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HomeMy WebLinkAbout2005-P09112 - new septic system PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P09112 Crystal Bay, Minnesota 55323 Permit Type: Septic (952) 249-4600 Date Issued: 8/30/2005 SITE ADDRESS: 585 Orchard Park Rd Unit# LONG LAKE,MN 55356 PID: 31-118-23-14-0001 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Septic Permit Sub-type(s): New Septic System DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 100.00 Valuation: $ 0.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 100.50 APPLICANT: Hayes&Sons Exc.Inc. OWNER: D&H THOMAS 263 82nd Street S.E. 585 ORCHARD PARK RD Montrose,MN 55303 LONG LAKE MN 55356 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. ci)kfrta_z_67.4) APPLICANT PERMIT E SI NATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 011 �asaC 4oiiZ CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66(2750 Kelley Parkway) Crystal Bay,Mn 55323 JOB SITE ADDRESS S �S vc kk,s P v- k ` 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: D o h v.& 11 j-1,.o Y- S Phone Number: KZ "‘(76-G 2.0 Mailing Address: S Ore-keta P^- i Rd s City: Or••z. Zip: S"4-3 2 3 Contractor's Name: i-.L`7 tS s Phone Number: 715-Y7f.-/76 z Mailing Address: Z 6 3 `%sf.S'-c City;!'lccz,fi-o ' Zip: 5-15310 3 *** DO NOT MAIL PAYMENT WITH THIS APPLICATION*** 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 I'IPCAInstallers License shall be present during all inspections. A 24-hour notice is required for all inspections. NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate boxes. � r Septic I have received a copy of the system design including the City of Orono no System Approval Cover Sheet. 2. I will be installing the following: A. Tanks: /Precast Concrete Other Manufacturer.D 4 Yu. Tank Capacities: 1)/out, gal. 2) /,'. p gal 3) /obi) gal B. Pump Station(if required) Pump make&model (oad fie-S-( (attach pump curve& literature); system design requires 3 8' gpm at Z© feet of head. High water alarm make&model . Outside electrical work to be completed by installer ✓electrician other. C. Treatment System: Trenches: s.f. Mound Depth of rock below pipe " Rock bed dimensions/0 ' x Sa ' Drop Boxes Sand bed dimensions7o ' x1/0 ' Distribution Box Pressure Dist. Pipe Diam. /�L " " Manifold Pipe Diam. v " D. Final Cover/Topsoil to be: borrowed from site (show location on site plan) trucked in The undersigned hereby applies to the City of Orono for issuance of a septic system installation permit, agrees to do all work in strict accordance with ordinances of the City and the regulations of the State of Minnesota,and certifies that all statements made on this application are complete,true and correct. Signature of Applicant ) 5 Date: y' --d Sr— MPCA License No. Staff Review: Approval Denial Reviewer: Date: Reason for Denial: Rusty Olson's--Soil and Percolation Testing Joseph J. Olson--MPCA License#810 11481 Riverview Rd. NE, Hanover,MN 55341 (763) 498-8779 Fax (763) 498-8290 April 23,2005 Donnell Thomas 585 Orchard Park Road Orono,Hennepin County Phone 952-476-0201 This on-site Sewage Treatment System is designed for a Type l Four-bedroom home in accordance with the Minnesota Pollution Control Agency Chapter 7080 and local ordinances. The seasonally saturated soils were located at 20"-24"(mottled soil).Due to the seasonally saturated soils,a pressurized mound system will need to be installed to treat the septic effluent.the bottom of the treatment area must be located at least 3' above the saturated soils. All neighboring wells are greater than 100' from proposed treatment areas. The soils at a depth of 12"have a percolation rate averaging 7 MPI. The existing septic system does not conform to the state code chapter 7080. The existing tanks must be abandoned. A pumping chamber will need to be installed to Iift the effluent to the treatment area. The power supply and switches must be located outside the manhole and pumping chamber in a weatherproof 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 pump chamber.The rock and fill materials must be clean.The sod layer below the entire mounded area must be turned over. Just break up the sod and be sure not to over work. 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, JosJoseph J.Olson CITY OF ORM* TNSPECSEPTIC TU>�1' __ATE - c6PERMIT NO. t APPROVED AS SUBMITTED APPROV D WITH CORRECTIONS AS NDTbD SYSTEMNIS IS OWNED FO NOT APIItOVED.CORRECT#RESUBMIT y These eommems aro for your information. MI stark shall be deem ...,,..u in full compliance with ail applicable septic and swine shaw. OF BEDROOMS IMALERID TINS Daft Requirements melodies items not specifically Med Iselin*** WO THIS PLAN SST ON SKS At ALL MSS - 662.2st- PRoN5Ri Y LiNL As Pa Rs SuRWI-Y • +1-i.. • PRoPosED -14 :CSYSTEM \ q3. '� 9r.H �r /0 ' • ai,,?. v . • F,u.. ‘S.,- D, Zi31VL"WAY N s ..7 i 90 7 '!r�� -� 9s. + / L-ARA,GE. as' Cx�srN� 93' 1 / WELL 1 + r CL our o:;./L) 13.E yo' a�' 777----7----u_z, 9y,� PRoPoS�"D •'Ann.s 974). � Em&TIA.1�, LUTING ;t y' rAaxs pp�/ HD, USE. /, Uik sE6 7BM)4g / / / " srAnaN as• '4062.x- Pro?fTTY ZdA>LE 3 ' PROPERLY OF: DoNNc LL Tlaam A T6M: TMP of -rHrCEzt4oL OF GSoiloBor�s Tests Scale= SSS oR 41s(Rn (4J K R0/4/3 . DSR ®Bench Mork ORo,J o i I-lc:N0, (-0 GLV-/CO,oU Note: This system is to be constructed to meet Date:2.20/2.G. P6.763-X498.8779 the NGnnesoio Pollution Control Agency • Chapter 7080 & Local Ordinance Rusty Olson s •tl and Percotatlon Testing Designed by: .., Note : Check all underground utilities ., . . . • -, . 1-1_11Ailltill . , qL G i ft. •Ipialint v. , _ i.,.. rTi' - 4 191111161 J.r obig 1 e'er Al - .ii - : 1$ riffikirill 5 ligILVIdia litilpiara' 1 .. -P ; - 1 " -. 'q ' Pth al — rd, 0. 1 I . . , . k i i2ivcou . 10 - -,F, - ' r =1g E 1 - ' .r _ it! IV It . - - -111 . 'N-' ZZ: • , or - '‘; 1 V* /la !I - . . e4‘°_? • -1-9',.. .. ,i u o . i 1 - tit.RI t91 -. g ; !ay. PI . I t .' ° -gi P VI -V . . t Fi s 1 %sa".0.� � . ' A G o � � iva V it it \ 4.: .r.: v . sw ts : : . . T. cIt . • 11 ' ;� ' ai " a q ..s, :16, 1 13:c F,-,7g13 E- • . p.,-.0 lair.r. " g ! ''',F. - . itzt:c a `d I g° Eli r. , . , ...., o. 5,, I H., " . [...0 fli sr 11 gq. Pkil .-s a r Ili' - - iiiiii 'I a . fill inPlatePla 1 • 1i 1 1 1 1 1*2 > . 11uJ Y g - m 2 - • N University of Minnesota Mound Design Worksheet - 10125/04 All boxed rectangles must be entered,the rest will be calculated. ONsrrr SEWAGE A. Estimated Flov4 600 gpd(Fig.A-1) 7:17-re REAT rrrT PROGRAM _- A-1 Estimated Sewage Flows in GPD Number of Class Bedrooms I II III IV 2 300 225 180 60%of 3 450 300 218 the 4 600 375 256 values 5 :' 750 450 294 in the 6 900 525 332 Class I, 7 : 1050 600 370 II or II 8 1200 675 408 columns B. Minimum Septic Tank Capacity Septic tank capacity 2000 gallons Number of tanks/compartments 0 Effluent filter(yes/no) Yes C-1 Minimum Septic Tank Capacity in Gallons Number of Minimum Capacity with Capacity with GD and *GD=garbage disposal Bedrooms Capacity GD* pump in basement** Must have multiple tanks or compartments 2 or less 750 1125 1500 ** Must have multiple tanks,compartments 3 or 4 1000 1500 2000 or effluent screen 5 or 1500 2250 3000 7,8 or 2000 3000 4000 C. SOILS(Site evaluation data) D-33 Absorption Width Sizing Table 1. Depth to restricting layer 1.6 feet Perc Rate mpi Soil Texture Loading Rate Absorption 2. Texture loam (gpd/ft2) Ratio Coarse sand,Loamy 3. Loading rate(see Fig D-33) 0.60 gpd/ft2 <5 sand,Med and Fine 1.20 1.00 sand 4. Absorption Ratio(Fig D-33) 2.00 6-15 Sandy loam 0.79 1.50 16-30 Loam 0.60 2.00 5. Percolation rate if available 3 MPI 31-45 SiltLoam,Silt 0.50 2.40 46-60 Clay loam(CL),Silty 0.45 2.67 6. %Slope 7 % or Sandy CL 61-120 Silty or Sandy 0.24 5 Clay or Clay >120* *Must be other or performance. 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= 600 gpd x 0.83 ft2/gpd 498 ft2 LLR Chart 2. Determine rock layer width =0.83 ft2/gpd x Linear Loading Rate(LLR)(see LLR chart) Perk Rate LLR 0.83 ft2/gpd x 12 = 10.0 ft <120 MPI <=12 3. Length of rock layer=area divided by width= >=120 MPI* <=6 498 ft2 / 10 ft = 50.0 ft *or other limited soil conditions E. ROCK VOLUME 1. Multiply rock area by rock depth to get cubic feet of rock 498 X 1 ft = 498.0 ft3 2. Divide ft3 by 27 ft3/yd3 to get cubic yards 498.0 ft3 / 27 = 18.4 yd3 3. Multiply cubic yards by 1.4 to get weight of rock in tons; 18.4 yd3 X 1.4 ton/yd3 = 25.8 tons 4. Add in 10%extra for constructability= 1.1 x 25.8 = 28.4 tons MOUND SLOPE WIDTH&LENGTH(Greater than 1%) F. ABSORPTION WIDTH Absorption width equals absorption ratio(C4)times rock layer width(D2) 2 x 10.0 ft = 20.0 ft G. 1. Downslope absorption width=absorption width(F)minus rock layer width(D2) D-34 Slope Multiplier Table 20 ft - 10 ft = 10 ft Land Slope Upslope Downslope 2. Calculate mound size in% multipliers multipliers UPSLOPE 3:1 4:1 3:1 4:1 a Determine depth of dean sand at upslope edge of rock layer 0 3.00 4.00 3.00 4.00 =3 feet minus distance to restricting layer(C1) 1 2:91 3.85 .3.09 i 4.17 3 ft - 1.6 ft= 1.4 ft 2 2.83 3.70 3.19 4.35 3 2.75 3.57 330 454 b.Mound height at the upslope edge of rock layer=depth of clean sand for separation(G2a) 4 2.68 3.45 3.41 4.76 at upslope edge plus depth of rock layer(1 foot)to depth of cover(1 foot) 5 2.61 333 3.53 5.00 1.4 ft+1ft+1ft= 3.4 ft 6 2.54 3.23 3.66 5.26 7 2:48 3.12 3.80': 556 c.Upslope berm multiplier based on land slope(see figure D-34) 2.7 8 2.42 3.03 3.95 5.88 9 236 2.94 4.11 6.25 d.Upslope width=berm multiplier(G2c)times upslope mound height(G2b): 10 2.31 2.86 4.29 6.67 2.7 x 3.4 ft = 10.0 ft 11 226 2.78 4.48 714 12 2.21 2.70 4.69 7.69 DOWNSLOPE e.Drop in elevation=rock layer width(D2)times percent landslope(C5)/100 10 ft x 7 % /100= 0.7 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) 0.7 ft + 3.4 ft = 4.1 ft g.Downslope berm multiplier based on percent land slope(see Figure D-34) 4.69 h. Downslope width=downslope multiplier(G2g)times downslope mound height(G2f) 4.69 x 4.1 = 20.0 ft j.Total mound width is the sum of upslope(G2d)width plus rock layer width(D2)plus downslope width(G2h) 10.0 ft+ 10.0 ft + 20.0 ft = 40.0 ft k.Total mound length is the sum of upslope width(G2d)plus rock layer length(D3) plus upslope width(G2d) 10.0 ft + 50.0 ft + 10.0 ft = 70.0 ft Final Dimensions (slope>1%) 40.0 ft x 70.0 ft I hereby certify that I have completed this work in accordance with all applicable ordinances,rules and laws (Signature) (License#) c//nz3/6;t�' (date) / • PRESSURE DISTRIBUTION SYSTEM All boxed rectangles must be entered,the rest will be calculated. 1. Select number of perforated laterals: 3 t2 2. Select perforation spacing= 3 ft r e•r• nK• ort 3. Since perforations should not be placed closer that 1 foot to ?``�" ^� the edge of the rock layer(see diagram), subtract 2 feet from the rock layer length 50 -2ft= 48 ft 4 Determine the number of spaces between perforations. Divide the length(3)by perforation spacing(2)and round down to nearest whole number. Perforation spacing= 48 ft/ 3 ft= 16 5. Number of perforations is equal to one plus the number of perforation spaces(4). *Check figure E-4 to assure the number of perforations per lateral guarantees <10%discharge variation. 16 spaces+1 = 17 perforations/lateral E-4 Maximum Number of 1/4 inch perforations E-6 Perforation Discharge in GPM per lateral to guarantee<10%discharge variation Head Perforations diameter Perforation (feet) (inches) Spacing 3/16 7/32 1/4 feet 1 inch 1.25 inch 1.5 inch 2.0 inch la 0.42 0.56 0.74 2.5 8 14 18 28 2b 0.59 0.80 1.04 3.0 8 13 17 26 5 0.94 1.26 1.65 3.3 7 12 16 25 a. Use 1.0 foot for single-family homes. 4.0 7 11 15 23 b.Use 2.0 feet for anything else 5.0 6 10 14 22 6. A.Total number of perforations=perforations per lateral(5)times number of laterals(1). 17 perfs/lat x 3 laterals= 51 perforations B.Calculate the square footage per perforation. Recommended value is 6-10 sqft/perf.Does not apply to at-grades. 1. Rock bed area=rock width(ft)x rock length(ft) 10 ft x 50 ft= 500 ft2 2. Square foot per perforation=Rock Bed Area/number of perfs(6) 500.0 ft2 / 51 perfs = 9.8 ft2/perf 7. Determine required flow rate by multiplying the total number of perforations(6A)by flow per perforations(see figure E-6) 51 perfs x ( 0.74 Igpm/perfs= 37.7 gpm 8. If laterals are connected to header pipe as shown in Figure E-1,to select minimum required lateral _ diameter,enter figure E-4 with perforation spacing(2)and number of perforations per lateral(5). !Figure E-7:Monibld looted of End of System Select minimum diameter for perforated laterals= 2.0 inches 9. If perforated lateral system is attached to manifold pipe near the center,like Figure E-2,perforated lateral length(3) y . and number of perforations per lateral(5)will be approximately one half of that in step 8. Using these values,select minimum diameter for perforated lateral= 1.5 inches. I hereby certify that I have completed this work in accordance with all applicable ordinances, rules and laws. 4 (signature) 810 (license#) G jL,/ _ (date) Page 1 of 1 : PUMP SELECTION PROCEDURE All boxed rectangles must be entered,the rest will be calculated. 1. Determine pump capacity: A. Gravity Distribution 1.Minimum required discharge is 10 gpm 2.Maximum suggested discharge is 45 gpm For other establishments at least 10%greater than the water supply rate,but no faster than the rate at which effluent will flow out of the distribution device. B. Pressure Distribution-see pressure design worksheet soil treatment system &point of discharge gi Selected Pump Capacity: 38 gpm total pipe length w FF 2A.elevation inlet ; z ''--u =• difference 2. Determine head requirements: pipe ; ; 4 A. Elevation difference between pump and point of discharge. 12 feet fJ� .� ... B. Special head requirement?(See Figure-Special Head Requirements) 5 feet Special Head Requirements Gravity Distribution Oft C. Friction loss Pressure Distribution 5ft 1. Select pipe diameter 2 in 2. Enter Figure E-9 with gpm(1A or B)and pipe diameter(C1) Read friction loss in feet•er 100 feet from Figure E-9 E-9 Friction Loss in Plastic Pipe Friction loss= 2.64 ft/100 ft of pipe per 100 ft nominal 3.Determine total pipe length from pump discharge to soil system discharge point. Flow Rate pipe diameter Estimate by adding 25 percent to pipe length for fitting loss. gpm 1.5" 2.0" 3" Equivalent pi•- length times 1.25=total pipe length 20 2.47 0.73 0.11 75 ft x 1.25= 93.75 feet 25 3.73 1.11 0.16 30 5.23 1.55 0.23 4.Calculate total friction loss by multiplying friction loss(C2) 35 6.96 2.06 0.3 by the equivalent pipe length(C3)and divide by 100. 40 8.91 2.64 0.39 FL= 2.64 ft/100ft X 93.75 ft / 100= 2.5 feet 45 11.07 3.28 0.48 50 13.46 3.99 0.58 D. Total head requirement is the sum of elevation difference(A),special 55 4.76 0.7 head requirements(B),and total friction loss(C4). 60 5.6 0.82 12 ft + 5 ft + 3.0 ft 65 6.48 0.95 70 7.44 1.09 Total.Head: 20.0 feet 3. Pump Selection 1.A pump must be selected to deliver at least 38 gpm(1A or B) with at least 20.0 feet of total head(2D). I hereby certify that I have completed this work in accordance with all applicable ordinances,rules and laws. (signature) 810 (license#) `77,/,7 (date) Page 1 of 1 Logs of Soil Borings License#810 Location or Project: 585 Orchard Park Road Borings made by: Rusty Olson's Soil and Perc testing 4/20/2005 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_94.2_ Mottled Soil at_1.8_feet 0"14"Dark brown loam 10yr3/2 H2O present at X_ 14"-22"Rusty brown clay loam 10yr4/4 22"-30"Rusty brown clay loam 10yr5/4 Boring Number 2_Surface elevation_92.7_ Mottled Soil at 2.0_feet 0-18"Dark brown loam 10yr3/2 H2O present at X 18"-24"Brown clay loam 10yr4/4 24"-30"Rusty brown clay loam 10yr5/4 Boring Number_3_Surface Elevation 94.2 Mottled Soil at 1.6_feet 0-14" Dark brown loam 10yr3/2 H2O present at X 14"-20"Brown clay loam 10yr4/4 20"-30"Rusty brown clay loam 10yr5/4 Percolation Test Data Sheet Lic.#810 Percolation test readings made by: Rusty Olson's Perc. starting at 12:22 P.M. On 04/21/05 Location: 585 Orchard Park Road Hole number: 1 Date hole was prepared: 04/20/05 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 04/20/05 At 11:30 A.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 H2O Perc Rate 12:32 12:42 6" 2.7 3.7 12:45 12:55 6" 2.6 3.8 12:56 1:06 6" 2.5 3.9 AVERAGE PERC. RATE 3.8 MPI Percolation Test Data Sheet Lic.#810 Percolation test readings made by: Rusty Olson's Perc. starting at 12:22 P.M. On 04/21/05 Location: 585 Orchard Park Road Hole number: 2 Date hole was prepared: 04/20/05 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 04/20/05 At 11:30 A.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 H2O Perc Rate 12:33 12:43 6" 5.2 1.9 12:44 12:54 6" 5 2 12:57 1:07 6" 4.8 2.1 AVERAGE PERC. RATE 2 MPI ,? Se-, awl t�1 .2- ) DATE TIME V CITY OF ORONO CALLED IN 2/&lo5 INSPECTION NO ICES -7 SCHEDULED 9/7//. S �•CO PERMIT NO. ,i4 ) 77/2 COMPLETED q-g1�OS ADDRESS n5" ,r,,,,./.7,-,„, /mak. Rid OWNER CONTR. TELEPHONE NO. /o2 7 L' - gsnO A 4'7i DESCRIPTION (RA_- Y W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING cz Lt. 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS fa/ Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ct IL 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cr W a j o U00 G-f1 1 o j.T bp /l..J /`� cc ° 11-2 H P 6-00 )0 Pcd.4-‘ p W cc Q c„, £A1 s r 17-ox) A+ 4o - s'- C l w in -1-b �f � 'p A,--c" cc Puc . SCi •io a Wu KWORK SATISFACTORY:PROCEED ElPROJECT COMPLETE W ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q IICORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. W& 6 GS White Copy/inspector's File Canary Copy/Site Notice