 1,000,000 � �� X �mg/L X 8.35 = �lbs BOD/day ' I hereby certify that I have completed this work in a rd e with all applicable ordinances, rules and laws. ' � � 1� � � � (Designer) ig a re (License#) ( te) � ' i 1 � ! � ... .. ...:... ... j�:s�Te :.;. � Mound Desi n Worksheet ��WA�E `, Minnesota Pollution � • - Control Agency �'�� 1. SYSTEM SIZING: A. Design F(ow(F(ow&Soi( - 1.A) : 600 GPD Table I MOUNU CONTOUR LOADING RATES: � B. Soi!Loading Rate(F(ow&Soi!-3.C): 0.45 GPD/ftz , contour �teawred Texture-deaived Perc Rat2 �R mound absorptian ratio Loading C. Depth to Limiting Condition: 2.5 ft . Ratc: � D. Percent Lond Slope: 5.0 % �50mp� t G, 1 3. 2 0. 2.�. 2.5 e 12 E. Design Media Loading Rate: 1.2 GPD/ft2 61-12G mpi eR S c _�z � F. Mound Absorption Ratio(1.E:1.6): 2.67 , �Za,,,�;• ,s �• ;5= G. Design Contour Loading Rote: 12.0 GPD/ft `Systems with these values are not Type I systems. � (From Table I - same as Linear Loading Rate) Contour Loading Rate is a recommended value. 2. DISPERSAL MEDIA SIZING � A. Calculate Required Dispersa(Bed Area: Design Flow (1.A) : Design Media Loading Rote (1.E) = ftz 600 GPD : 1.20 GPD/ft2 = 500.0 ft2 If a larger dispersal media area is desired, enter size: �ftZ � B. Calculate Dispersa(Bed Width: Contour Looding Rate (1.G) =Design Media Loading Rate (1.E) = Bed Width 12.0 ft : 1.2 gpd/ft2 = 10.0 ft 1 C. Calculate Dispersal Bed Length: Dispersal Bed Area (2.A) : Bed Width (2.B) = Bed Length 500.0 ft2 : 10.0 ft = 50.0 ft ' D. Select Dispersal Medio: �❑ROCk ❑Other Approved Media � 3. ABSORPTION AREA SIZING Note:Mound setbacks are measured from the Absorption Area. � A. Calculate Absorption Width: Bed Width (2.6)X Mound Absorption Ratio (1.F) =Absorption Width , 10.0 ft X 2.7 = 26.7�. ft � B. For slopes from 0 to 1%, the Absorption Width is measured from the bed equally in both directions. Calculate Absorption Width Beyond the Bed: Absorption Width (3.A) - Bed Width (2.6) =2= Width beyond Bed (�ft - �ft) =� - ft � C. For slopes>1%, the Absorption Width is measured downhill from the upslope edge of the Bed. Calculate Downslope Absorption Width: Absorption Width (3.A) - Bed Width (2.6) =ft � 26.7 ft - 10.0 ft = 16.7 ft Comments: � 5(ope, CLR Choice, Material issues � � � 4. MOUND SIZING � A. Calculate C(ean Sond Lift: 3 feet minus Depth to Limiting Condition (1.C) = Clean Sand Lift (1 ft minimum) 3.0 ft - 2.5 ft = 1.0 ft � B. Calculate Upslope Height: Clean Sand Lift (4.A) +media depth (1 ft.) + cover (1 ft.) = Upslope Height 1.0 ft + 1.0 ft + 1.0 ft= 3.0 ft D-34:Slope Multiplier Table � Land Slope% 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 11 22 t3 24 25 Up5lOp2 3:1 3.00 2.91 2.83 2.75 2.66 2,61 2.5-0 2.48 2.42 2.36 2.31 21b 2.21 2.17 2.13 2.09 2.06 2.03 2.OQ 1.97 L95 L93 1.91 1.89 1.81 1.85 Berm Ratio J:1 d.00 3.85 3.70 3.57 3.A5 3.33 3.23 3.12 3.03 2.9J 2.86 2.78 2.70 2.62 2.55 2.48 2.J1 2.35 2.29 2.23 2.�8 2.13 2.08 2.03 1.98 1.93 Land Slop�% 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 IS 16 17 18 19 20 21 22 23 24 25 � UOW�SIOPP 3:7 3.00 1.09 3.79 3.30 3.J1 3.53 3.65 3.80 3.55 J.ii J.29 J.JS 4.65 J.95 5.2J 5.55 5.88 61J 6.63 LW 7.J7 7.93 S.�12 8.93 9.J5 ,aea Berm Ratio 4:1 a•00 4.77 J35 4.SJ J.76 5.00 5.26 5.56 5.88 6Z5 6.67 7.Id 7.69 8.29 8.92 9.57 10.2a 10.94 11.67 12.42 13.19 13.99 1J.82 15.67 76.54 V..W �. Select Upslope Berm Multiplier � (based on land stope): 3.33 (figure D-34) D. Calculate Upslope Berm Width: Mu(tip(ier (4.C)X Ups(ope Mound Height (4.6) = Upslope Berm Width 3.33 ft X 3.0 ft = 10.0 ft � E. Calculate Drop in Elevotion Under Bed: Bed Width (2.6) X Land Slope (1.D): 100= Drop (ft) 10.0 ft X 5.00 % : 100= 0.50 ft � F. Calculate Downslope Mound Height: Ups(ope Height (4.6) +Drop in Elevation (4.E) = Downslope Height 3.0 ft + 0.50 ft = 3.5 ft G Select Downs(ope Berm Mu(tip(ier (based on land slope): 5.00 (figure D-34) � H. Calculate Downslope Berm Width:Multip(ier (4.G)X Downslope Height (4.F)=Downslope Berm Width 5.00 x 3.5 ft = 17.5 ft � I. Calculate Minimum Berm to Cover Absorption Area: Downslope Absorption Width (3.B or 3.C) +4 ft. = ft 16.7 ft + � ft = 20.7 ft ' J. Design Downslope Berm =greater of 4H and 41: 20.7 ft K. Select Endslope Berm Mu(tip(ier: 4.00 (usually 3.0 or 4.0) L. Calculate Ends(ope Berm (4.K)X Downs(ope Mound Height (4.F) = Endslope Berm Width � 4.00 ft X 3.5 ft = 14.0 ft M. Calculate Mound Width: Ups(ope Berm Width(4.D) + Bed Width (2.B) +Downs(ope Berm Width (4.J)= ft � 10.0 ft + 10.0 ft + 20.7 ft = 40.7 ft N. Calculate Mound Length: Endslope Berm Width (4.L) + Bed Length (2.C) +Endslope Berm Width (4.L) = ft 14.0 ft + 50.0 ft + 14.0 ft = 78.0 ft � 5. ORGANIC LOADING: (Optional) A. Organic Loading = Design F(ow X Estimated BOD in mg/L in the effluent X 8.35: 1,000,000 � �gpd X mg/L X 8.35 : 1,000,000 = �lbs BOD/day B. Calculate System Organic Loading: (bs. BOD (5.A) =Bed Area (2.A) = lbs/day/ftz � lbs/day = �ftZ = ��bs/day/ft2 C. Recommended Organic Loading Rate: �lbs/day/ftz , � � � 6. MOUND DIMENSIONS � � - -- -- ___ ___ _ .. .._ . _ _ __ -- - ---------- __ _ _ .�_-�- - . _� _ ^ Upslope (4.D) �o.o ` v ,� . � -. ��__-------- -- _ , � � � � � , � Endslo e 4.L) n�Sf�Pt 5��1 Beci� �2,B x ? � ► -o Endslo e (4.L) , � 14.0 � 14.0 ,� 10.0 X 50.0 � ' � � '� ' ------ __...----.- _---- --- -- � i � � i Q� i i i � � V i � I � O ' ' � � � ��. Downslope (4.J) 20.� ,�� _ _-- - - _ __ - - - -_ _ _ -- - --� ---- ---- - - - --- " � � � Total Mound Len th 4.N) 78•0 � 4" inspection pipe ' 18" cover on top U slo e berm (4.D) Downslo e berm 4.J 20•� 10.o ' � 12" cover on sides � ��.� (6" topsoil) � 1.o Clean sand lift (4.A) `��... � 1.5 Depth to Limitina (1.C) I in��rin_j C,,,,; _ . __ . � ' Absor tion Width (3.A) Note: 26'� For 0 to 1% slopes, Absorption Width is measured from the Bedequally in both directions. � For slopes >1%, Absorption Width is measured downhill from the upslope edge of the Bed. Comments: � Divert surface water away from mound. � ' � � 7. APPROXIMATE MOUND MATERIAL CALCULATIONS: , A. Calculate Bed (rock) Volume: Bed Length (2.C)X Bed Width (2.6)X Depth = Volume (ft3) 50.0 ft X 10.0 ft X 1.0 = 500.0 ft3 � Divide ft3 by 27 ft'/yd'to calculate cubic yards: 500.0 ft3 = 27 = 18.5 yd' � Add 20%for constructability: 18.5 yd3 X 1.2 = 22•2 yd3 B. Calculate Clean Sand Volume: � Upslope Volume: ((Ups(ope Mound Height - 1)x 3 x Bed Length) =2 =cubic feet (( 3.0 ft - 1) X 3.0 ft X 50.0 )=2 = 150.0 ft3 Downslope Vo(ume: ((Downslope Height- 1) x Downslope Absorption Width x Media Length)T 2=cubic feet � (( 3.5 ft - 1) X 16.7 ft X 50.0 )+2= 1041.7 ft3 Ends(ope Volume: (Downs(ope Mound Height - 1) x 3 x Media Width =cubic feet � ( 3.5 ft - 1 ) X 3.0 ft X 10.0 ft = 75.0 ft3 Volume Under Rockbed: Average Sand Depth x Media Width x Media Length = cubic feet � 1.3 ft X 10.0 ft X 50.0 ft = 625.0 ft3 Total C(ean Sand Volume: Upslope Volume + Downslope Volume + Endslope Volume + Vo(ume Under Media � 150.0 ft3 + 1041.7 ft3 + 75.0 ft3 + 625.0 ft3= 1891.7 ft3 Drvide ft3 by 27 ft3/yd3 to calculate cubic yards: 1891•� ft3 : 27 = ��•� yd3 � Add 20%for constructability: 70.1 yd3 X 1.2 = 84•1 yd3 C. Calculate Sandy Berm Vo(ume: Total Berm Volume(approx): ((Avg. Mound Height - .5 ft topsoil)x Mound Width x Mound Length) =2=cu. ft. � ( 3.3 _ 0.5 )ft X 40.7 ft X 78.0 )=2 = 4360.4 ft3 Total Mound Vo(ume- C(ean Sand volume-Rock Vo(ume= cubic feet � 4360.4 ft3 - 1891.7 ft3 - 500.0 ft; = 1968.8 ft3 Divide ft3 by 27 ft'/yd3 to calculate cubic yards: 196$•8 ft3 : 27 = �2•9 yd3 � Add 20%for constructability: 72.9 yd3 x 1.2 = 87.5 yd3 D. Calculate Topsoil Materia!Vo(ume: Total Mound Width X Total Mound Length X.5 ft , 40.7 ft X 78.0 ft X 0.5 ft = 1585.6 ft' Divide ft' by 27 ft3/yd3 to calculate cubic yards: 1585.6 ft3 ; 27 = 58.7 yd' � Add 20%for constructability: 58.7 yd3 x 1.2 = 70•5 yd3 � I hereby certify that I have completed this w rk in r nce ith all applicable ordinances, rules and laws. I � , �' � 1� Il� lv , (Designer) ( na ur (License#) (Date) � ' ' � Pressure Distribution Design }3i5i1<<-`�" ��_ � SEWAGE �p.� Minnesota Pollution Worksheet �� nTr�� Control A enc ,~ �"�..``�.�� , 1. Select Number o Per orated Latera(s : �3 Geotextile f f �q�°�°�Q°��°�°��O�o�� Minimum�q°�'O b'° 1 L perfaations spaced 3'apan 2"ot rock o o (2-3 foot spacing) � ' 2. Select Perforotion Spacing: 3.0 ft � oc��o��o�q��c� o 0 0 �� o`=tiSo�ao`"':dc��'cS� cS 3�'o`�o°nd'o��t'o� Note:Must use 2 feet for media filters �oS`�q��o��s��o��o�Db��oc�Z 9�o(rak yDO�DoD°�o�oq��do��o �o`=Ko�o�o'r�''oo�o� kYd o�d o��So° dGco 3. Select Perforation Diameter Size 1/4 1f1Ch Perlcraiion sitiag'h"to 7�" � Perforation s aci :1'to 3' 4. Length of Laterals =Media Bed Length -2 Feet. Perforation can not be c(oser then 1 foot from edge. � 50 - 2ft = 48 ft 5• Determine the Number of Perforation Spaces. Divide the Length of Lnterols (Line 4)by the Perforntion Spacing (Line 2)and � round down to the nearest whole number. _ _ Number of Perforation Spoces = 48 ft . �ft 16 Spaces � 6. Number of Perforations per Latera( is equal to 1.0 plus the Number of Perforation Spaces (Line 5). Perforations Per Loteral = 16 Spaces + 1 = �� Perfs. Per Lateral , Check Table 1 to ensure that the number of perforations per lateral guarantees less thnn a f0%discharge variation. �• Totol Number of Perforotions equals the Number of Perforations per Lateral (Line 6)multiplied by the Number of ' Perforated Latero(s (Line 1). - 17 Perf. Per Lateral X �Number of Perf. Laterals - 51 Total Number of Perf. � 8. Calculate the Square Feet per Perforation. Recommended value is 4-10 ftz per perforation. Tablelll Does not appl y to At-Grades Pertoration Dixh+rge(c� Bed Area = Bed Width (ft)X Bed Length (ft) ��"��"� Head(ft) �� '/,. '/� '/. ' 10 ft x 50 ft = 500 tt2 1.0' 0.18 0.41 0.56 O.TI Z,p" 0.2b 0.59 0.80 1.04 Square Foot per Perforation =Bed Area divided by the Total Number of Perforations (Line 7). 5• o.�� 0.93 t.tb 1.65 ' - a:Use 1.0(or dwellings uzing i/4 inch or 3/16 inch hdes. 500 ft = 51 perforations _ 9.80 ft /perforations b:Use 2.0 fa dwellfngs ustng t/S fnch hdes;Q.ra z z • otber estabUshments using 1/4 inth or 3/16 inch ' hdes. 9. Select Minimum Average Head: 1.0 ft c use 5.0 f«other estaWistvnenu ust��IS Inch perforatian and media filters. 10. Select Perforation Dischorge (GPM)based on Table III: 0.74 GPM per Perforation ' >>• Determine required Flow Rate by multiplying the Total Number of Perforations (Line 7)by the Perforation Discharge (Line 10). ' 51 Perforations X 0.74 GPM per Perforation = 38 GPM 12. Select Type of Manifold Connection (End or Center): �End ❑Center , , � � , , .. , ,,.,. ' Pressure Distribution Design �F��t,� ��. � SEWAGE �� Minnesota Pollution Worksheet �f�t rT��S aa� �. Control A enc � � ��f�-'��;" , Maximum Number of Perfaradan Per Lakeral to Guaratrtee<10%�escharge Variation '.Inc P orahons 7132 Irxh Perfarations Pipe Diameter lirxhes? Perfaration 5pacing Pipe Diameter(Inches) � Perfarat*on Spacing fFeet? 1 11� 1ti2 2 3 (Feeil t t1� 11� 2 3 2 10 13 18 30 60 2 11 16 21 34 68 IYt 8 12 1b Tg 54 2� 10 14 2Q 32 64 ' 3 8 12 16 25 52 3 4 14 i9 30 60 3:'16 Inch Perforatiorts 1:`8 Inch PerForatibns Pipe Diart►eter Ilnchesl Pe;^Foratio�Spacing Pipe De`ameter l�nchesl Pe�fo-ratwor�Spac6ng(Feeta , 1 114 1�: 2 3 (Fee41 1 1 l� 1 t: I 3 2 12 18 3G 4�6 87 2 21 33 44 7� 149 2�'i 12 17 I4 40 BO 21; 20 30 41 69 135 3 12 16 Z2 3i 75 3 2U 29 3E 64 12d � 13. Select Minimum Diameter of laterals based on Table I: ❑1 inch ❑1.25 inch ❑1.5 inch ❑� 2 inch ❑3 inch ' Determine Volume of Distribution Piping 14. Pipe Dinmeter of Distribution Pipe 2.00 in � Table II Volume of Liquid in 15. Volume of Liquid Per Foot of Distribution Piping: 0.170 Gallons/ft �Pe ' Pipe Liquid 16. Volume of Distribution Piping = Diameter Per Foot _[Number of Perforated Laterals (Line 1)X Length of Laterals (Line 4)X (inches) (Gallons) ' (Volume of Liquid Per Foot of Distribution Piping(Line 15)] 1 0.045 1.25 0.078 � X 48 ft X 0.170 gal/ft = 24.48 Gallons 1.5 0.110 2 0.170 � 3 0.380 17. Minimum Dose=Volume of Distribution Piping(17)X 5 4 0.6fi1 24.48 gals X 5 = 122.4 Gallons ' _ _-- _ mamo � _-Cleanouts " - ' __ P Pe� >�" _ , i ' , �� Mani{old pipe, / , pipe from pump , , � , r , ' lean ouu � Alternate laation � o(pipe from pump �� • altemate location ' Pi from um of i ftom um I hereby certify that I have completed this work in acc nce with all applica e ordinances, rules and laws. ; � �� ;� �� r� l� (Designer) ign u e ' (License#) (D e) ' � , � Pump Selection Design ,;��`, � SEWAGE yN .,;•�, ., Minnesota Pollution Worksheet r r,r��,��,r Control A enc ` �� "�'��,�r" , 1. PUMP CAPACITY 1. Pumping to Gravity Distribution A. Minimum discharge is 10 GPM(15 GPM recommended) �GPM � B. Maximum discharge is 45 GPM 2. Pressure Distribution � �Individual SSTS �Collettion System Required Flow Rate (Line 11 of Pressure Distribution or Line 10 of Non-Level) 3$,Q GPM , c. �istribution to: p Soil Treatment Unit ❑Media Filter ❑ATU p Other 2. HEAD REQUIREMENTS � o�veatme,tt:ysten, 3. Elevation Difference �$ ft 8yointotd�scharge � between pump and point of discharge: h / . tl �c,�� NOTE:IF system is an individual subsurface sewage treatment nlct D�� Ekvation%� ' system, complete steps 4-9. If system is a Co!lection System, c ml �H�e skip steps 4, 5,7 and 8 and go to Step 10. � i ' ----------------------------- ------------- 4. Distribution Head Loss: �Q ft � 5. Additional Head Loss: ft(due to special equipment,etc.) � ' Distribution Head Loss ncdon Loss�n P ast�c pe per Gravity Distribution = Oft G=130 Pressure Distribution based on Minimum Average Head Nominal Pipe Diameter Value on Pressure Distribution Worksheet: F OYV Rdte � �,y+ �� 2 3 � GPM __- Minimum Avera e Head Distribution Head Loss �p 9.11 3.08 1.27 0.31 1ft 5ft 2ft bft �2 12.77 4.31 1.78 0.44 --- ' 5ft 1 oft 14 16.99 5.74 2.36 0.58 --- 16 7.35 3.03 0.75 0.10 6. A.Supply Pipe Diameter: 2,QQ in 18 --- 9.14 3.76 0.93 0.13 � B.Supply Pipe Length: 2�Q ft 20 --- 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 � 35 --- --- 12.90 3.18 0.44 " Friction Loss= 3.(�] ft per 100ft of pipe 40 ___ -_ 16.52 4.07 0.57 � 45 --- --- --- 5.07 0.70 g, Determine Equivalent Pipe Length from pump discharge to soil dispersal 50 ___ ___ ___ 6.16 0.86 � area discharge point. Estimate by adding 25%to supply pipe length for ___ --- ___ fitting loss. Supply Pipe Length(5.8) X 1.25=Equivalent Pipe Length 55 7.35 1.02 60 8.63 1.20 2�Q ft X 1.25 = 2G 2�5 ft 65 -- --- --- 10.01 1.39 � �� --- --- --- 11.48 1.60 9. Calculate Supply Friction Loss by multiplying Friction Loss Per 100ft (Line 6)by the Equ�valent Pipe Lengt (Line 7)an ivi e y 100. Supply Friction Loss= 3.67 ft�r�oort x 262,5 rt + �oo = 9,6 ft � ' � , ' Pump Selection Design �>��_ 'JEWAGE Worksheet T' `'�T':"'T Minnesota Pollution , Control A enc `'' f� •'�� , Equivalent Length Faeton(ft.)for PVC Pipe 10. Equivalent length of pipe fittings. Fittin�s Section 9 is for Collection Systems ONLY and does NOT need to 6e Pipe Diameter(in.) completed for individuol subsurface sewage treatment systems. Fimng Type �yg 2 3 ' Quanity X Equivalent Length Factor=Equivalent Length Gate Valve 1.07 i.38 2.04 90 Deg Elbow 4.03 5.17 7.67 45 Deg Elbow 2.15 2.76 4.09 Fitting Type Quantity Equivalent Equivalent Tee-Flow Thru 2.68 3.45 5.11 , Length Factor - Length(ft) �- ranc ow . t . 1 . Swing Check Valve 13.40 17.20 25.50 Gate Valve X Angle Valve Z0.10 25.80 38.40 90 Deg Elbow X = Globe Yalve 45.60 58.60 86.90 ' - Butterfly Valve 7.75 11.50 45 Deg Elbow X Tee-Flow Thru X - , Tee-Branch Flow X - NOTE: Equivalent length values for PVC pipe X _ fittings are based on calculations using the Hazen- Swing Check Valve Williams Equation. See Advanced Designs for SSTS ' Angle Valve X = for equation. Other pipe material may require different equivalent length factors. Verify other Globe Valve X equivalent length factors with pipe material X _ manufacturer. Butterfly Valve - , X _ NOTE:System installer should contact system Valve 10 designer if the number of fittings varies from the Valve 11 X = design to the actual installation. ' A. Sum of Equivalent Length due to pipe fittings: �ft ' B. Tota(Pipe Length =Supply Pipe Length(5.6)+Equivalent Pipe Length(9.A.) Hazen-Williams Equation for h � ft + � ft = �ft 1�.J * L * \� - l.)1.852 Q in gpm h.� T�4.8655 L in feet , C. Hazen-Williams friction loss due to pipe fittings and supply pipe(h): L D in inches 10.5 X Total Pipe Length(9.B) X (Flow Rate �Constant)''852 + Pipe Diameter'��ss ' 10.5 X �ft X (�gpm + 130)'�Z + �fY4.6655 _ �ft �1� Total Head requirement is the sum of the Elevation Difjerence (Line 3),the�istribution Head Loss(Line 4),Additional Head Loss(Line 5), � � and either Supply Friction Loss(Line 9), or Friction Loss from the Supply Pipe and Pipe Fittings for collection systems(Line 10.C) NOTE:Supply Friction Loss(Line 8)need ONLY be used if NOT a collection system. ' NOTE:Friction Loss from the Supply Pipe and Pipe Fittings(line 9.C)need ONLY be used if system is a collection system. 18.0 ft + 10.0 ft + �ft + 9.6 ft = 37.6 ft ' 3. PUMP SEIECTION A pump must be selected to deliver at least 38 GPM(Line 1 or Line 2)with at least 38 feet of total head. � I hereby certify that I have completed this work in accordance 'th all a 'cab ordinances,rules and laws. � � � I �( r �� (Designer) (Sig ature) (License tJ) (Date) , � � 1 �.__.�..,...,. �._.... Appendix D .__ _ � � Partial Materials List � 1 � � � � � � t � � � � � � ' ' Partial Materials List* Project Name:Palmer Qty. Item Descri bon Sentic Tank Eauioment � 2 Tanks 1,500 gallon;1,000 gallon 4 Risers PVC Access Riser,Ultra Rib,24"diameter 4 Lids Fiberglass Lid,24"W/Gasket and 4°Insulation;"Waming" , Lift Tank Eauioment 1 Tank 1,000 gallon 1 Pump Vault Package Screened pump vault,pump,floats,control panel;5 year pucnp warranty , 1 Risers PVC Access Riser,Ultra Rib,24"diameter 1 Lids Fiberglass Lid,24"W/Gasket and 4"Insulation;"Waming" ' Pioine and Fittines(aooroximate) 400 Feet,2"Sch 40,PVC Miscellaneous Fittings 80 Feet,4"Sch 4Q PVC , Burial Insulation for gravity lines Drainfield Materials ' 22 Cubic Yazds Sewer Rock 84 Cubic Yards Clean Sand Geotextile fabric 71 Cubic Yards Topsoil 3 Flushing Valves and Valve Enclosures ' ` Partial Materials List provided as a couriesy to contrac[or.Contrac[or responsible to ensure all quan[i[ies to build OWS according[o Minnesota Rules and City Ordinance. ' � , � ' ' , ' 1 , /�� DATE TIME � CIT�F ORONO CALLED IN �I' �'f�� iNSPECTION NOT/ICE SCHEDULED � ��-!1 �� PERMIT NO. l•}� I 7� COMPLETED ADDRESS �� L � � OWNER /I ' ,�yri%;'v CONTR. �J �J :t-2'---'�"" TELEPHONE NO. '' ( � - � �L' — .1 � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL �SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PIUMBiNG FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � IS o� / o ,_�a , �v�» � �l � �� /�-r/1 P � O � W � Q � Z W � W � � d � �NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED = ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � l . /� � White Copyllnspector's File Canary Copy/Site Notice � �--- rA�T TIME / CIT11�F OR NO CALLED IN �y �� INSPECTION NOTICE SCHEDULED /G:.�D PERMIT NO.��C� ��7�OMPLETED ADDRESS �� G'�J'h/LG��'l ��-' OWNER TELEPHpNE NO.�`�T"�-�33� CONTRACTOR `� - j; DESCRIPTION ��-�T� C. - ��2.�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ��iL S � 1 ��/-Fcl� ��5,'�c��I W a 0 ��(� �� a C�C lc�Q� � .� � -_ f/�� '�, S"�'/ ��pu"�'�'7ait/ � � 1 � ��A�1 L�S ��'l''t �Q � f� �1 C'1 W Q � �� n [� � z W � � !�, S'�IA t( 2�' I v ��J g/�� ' S—Q U f ��' r' , � �RKSATISFACTORY:PROCEED ❑ PRO�COMPL�EI'E��+ �� W ❑ RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETl1RN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED O INSPECT�ON REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector._�, � � � White Copyllnspector's File Canary Copy/Sfte Notice