HomeMy WebLinkAbout2005-P08843 - new septic system �
PERMIT
, CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: po8843
Crystal Bay, Minnesota 55323 Permit Type: Septic
(952) 249-4600 Date Issued: 6/21/2005
SITE ADDRESS: 2265 North Shore Dr Unit#
Wayzata,MN 55391
P��� 10-117-23-33-0005
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Septic Permit Sub-type(s): New Septic System
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Perniit Fee: $ 100.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 100.50
APPLICANT: Atco Utility Services OWNER: Gregg&Denise Steinhafel
3660 County Rd/ 101 S 2265 North Shore Dr
Minnetonka,MN 55391 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
� � C .�-1�— ��� � � � �L��`�Z-- �'�����
APPLICANT PERM EE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
�
�� �'�ID � ��1�0 SD �D���'`{�
. . � -is-o..�"
CTTY OF ORONO SEPTIC SYSTEM PERMTT APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay,Mn 55323
JOB SITE ADDRESS �� �v.� /�0 2 i�4- ��P� �
Occupancy Type: Residential_�_ Commercial Other
Permit Type: New or Replacement System $100.00
Repair Existing System $ 50.00
(Tanks or Drainfield)
$0.50 State surcharge added to above fees
* See fee schedule for non-residential permit fees
Owner's Name: ��,��rk �{- ���_,.��,�--�K. Phone Number:
Mailing Address: City: Zip:
Contractor's Name: T�_L -f�L� �tf Phone Number: �s-�-��3-�ay�
Mailing Address: 3�,C7 C�C, 12�� I�l C�ry: �'l-r Zip: 5�3RJ
*** DO NOT MAIL PAYMENT WITH THIS APPLICATION*** t
GENERAL INSTRUCTIONS
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.
2. Permits will be issued only 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. Design reports
are not considered approved unless accompanied by the "City of Orono Septic System
Approval" cover sheet signed by the City Inspector.
4. The following inspections will be required for all septic systems:
A. Pre-installation site inspection to include inspector, installer, and general contractor.
B. Tank installation prior to covering.
C. Drainfield trench installation prior to covering. For mounds, inspection is required after
rough up but prior to sand placement(sand will be jar tested for silt content), 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 pump stations
(where required) components are functional and comply with codes.
5. Individual holding NIPCA Installers License shall be present during all inspections. A 24-hour
notice is required for all inspections.
�
NOTE: Applicant must uutial all spaces. Fill in all appropriate blanks and check all appropriate
boxes.
�f 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) ��gal. 2) /S'oa gal 3) /,roa gal
B. Pump Sta.tion(if required)
Pump make&model z ��� (attach pump curve&
literature); system design requires .� gpm at�feet of head.
High water alarm make&model �'y',vc�e+e_ ��r�Fl� . Outside
electrical work to be completed by ' installer � electrician other.
C. Treatment System:
_�Trenches: !(�(o 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. "
D. Final Cover/Topsoil to be: _� borrowed from site ��'�b5
(show location on site plan)
trucked in
The undersigned hereby applies to the City of Orono for issuance of a septic system installation pemut,
agrees to do all work in strict accordance with ordinances of the City and the regulations of the State
ofMinnesota,and certifies that all staxements made on this applica.tion are complete,true and conect.
SignatureofApplicant Date:� �.� 43�
MPCA License No. o�yf� .
------------------------------------------------------------------------------------------------------------------------
Staff Review: Approval .� Denial
Reviewer• ��/��'�x+ Q� Date• (s ` �� '��
Reason for Denial:
�
, r---�
� S-P TESTING, tNC. �� B. ���• MPCA Cert.No. �7
951 Katydid Lane NE � S't. Michael, MN 55376 • (763) 497-3566
FAX(763�497-5011
S'tate Lioense#394
May 7, 2005
Aulik�Associates
2265 North Shone Dr.
Orono, Henn. Co., MN
This site has an exisfing on-site sewage treahnerrt system oor�sisting of 1 septic tank&
1 pumping cti�mber�200tin.ft or 600sq.ft. of trerx� sysbetn. Soil borings#5 �6 found
mottled soil (redox features) at 48" below the ground surFace. The system does nat
meet the requir+ed 3'separa�on from the mo�tfed soil �also the sizing tactor for the
soils w�ould be 1.5sq.ft./gaVday x 1050 gaVday� 1575sq.ft. would be needed. The
existing system is sev�ereiy under sized for'a 7 bedroom home.
This on-sifie sewage treatrnent system is designed for a Type 'I, 5 bedroom home &2
�droorn guest home, in a000rdanoe with the Minnesota PoNuiion Control Agency
Chapter 7080 and local ondinarroes.
The sais on this site are a sandy loam. The seasonally saturated soils were located at
54"to 72"(mottled soil). A standard trenc� syst�em rt�y be ir�sfiatled keep a 3'
separ^a�ion from the b+otbom of the s!rstem 8�mo�tled soil.
The soits at a depth of 18" have a peroolation rate of 4.1 mpi.
The existing�anks are oW �too small �will need to be abandoned, purr�eci &filled
with sal. The e�tisting supply line must be adequabe for the City I�or to be used.
The e�dsting supply line will need to be relocat�l. This witl need to be determined by
the installer once the suppty line is fiound.
1
�
A purr�ping chamber will r�eed fi�be instatled to lift the effluer�t#o the treahrierrt area.
The paw�er supply and switd�es must be loc�ed outside the menhole and pumping
chamber in a v�er proof endosure. A waming de�ric�e must be instalied with a ligh#
and sound devive,this is in cese af a pump failure.
The manifold �rut suppiy line pipe rnust have badc drair�age to the pumping d�amber.
The d�tribudon pipes shatf have their ends capped. Be sure the rodc and sand fill
rnateriai are dean, The sod layer belo�w the errtire mounded are�a must be#urned over,
just break up the sod, be sure nat M over w�ork.
Atl neighboring w�efls are loi.afied gre�ter than 100'away fi�om the proposed treatmerrt
area.
Keep all heevy equiprr�errt off of the proposed tr�tmerrt are�a before and af�er
construcfion. The treatrnent area should be marked off before c�nstru�#ion. This
Design is n�valid �the system will need to be r�eloc�ted if fiailure to protect the areas
Rroposed for On-Site Sewage Treatrnent occurs.
With proper er�staltati�and mai�tenanoe, this system should have no problem in
treating septic effluerrt elf�e�.fively.
Nothing other than human waste, toilet tissue, laundry, slhow�ers, wa�r saf�ener etc.
should be disposed of irrto the sep�c tanks. Recortrnend Iron fitters be divert�cl out of
the system. Reoorrxnend to divert the water softner a�o if the iron filter is diverted.
Garbage disposals are not recomrner�led, due fio adding mare sol"�ds�fine soiids
passing through to tl�system. Excessive amouMs of soaps, antibacterial soaps,
deaning agents, shaw�er dean�s used every sho�er�chbrine agerr�may ki�l tt�
bacteria needed to treat septic ef�luent. A��dditives are no�reoomrnended. Recommer�d
to pump�dean your tanks through the manhole by a oertified pumper every 2 years.
Chedc with your pumper to set up a sd�edule. Recomme�nd iaunderir�g be 1'�mited to 3
to 4 loads per day.
. C�,,L----
Steven B. Schim�ers
2
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a�.�w�4 u�v►�g� — 9yS.�6 CSoit 8o�inqs
�8enc1: Mark
` • N�te� This system is lo be construded 10 mcet
the M6nnesoio Potlution Contrd Agency
� Chapter 70R0 & Local Ordinance
� � N�te _ Check A1 1 »r+rinrnrn��nri ��r-i 1 :a.: �_
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�,�usG �s " pfrJPERTY OF=�L�� SD i ,
3`"" °�'�° B prlcolotio� Tests Scole= 1d�� � a(e� �� � 51�Q4' —��
� QSoil Sormgs �'!� � 1�1� 1 •
�Be�ct: Mo�k .
' • N�te� This system is to be constructed to mce� � S_p TEST/NC'i ! C.
the Mnneso�a Pollulion Contrd Llgenry �n �
', • Chapter 70R0 & Local Ordinance p�yqned gY; v�
- n,.•.� 5��/b� �►-i.7b3-497-3566
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�n _ "_• 1 --
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• take Sidewolis Q bottom to �
SET-BACKS . ��e �Of� �
���
1�USE Sysfem must be=
� Tank?2' from property rmrs . TRENCH X�
• �fil.' from welis min. ot lvro
' � from bldgs. ' (
n Treotmer�t orea �_�frorn lolaes,.��st�eoms • (mmc. iengih
Treatrntnt oreo .3Q�irom property Gnes �
, HAN p�F«�'�" , ��from welts'�,�'°'�R.s� s° �
. . � �.�from btd�s.
� . � � frorn trees ,..-1�ote=Pr�wer seipp�y and switcfies must be in o w�wther
' �� ' .�_ p000f d'1d061Jf6 C110mb@l nann ,�.'�7l�
, � . ` • � 41lfi�i�� .!"'�� ` � � � ! �
� � ��1 � ��
1
�� Cx�ade�IO Sto�e
� ' _Droa to'Ta�icc 1 �1 1Soank I ~ �r�w wr� � � �` � �
� , �C. t�t�gu�yr aSeo )9�•�.J Af leost 41/2 of undshubec
NGn,.I� to 8 •p�;� � ebrq�bebween f�end�es
- , ,�.i"�oa' ' . a���Soo�,i. DROP BOXES
, ���o s aa�
� s�rE� aEs� � .
. TYPE� ,7 eEOF�ootut - P�rcdot;on rote�rnh.rinch (de�iign L_��m�./'u�ch) .
Tre�tment mec required w/� of rock fiter moterio�_,��yo ?J�q.f� of tre�ch bottom orea oeeded -:.�Sc.��trench width=��i1.of tre�
: Number of fardcs required.�,.. � �st ta�Cc�Qgal,, 2nd tonl�QQgd, rt�irwrrums (to be detertrined by the instdler)
Cleon rodc�a.yds. (3/4��to 21/2��d�a.,includes 2"obove pipe j
a Purnpin9 CF�ocnber oopoqty= 25% of dody sewoge fb�w'ofL�9d-��9d-*Reserve.slonoge►v.,�Qqdt Pipe boCk dt+anogeL�i.�=m1.,'l3���lse�,g�.
( Reserve storoge =1So.ga1,/bedroom=/�.:�)ol. * PiPe back dronoge:.l�.gd./IOObRft.�. ��p�pe- len th ot
; 9 P� �ed a �pp�_f t =1�.9d-)
r , , Pump 's¢e �I 2 hp w/mercxuy float pump controls �.a s� 1�o ��-1'�v `�S t>>S L 1-�1�ur1 y S aok I� w�t4x,
I .
Note= When ooctistn,cting bed:- , this orea should be st►aped Nole= �isionce fro�n ireohnent orea to ne,ghborir�g we1L�—
• to drveri nm-off from entering treotment area. �iYY��=+�r�� --+�,�W�.1 /�o'
F1M14�.1•
wsi�ting qrode
�
� . _�' ---- rbock(ili I�min.
�'u��'"�`• 1 - �- 4�o-Cts�c-�t�:� fra e�c.�c.
O 4�pipe �a.
� � i '� \
� ,1s1��rock t�ter mole�iol
• roke sidewolis 8� bottom to � . �
, rerr�we smeoring
}+-=-�-36�=►� '
f`�0"' �`ry� ' TRENCH X—SECTION '
from wells • •
f�, �, � ' (min, ot two ue�ct�es) •
'Treotment oreo �— �frorn lotces,_�st�eoms • (mmc. length 100�) . �
TreohneM aeo 34.� from �bnes ,
.� r�•n��" , L�2�;from wetls��s'�� So � . . . .
'�"'� � from bidgs.
�'from tre�es te�Pr�wer supply cnd switdxs must be in a weother SQ1L BORIIVG ELEVATIONS
.. ���' Ct1aYlbEf rN+,l► !�.��v�e� • -
- - '► � , .� .. :---; ; -r�-�:i� ��. �. � .
'� =�js J_ y«� t.��l � ��! .
-��' �" TH.�;•REL.-�6M'2
Tcnk :� �0► J . . _ Grode`�"/o sbpe TH.3R�El..-:L�3:� ' �
.
h> >Soo�,I. FKT su w gSa.o )9`b��..�`At leost 41/��of�hxbed 7H.wR El.:�.�.4:s
. •p�,p�r,g • ee�ihbeouveen trenches 11-1:�►�El-?��
p10"'�`1S°°��• DROP BOXES �B��� z���g
�r��a.��u� �►�,�� ,+�,e�„�.�►��
mh./',nch (desigr�.�,l,£min./'a�ch) . .
�otaio��*h9°�o 1�(�q.ft of trench boftom ar�o needed :.���trench width=�SE G�►.it,of uaxh needed , n�xnber of dropbaaes�._
il� 2nd tonl�Qgo1. nwwrx,rns (to be delemw�ed by the ir�stdfer)
h�s Z"obove ppe)
PROPERTY OF:A+�L11G.a- ►�sso G.
e flow ofLQ9ol;�9a1.+Reserve.siaogelv..,�gdt Pipe;badc droinogej3�1��co� aa�S t�i@• SLIo� qg.
u rn r o�t w.�. y�� �.
.r p'�pe bnck dronage:1�gd./1006aft.�.��pipe- length ofi pipe needed o�{i..�b fl =.,L�g�,) d'�4�u N►u.,
x�trols u s� 1�.�_�I�A� 'G�s . o� �c.�..��-�,�> 4 S �l r��._��A-�, •
�houb be shaPed Note= Distance fro.m treo�m�t oreo a �,9t,�o�,g ,,,�— S—P TES�T�/NG / C
:ntprea. L,"�'�G��- -T5r1��Y� /�o' Oesigned BY=' .
: Dale:�/�/g�, PH. 612-497-3566
. . _ _ _
� ' �z - �
TRENCH'A.ND BfiD'W���KSHEET sy r . . •
� 1. A VERAGB UBSIG •F�.OIN 7'6'� n-t; u�r+�awa.�w�opi Ao�a.in ioa�oir a•r�w �'
A. Estimated � v ' gpd.(apt�'igu.n A-1). . .
b�tioom..- �aow�� �'cb..� cla.a aa.nr
OT IIte88111� �" x Y.2��/�C�01.')'� $� �• �pp • �2b 180 . 809i
B. Septic tank capadty �-)Son gaIIane la�e f�gun C I) a �o xo. �ie a ine
� eoo s�a �e vo�,e�
' . � a � .�aa �..: 2� �r,ma
2 SOILS(Sitt ao�aluatlo�t data) . -.•<.w.;�-� � : �• -;e .. . .. va,o �^�.; � � � . �c�oo�
' 3 . �aeo� �. coo.- � �o � a ap
... C. Depth to restrict�g]ay►er= � µ•S �eet� "�� " -`� . . . a �aoo e�a 4oe co�+r+:.
:''' D. Max depth Of aystea►Ifie�n ZC-3 ft= u�S. .ft•3 ft= I.S ft .
E. Texture��Ri�+�o�{ Lv r4w► Per�olatia�n iafie 4•� MPI �
F. Soil Sizing Facboz(S� .,�s32—aq�/$,pd(�fi8'�D-15) �
G. 96 Land 51ope�96. . : . !
3. TRENCH or$ED BOTTOM ARBA Nw�6e►d Mtiw:�t3�de �'Uqi�e�p�q�M� .,��-d�
H. For tcenches with 6�of rock belaw the pip� eea�om. a�.cb • . �� �mtae
A x F=_._gpd x��BPa= s� � � w � ' r� � • �r�s
I. For t�nches with�i2�of rock betrn�v th�e pip� . �«6 . . . �. � - so�oo
A x F X 0.8: O J X • X0.8= v� 7.:ar9 'oeb. ' 3000 ,0°°
L.�.--BPd -�-�-�R�$P�.. �_� . . �
J. For tre�ut►es with 18 indies of rocic belava►thepip� ' . . . . . .
A x F x 0.66=—$Pd x_.�9ft/8Pd x 0.66= - -•sqft ��•na�u s�
K. For tr�es with 24 fr�of rock belaw the pip� � � ��,,.�: ...�..
A z F x 0.6=_gpd x�qft/�d x Q.6.� sqft
L. For gravity beda with 6 a�12��rock bdow the pipe; ��""'`'' ..�r o
15 x A x F=15 x__,._gpd x,�qft/g,pd= sqft �.- �
For pre.Rsure beds witlt 6 or 12 3ndres of radt belo�w ttu pipe: �...s � �,..� so.
A x F: _--$PdX--�4ft�8�"�� � . . . . . • .s».e � a�.
4. DISTRIBUITON lC��that applyl �...a r�- �� •.�•
Bed(<696 slope) DroP bozes(ar�}'slape� �Ro�C +.�«�*.. "'�'
�Trenchea Dlstrjbutlanbox(<396) " Chambe=. ��,'�"�..�'�"'M` .
pICg8L1l�2 C,lBvity . Gsav!'�le8s --s°w'"�.�kr�.a��+vwrM»..�s
%1w.w.w p.awwe�ar.�.w�u w..a
5. SYSTEM tiVIDTf�LENGTH and VOLUME
M. Select �wldth s�,s1L� n.�8���a son.�
.. t.a�e�fSSr►swrcY..rn...!!p.
N. If using roc14 divide bott�area by width: (I��I.R o'r L)+M= �� r�..�r�v
/D 1r 1 anR+ 3.c� ft+� 3 S� l�eeal het '0�"�" a�0"�di'' _
Roek depth below distributio�pipe p l u s 0.5 f o o t times b o t t a m area: a�as �.�.�s.�a as
Rock depth in feet+0.5 feet x Ai+ea(H,I,J,K,az L) � �� �� �
.O +0.5 ft)x I r�� sqR=1le�.2� � �,
Volume in cubic yards=vohmne in c�ft divided bq Z1 �10� .� �'
/ e0� cuft+27=.�.C�B . - ��taa to.adw . �
Wea t of rock in toa�s=cnblc ya:da t�nes 1.4 .�;.r a.. a' —
�cayda x 1r4=��taa�s '
O. If using 10"Gravelless Pipe, Flow(A)x Gravelless SSF lane figun D-9I �seo�oees.�..re' r..�.r.
�—o°�d x l�ne�al feetlgpd� lineal feet u.ti.w�.r�.��.�.�.•�a•.
�'DON SO'!�R rld♦ IYlt�r+d
P. If using Ch�mbera,H;I,J,or IC(bastd on lie�ght a�chaaRber slats)+ :����a�r.�.�a.��
width of chamber in feet(1Vnft��i:ieal feet � I . .
Cl � rwa..
6. LAN1N AR�A " : °"'*'
Q. Select trench spac�caiter to caifier=�.feet
R. MulHply trench aPadnB bry'lineal ket R x Q=aqft�iawm area
��tt X 3S b l�,eal r�eer-�aqh � 3�,�` 1 a
i � '
7. LAYOiTT . - - • . . .•••+�+• -
Include a drawing wlth scale(one inch=.��?Eeet). Shaw pert�nt property_bou�da�es,rl�ts-of-"+►aY�e�` .
ments, locaHon of house,gara$e,dri�►ew►aY•smd.aIl dther impmve�natt� ac�8�P='aP�sodl tr+eatanent system.
well and dimensions of all elevations,aetbatcks artd aeparatioat diatanoes. .
I hereby cerHfy that I h�ve oompleted this waa�k in accardance with applicabk o�di�►�, rules and laws-
a (signature) (lieenae#� - �(date)
. .
� � P�JMP SELECTIOi�T�P�tOCED�JRE
1. Determine pump capacity:
,,.�.�A. Gravity distribution
' 1. Minimum rec}uired dischar8e is 10 gpm .
2. Maxnnum suggested�discharge is`�5 SPm. For other
establishme�ts at least 10�0:greate�than the water supply rate,
but no faster than the rate at which effluent will flow out of the
distti'bution device. .
�B. Pressure tlistribution ;
See pressure distrib�tion work sheet
From A or B:Selected'pump capacity:�_gp���'k•
2. Determine pump head requirements:
A.Elevation difference between pump and point of discharge? . ��
13 feet `�S�
B.Special head requirement?fSee Figure at right-Specinl Head Requirements) . tatd
feet 2A.elevatlon
iniet �erxe
�
C.Calculate Friction loss _______ __ _
1. Select pipe diameter Z.t� in -------•---•--- ---------- ----�y�
2, Enter Figure E-9 with gpm(lA or B)and pipe diameter(Cl).
y Read friction loss in feet per 100 feet from Figure E-9 Special `Head,Requirements
Friction Loss= 3•Zt� ft/�100ft of pipe , Grayity Distribution d ft
3. Determine total p�pe length from pump discharge to soil treatment
Pressure Distribution 5 �
discharge point.Fstirnate by add�ng 25 percent to pipe length for �
fitting loss.Total pipe length times 1.25=equivalent pipe length .E-9:F�ction loas in.Plastic Pipe
��. feet x 1.25=�feet � - Per i00 feet
4.Calrulate total friction loss by multiplying friction loss(C2) � nomind
in ft/100 ft,by.the equivale�t pipe length(C3)and divide by 1�. p�p�dicnneter
- ,a`� ft/100ft x `d td +100= 3 ft �Om� 1.�'- 2" 3"
D. Total head required is the sum of elevation difference(A),special � 2•47� 0.73 0.11
head requirements.(B)�and total#riction loss(C4) 2� 3.73 1.11 O.16
13 ft+ ft+ 3 ft= . 30 5.23 1.55 0.23
35 6.96 2.06 0.30
Total head: /�o feet � � 40 8.9� 2,ba o.39
� 45 11.07 3.28 0.48
3. Pu�p selection �o �3.� 3.� o.ss
,M�. � aab oao
p,pump must be selected to deliver at ieast�1��„rn 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 t I hav ompleted.this wark in accordance with applicable ordinances, .rules and laws•
;',�. c � � �-�-�5
. (signaiure) ��7 ._(license#) (date)
il�cc�i�
DATE TIME
CITY OF ORONO CALLED IN � �<
INSPECTION NQTICE SCHEDULED L�-���� o� 'aS
PERMIT NO. J � COMPLETED
ADDRESS S PZ� �- ��i`-�
OWNER CONTR.��.C3
TELEPHONE N0. �S O� ��-� 7�Y�
� DESCRIPTION I�'//l/��� �V��ri(/�/EL/�
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 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 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOILOW-UP
T09 PLUMBING RI �SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� � - I �� � lr� flD � ` � �^�CS
W
a
o ��� .� �g �ser —, �^ �<
'' —T �2 N�' r�c �-t�S '�v� ,��
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Z �r'v�c t, I �'b ' '3�,0` L 1� ��+ � =
� Tre��'G, �. �b ' I� " 1'�oc_ I<
� 3 ��►
W ORKSATISF�CT6R�ROCE D1 ( ��� �J❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection hours' a vance. (952� 249-460�
OwnerlContra�tor on site:
\
Inspector.
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