HomeMy WebLinkAbout2006-P10398 - septic PERMIT
C��iTY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10398
Crystal Bay, Minnesota 55323 Permit Type: Se tic
(952) 249-4600 p
Date Issued: l0/4/2006
SITE ADDRESS: 440 North Arm Dr Unit#
Mound,MN 55364
P��� 06-117-23-31-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Se tic Permit Sub-type(s): New Septic System
Permit Type: P �
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Perrrut Fee: $ 100.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 100.50
APPLICANT: Hayes&Sons Exc. Inc. OWNER: Rene&Patricia Sternau
263 82nd Street S.E. 440 North Arm Dr
Montrose,MN 55303 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK 1N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
I
� � � —' /Jf � �
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO SEPTI�SY�TEM PERNIIT APPLT�ATI�1`�
Box 66 (2750 Kelley Parkway)
Crystal Bay, Mn 5�323
�-�1 �� / l��v Y i�'� -�r2 ►v� �J/`Z _
JOB SITE ADDRESS
Occupancy Type: Residential ��f Commercial Other
Permit Type: New or Replacement System $100.00 L'/
Repair Existing System $ 50.00
(T�tnks oi��rainiield)
$0.50 State surchai�ge added to above fees
* See fee schedule for non-c�esidential permit fees
Owner's ItiTame:��r� ��-t��`��' Phone Number: (o� dZ —�'7G -� ' y�
Nlliling Addcess:t-/�v N ��„- 1� �' � City: �%''��-n Zip:
Contractor's Name: % � .e �-I'S�tf Phone Numbei•: `t75-/'�WZ
/vjvs�rw��
Mailing Address: �� 2�- s� 5 �� City;�'c Zip: 533��'
*** DO NOT Ii�IA� PAY�NIEN�'ZZ'ITH THiS APPlLi�r�.TI�l�`�*
GENERAL INSTKUCTIONS
l. Applications for septic system permits may be mailed or submitted in person at the City
Off'ices; however, permits will not be mailed out. The permit must be picked up in person
at the Ciry Off`ices and work must not begin unless the permit card is on the j ob site.
2. Permits will be issued only to contractors holdin� a Minnesota Pollution Control
A�ency(MPCA) Septic System Installers License.
3. All work must be done in accordance with the approved septic system desijn. Desijn reports
are not considered approved unless accompanied by the "City of Orono Septic System
Approval" cover sheet signed by the City Inspector.
The�followin� ins�ections will be required for all septic syst�ms: � M
�+�>����, '����e�,jnstall�I'bri;�it�ir`,��c�n td��i�l�lde 4�is�e��c�,��st�llef; az�d�ger�er2t�c��tr��or.
� B. Tank installation prior to covenng. � '
C. Drainfield trench installation prior to covering. For mounds, inspection is required after
♦ �
rou�h up but pnor to sand placement (sand will be jar tested for silt content), an a�ain
durin� pressure distribution pipin� installation in the rock bed.
D. Final inspection to verify proper final cover depths and to verify that all pump stations
(where required) components are iunctional and coinpiy with codes.
�. Individual holdin�i�IPCAinstallers License sha11 be present durin�a11 inspections, :�24-�ao�.►�•
�no#ice is reguired for all inspections.
1 .
.
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check aIl appropriate
boxes.
� � 1. I have received a copy of the system design includin� the City of Orono Septic
System Approval Cover Sheet.
�� 2. I will be installinQ followin�:
��
A. Tanks: r/ Precast Concrete Other Manufacturer ���W��
�r,s�.� �«,�h-� ,
Tank Capacities: 1) ,��-v jal. 2) �vzyo gal -��� )��p D �al ���f
B. Pump Station (if required
Pump make& model �y-e��✓ ����`��' (attach pump curve&
literature); system desijn requires z`7 gpm at �S � feet of head.
High water alarin make &model [�.�.-c(�,rv�-� . Outside
electrical work to be completed by installer electrician other.
C. Treatment System:
Trenches: s.f. �ound
Depth of rock below pipe " Rock bed dimensions rv ' x �3�'
Drop Boxes Sand bed dimensions�' x L'
Distribution Box Pressure Dist. Pipe Diam� %L "
Manifold Pipe Diam. Z- "
D. Final Cover/Topsoil to be: borrowed from site
. �show location on site plan)
v 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 Niinnesota,and certifi 11 ents � ade on this application are complete,true and correct.
SignatureofApplicant \ 'eS Date: �j ��— � �
MPCA License No. � ��
o � I��Qc� �� s�- �� piA <<� W l�� ��eS
.
StaffRev�e�v: Approva� � I)enial
w
� �ilte: ( '� �,7` � ��
I�eviewer: �_
�easo� fo, �enial:
` '
Rusty Olson's--Soil and Percolation Testing
; Joseph J. Olson--MICA License#810
i 11481 Riverview Rd. NE,Hanover,MN SS341
(763) 498-8779 Fax(763) 498-8290
August l 5,2006
Rene Sternau
440 North Arm Drive
Orono,Hennepin County
Phone 612-670-2349
This on-site Sewage Treatment System is designed for a Type 1,three-bedroom home in accordance with the
Minnesota Pollution Control Agency Chapter 7080 and local ordinances.
The seasonally saturated soils were located at 24"-28"(mottled soil). Due to seasonally saturated soils,a pressurized
Mound System will need to be installed to treat septic efiluent. The bottom oFthe treatment area must be located at
least 3'above the saturated soils.
The soils at a depth of 12"have a percolation rate averaging 3 MPI.
ALl neighboring wel ls are located greater than 100'away&om proposed treatment area.
1'he existing septic tank may be used upon approval of the local inspector.
The existing system does not conForm to chapter 7080.
A pumping chamber will need to be installed to lift the efEluent to the treatment area. The power supply and switches
must be located outside the manhole and pumping chamber in a weathecproof enclosure. A warning device must be
installed with light and sound devices;this is in case of a pump failure.
The manifold and supply line must have back drainage to the pumping chamber. The distribution pipes shall have their
ends capped. Be sure the rock and sand fill materials are clean. The sod layer below the entire mounded area must be
tumed over,just break up the sod and be sure not to over work.
Keea s116eavv eauiament off of the proposed treatment area before during and after construction. This Desien
is not valid and the Svstem will need to be relocated if failure to orotect the area aroposed for On-Site Sewage
Treatment occurs.
With proper installation and maintenance,this system should have no problem in treating septic eftluent ef�ectively.
Nothing other than gray water,(laundry,showers,etc.) Human water and toilet tissue should be disposed of into the
septic tanks. Garbage disposals are not recommended. Additives must not be used;they may cause harmful damage to
your septic system. It is recommended that you pump the tank every year for 1 tank every two years for two tanks.
Sincerely,
�� �-1 CtTY OF ORONO
/ SEPTIC���,�'L�N REV�I�
� �' INSPECTOR " �' —
� Joseph J.Olson DAT � � ' ERMIT NO.�--
APPROVF.D AS SL'B�t[TTLU
[� APPROVF.D W�TH Cc�RRGCTIO?�S AS NOTF.D
Q 1:OT APPROVEI)-CC�RRF,CT&RF.SliA�11T
Thcse comments ace for your�forbi`���tic undLio�inL,�hv done
in fuU compliancc with all a��
Rcquircmcnts inc:luding itcros not spccilically n����'d in this rcview.
KiiCP TH(S PLhi�SF•."C OK SITE AT ALL 71�11iS
ONa�T�
s�,,,�,�� Job#�
T/t'lATMeNT
P�aoa�ewM
Universi of Minnesota Mound Design Worksheet
Greater than 1%Slopes
a F�ow
Estimated 450 gqd(see figure A-1)
or measured ! �C 1.5(safety factor)= 0 gpd
B. SEPTIC TANK LIQUID VOLUMES
Septic tank capaciry 2000 gallons(see 8gure G1)
Number of tanks/compartments 0
Effluent Filter (yeslno) yes
C-1 Septic Tank Capacit�r in Gallons
Number of Minimum Capacity with Capacity with
Bedrooms Capacity Ga�b.Disp. Disp.and Lift
2 or less � �f= � 1125 �'l � �
� �
3 or 4 '�°'S;'����i00 r 1500 � �4���
5or6 ;�'�t�'��OO,ti� 2250 , .0 kr�;,,
7,8 a 9 ,'%��� ' �F2� 3000 �, ,��:,
�. SOILS(Site evaluation data)
1. Oepth to restricting layer- 2.0 feet
2. Depth of percolation tests= 12 inches
3. Texture loam
4. Soil loading rate(see Figure D-33) 0.60 9P��
Percolation rate 3 MPI
5. %Land Siope 11.0 96 under rock
overa s ope
D. ROCK LAYER DIMENSIONS
1. Multiply average design flow(A)by 0.83 to obtain required area of rock layer:Item A x 0.83=
450 gpd x 0.83 ft/gpd= 380 ft
2. Determine rodc layer width =0.83 ft`/gpd x Linear Loading Rate(LLR)(see LLR chart
0.83 ftZ/gpd x 12.00 = 10.0 ft
LLR Chart
Perk Rate LLR
<120 MPI <=12
>=120 MPI <=6
3. Length of rock layer=area divided by width=
380.0 ft2 / 10.0 feet= 38.0 ft
E. ROCK VOI.UME
1. Multiply rock area by rock depth to get cubic feet of rock
380.0 X 1.0 ft= 380.0 ft3
2. Divide ft3 by 2�ft3lyd3 to get cubic yards
380.0 ft3 I 27 = 14.1 yd3
3. Multiply cubic yards by 1.4 to get weight of rock in tons;
14.1 yd3 X 1.4 tonlyd3 = 19.7 tons
� Page 1 of 5
� F. ABSORPTION WIDTH Absorption ratio: 2
1, Absorption width equals absorption ratio times rock layer width
2.00 x 10.0 ft = 20A ft
G. MOUND SLOPE WIDTH 8�LENGTH(Greater than 19G)
1. Downslope absorption width=absorption width minus rock layer width
20.0 feet - 10.0 feet= 10.0 ft
2. Calculate mound size �
UPSLOPE � �
a.Depth of clean sand at upslope edge of rodc layer=3 feet minus distance to restricting layer(C1)
3.0 ft - 2,0 ft= 1.0 ft
b.Mound height at the upslope edge of rock layer=depth of clean sand for separation(G2a)
at upslope edge plus depth of rock layer(1 foot)to depth of cover(1 foot)
1 ft+1ft+1 ft= 3.0 ft
c.Upslope berm multiplier based on land slope(see figure D-34)
Selected berm multiplier: 2.78
d.Upslope width=berm multiplier(G2c)times upslope mound height(G2b):
2.78 x 3.0 ft = 10.0 ft
DOWNSLOPE
e.Drop in elevation=rock fayer width(D2)times percent landslope(C5)/100
10.0 ft x 11.0 % /100= 1.1 ft
f.Downslope mound height=depth of clean sand for slope difference(G2e)
at downslope rock edge plus the mound height at the upslope edge of rock layer(2b)
1.1 ft + 3.0 ft= 4.1 ft
g.Downslope berm muitiplier based on percent land slope(see Figure D-34
Selected bertn multiplier: 5.88
h.Downslope width=downslope multiplier(G2g)times downslope mound height(G2fl
5.88 x 4.1 = 24.0 ft
i.Select greater of G1 and G2h as the downslope width 24.0 ft
j.Totai mound width is the sum of upslope(G2d)width plus rock layer width(D2)plus downslope width(G2i)
10.0 ft+ 10.0 ft+ 24.0 ft= 44.0 ft
k.Total mound length is the sum of upslope width(G2d)plus rock layer length(D3)plus upslope width(G2d)
10,0 ft + 38.0 ft+ 10.0 ft= 58.0 ft
Final Dimensions (slope>1% 44.0 ft x 58.0 ft
1 hereby rtify that all work has been completed in accordance with all applicable ordinances,rules&laws.
(signatu�e) 810 (license#) 8/14l2006(date)
Page 2 of 5
' 4"inspecNon pipe
0 0 0 12"topsoil
1.0
gfnal grade
Restrictive layer 2.0
� 10.0 10.0 � � 24.0 �
34.0
�. -
absorption width
Mound Detaii: Land slope> 1°/a
�o.o
Upslope berm:
r: ................................................................. .........................................................................................................
Rockbed
10.0 Width: 10.0 10.0
Total Length: 38.0
Width: �
44A
Downslope berm: Downslope absorption width:
24.0 10.0
Total length: 58.0 ----
Notes:
Divert surface water away from mound.
Page 5 of 5
University of Minnesota Pressure Distribution System Design - 10/25/04
All boxed redanpfes must be entered,the rest wiN be cakulated.
OwsRs
se.v..e
1. Select number of perforated laterals: � T""""�"'
Pwwwwr
2. Select perforation spacing= �3 ]R
c•.... .,:i.r.a.�
3. Si�ce perforations shouVd not be plaoed doser that 1 foot to �_���Q�� �� ,
tt�edge of the rodc layer(see diagram),subtract 2 feet from ,,,,,,�,�k
the rodc I�yer len ; ��,'„�,.,r--,..-
� 38 -2 ft 7 36 R ��a,�.-,..;,�.R•_s• '
I
4. Detertnine the number of spaces between perforations.
Oivide the length(3)by perforation spaang(2)and round down to nearest whole number.
Parforation spacing= 36 ft/ 3 R= 12
5. Seled perforation size 1/4 inch
6. Number of perforations is equal to one plus the number of perforation spaces(4).
'Chedc Bgure E-4 to assure the number of pe►forations per lateral guarantees
<1096 discharge variation.
12 spaoes+1 = 13 perforationsAateral
E-4 Maximum Number of 1/4 inch ratlo� E-5 Maxlmum Number of 3/16 inch perforatlons
labral to uarantee<10°/.discha variation r lateral to uaraMee<10%discha e variation
Perforatlon Perforation
gpacing Pipe Diameter Spacing Pipe Diameter
ft 1 inch 1.25 inch 1.5 inch 2.0 inch feet 1 inch 1.25 inch 1.5 inch 2.0 inch
2 5 8 14 18 28 2 5 12 19 25 39
. "`.' `',,�r' `13 � "a,. .,� �.t.�',.�, . rg :;�.' ..���,�..,�. 48 '�a J�����:�
K ,:
3 3 7 � 12 16 25 3.3 10 17 23 36
_,.��: . .Z ; 11 ,.:i L''�.u,.S.` :�, 4.'. .;tQ. 16, , i ,2���:!4 ,�,� .`R:
. ! 5.0 � 6 � 10 14 22 5 9 � 15 20 31
7. A.Total number of perforations=perforations per lateral(5)times number of laterals(1).
13 perfs!lat x 3 laterals= 39 perforetions
B.Calculate the square footage per perforatio�.
Recommended value is 6-10 sqtt/perf.Does not apply to at�rades.
1. Rodc bed area=rock width(ft)x rodc length(ft)
10 ft x 38 ft= 380 ft
2. Square foot per perForation=Rodc Bed Area/number of perFs(6)
380.0 ft/ 39 perfs = 9.7 ft/perf
8. Determine required flow rate by mu�iplying the total number
of perforations(6A)by flow per perforations see figure E-6)
39 perfs x 0.74 gpm/perfs= 28.9 gpm
E-8 Petforation Discha in GPM
Head Perforabons diameter
feet inches
3/16 7/32 1l4
1 a.42 0.56 0.74
2°:; 0`59 :�i4;. _ 1..04
5 0.94 1.26 , 1.65
a. Use 1.0 foot far single-famiy homes.
b.Use 2.0 teet fw a hin else
.��.� .,.
9. Detertnine Minimum Pipe Size ' ,
A. Manifold on End. If laterals are conneded to header pipe ,, .
as shown in Figure E-1,to select minimum required lateral Fquro E-1:MonlbW looa�eO a�Fnd m 6ysNm
diameter;enter figure E-4�r E-5 with perforation spacing and
number of perforations per lateral.Seled minimum diameter
for perforated laterals= 1.5 inches
------.__._.._._.__________.... ..__.,
B. Cerrte�Mlanffold. If perforated lateral system is attached to ��;��;�� '" ``.
ma�ifold pipe nearthe center,like Figure E-2,perforated lateral length(3) . _ ,,.
and number of perforations per lateral(5)will be appro�mately � �
y', 1
one half of that in step A. Using these values,select � . . •-
minimum diameter for perforated lateral= 1.5 inches • ' 1-- ,,�� �
I hereby certify that I have com leted this work in accordance with all applicable ordinances,rules and laws.
(signature) 810 (license#) 08/15/O6 (date)
University of Minnesota Pump Selection Procedure - 10/25104
All boxed rectangles must be entered,the rest will be calculated. �
Oe�srre �
1. Determine pump capacity: T���
� A Gravity Distribution P�
1.Minimum required disc�arge is 10 gpm
2.Ma�dmum suggested discharge is 45 gpm
For other establist�ments at leas�10%greater than the water ; �
supply rate,but no faster than the rate at whid�effluent will flow
out of the distribution device.
B. Pressure Distributlon-see pressure design wo�csheet &Ipan�1 o a sci;o 9e
:,;<<����:�:�:,�;
Selected Pump Capac'�ty: 29 gpm toroi�xPe
length
�.�T�.
,,,,,� 2A.elevatfon
2. Detertnine Total Dynamic Head(TDH) p;� �;� • difference
!::........ .. . �
A. Elevation d'rffe�ence between pump and point of discharge. 14' ��
:.:.................. ,
28 feet "� =--------------------•------. ..----
,
B. Special head requirement?(See Figu�-Specia!Head Requirements)
C�feet Special Fiead Requirements
Gravity Distribution Oft
C. Friction loss in supply pipe Pressure Distribution 5ft
1. Select pipe diameter �2 in
2. Enter Figure E-9 with gpm(1A or B)and pipe diamete�(C1)
Read iricCtiion loss in feet 100 feet from Figure E-9 E-9 Friction Loas in Plastic Pipe
ri
Friction loss= 1.55 fl/100 ft of pipe 1 OO R
nominal
3.Detemtine total pipe length from pump discha�ge to soil system discharge point. Flow Rate �i e diameter
Estimate by adding 25 peroent to pipe length for fric6on loss in fittings. 1.5' 2.0" 3"
Pi len times 1.25=equivalent pipe leng� � � �t'-
140 ft x 1.25= 175 feet 25 3.73 1.11 0.16
3�:��.,<^,�..y <..xk � �7 ��;4.3�''
4.Calculate total friction loss by mulbplying friction loss(C2) 35 u 6.96 2.06 0.3
��'� ��� .0:39
by the equivalent pipe length(C3)and divide by 100. 4U; ;��,'�1,� �
Fric6on Loss= 1.55 ff1100ft X 175 ft I 100= 2.7 feet 45 11.07 3.28 0.48
50:+ �'�3�' ��� 0:58
D. Total head requirement is tl�e sum of elevatlon difference(A),special 55 4.76 0.7
head requirements(B),and total friction loss(C4). 60 , :��,� .';0.82
28 ft + 5 ft + 3.0 ft 65 6.48 0.95
70`: _ '�:+�4 '�1,09
Total Head: 36.0 feet
3. Pump Selection
1.A pump must be selected to deliver at least 29 gpm(1A or B)
with at least 36.0 feet of total head(2D).
I hereby cefify that I have completed this work in accordance with all applicable ordinances,�ules and laws.
(signature) 810 (license#) 8115/2006 Date
Page 1 of 1
Loqs of Soil Borin�s
� License#810
i Location or Project: 440 North Arm Drive i I
Borings made by: Rusty Olson's Soil and Perc testing 817/2006
Classification System: AASHO ; USDS-USDS-SCS X ; Unified ; Other
Auger used (check two): Hand_X_, or Power , Flight, Bucket or Probe_X_
Boring Number_1_Surface elevation_105.7_ Mottled Soil at 2.3_feet
0"-12"Dark brown loam 10yr3/2 H20 present at X_.
12"-18" Brown loam 10yr4/4
18"-28" Brown loam 10yr5/4
28"-36" Rusty brown loam 10yr5l4
Boring Number 2_Surface elevation_105.7_ Mottled Soil at 2.1_feet
0"-12" Dark brown loam 10yr3/2 H20 present at_X_ .
12"-18" Brown loam 10yr4/4
18"-26"Brown loam 10yr5/4
26"-30" Rusty brown loam 10yr5/4
Boring Number_3_Surtace Elevation_104.3 Mottled Soil at_2.0_ feet
0"-12" Dark brown loam 10yr3/2 H20 present at_X_.
12"-18" Brown loam 10yr4/4
18"-24"Brown loam to clay loam 10yr5/4
24"-30" Rusty brown loam 10yr5/4
• . � � . �
Percolation Test Data Sheet
Lic.#810
�
Percolating test readings made by: Rusty Olson's Perc. starting at 11:08 A.M. On 08/8/06
Location: 440 North Arm Drive
Hole number: 1
Date hole was prepared:8/07H06
Depth of hole bottom_12"_inches, Diameter of hole_6"_inches.
Soil data from test hole:
Depth, inches Soil texture
0-12" Dark brown loam 10yr3/2
Method of scratching side wall: Knife
Depth of gravel in bottom of hole 2 inches:
Date and hour of initial water filling 8/07/06 At 12:00 P.M. depth of initial water filling 12 inches
above hole bottom.
Method used to maintain at least 12 inches of water depth in hole for at least 4 hours Automatic Siphon
Maximum water depth above hole bottom during tests 6 inches
Time Time Depth Drop in H20 Perc Rate
11:18 11:33 6" 5.5 2.7
11:36 11:51 6" 5.5 2.7
11:52 12:07 6" 5.5 2.7
AVERAGE PERC. RATE 2.7 MPI
, , ; •
Percolation Test Data Sheet
Lic.#810
i j
Percolating test readings made by: Rusty Olson's Perc. starting at 11:08 A.M. On 08/8/06
Location: 440 North Arm Drive
Hole number: 2
Date hofe was prepared:8/07N06
Depth of hole bottom_12"_inches, Diameter of hole_6"_inches.
Soil data from test hole:
Depth, inches Soil texture
0-12" Dark brown loam 10yr312
Method of scratching side wall: Knife
Depth of gravel in bottom of hole 2 inches:
Date and hour of initial water filling 8/07/06 At 12:00 P.M, depth of initial water filling 12 inches
above hole bottom.
Method used to maintain at least 12 inches of water depth in hole for at least 4 hours Automatic Siphon
Maximum water depth above hole bottom during tests 6 inches
Time Time Depth Drop in H20 Perc Rate
11:19 11:34 6" 5.5 2.7
11:35 11:50 6" 5.5 2.7
11:53 12:08 6" 5.5 2.7
AVERAGE PERC. RATE 2.7 MPI
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DATE TIME
CITY OF ORONO CALLED IN �Q- y-G��o
INSPECTION NO�ICE (`� SCHEDULED 1!�- �-CL�
PERMIT NO. ��((� ��" �" COMPLETED T�;� [2� �
ADDRESS ` � " '� � �--f��
OWNER CONTR. L' C�' ��' S
TELEPHONE NO. �'��S � y � (O �---
/ / �
� DESCRIPTION �Gc'�GL�C �---�G'C,(C �..�',(,�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 S- Qt� 21 COMPLAINT
Q 07 DEMO-FINAL 5 SEPTI INST V� 22 FOLLOW-UP
? 09 PLUMBING RI 2 PTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
� C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� Z4J-460�
Owner/Contractor on site:
Inspector. � . 1 -'�1 �S
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