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3500 Dodd Rd - Septic System As-Builts 2015-04-08 , � �3� • - � �-� � � OSTP Design Summary Worksheet � jJNIVERSITY r�``� Minnesata PoIluLion �+.s.zs pF MiNNESQTA � �ontrol Agency '�`�' Property OwneNClient: n Site Address: ��� � � 1. AVERAGE DESiGN FIOW: A. Uesign Flow: j � Galtons Per Ddy(GPD) Note: The estimated design f(ow is mnsidered a peak jtow rate including u safety joctor.For long term rformance,the nverage doiiy ftow is recommended to be< B. Septic Tnnk capacity: Cs=��Galtons b09b oj this vntue.�.,f'��-��,f�� e, Number of Septic'Tanks or CompQrtments: �� fffiuent Screen&Alarm? /�/J Type oF Soil Treatment and Dispersai Area* Type of Distribution* Q Trend�a Q Bed �MOUnd Q At-Grade Q Gravity Dish�bution Q Pressu�e D�fibution-Level (�Pressuro Distrilwtion-Unlevel Q Drip Dis6�ibution �M1�-HoW�uj Tanks Oniy "Selection Required Benchmark Elev= ft System Type Benchmark Lxation: � �SYPe I ❑Type 1! �Type!II �Type IV 0 Type u Type of Dfstribution Media: 2. StTE EYALUATION: A. Depth to Limitin�Layer: �inches �ft Elevation ofi Limiting Layer. � B. Mevsured Percertt tand 5(ope: �% 0.0 C. Soit Texture: � ���� ��� Percolation Rate: ��/�Ainutes{�r Inch D. Soil Hydrautic Loadin�Rate: �GPD/ft2 E.Contour Loading Rate ��Gai/fL 3. DESlGN SUMMARY Trench Design Summary Absorption Area �ft2 Sidewa[t Depth �9n Trench Width ��n Totat Lineat Feet �_�fc Number of Trenches � Maximum Trench Depth ��in Designer's�+lax Trench Depth in Bed Design Summary Absorption Area ��ftz Media Betow Pipe ��in Bed Length ��ft Bed Width �ft Maximum Bed Depth �in Designer's Max Bed Depth ��9� Mound Design Summary Absorption Area �� {}� Bed L.ength �{� 8ed Width � /�t �ft —LLL Absorption Width �__5��._!ft Ctean Sand Lift �ft Berm Width (slope 0-1°!0) �ft Upsiope Berm Widfh ���� Downslope Berm Width �ft Endslope Berm Width �ft Total System Length �� ft Totaf System�dth f� At-Grede Qesign Summary Absorption Bed Widch ��{� Absorption Bed Length ��ft System Height ��ft Absorption Bed Area �ft2 Upslope Berm Width �{� Downsiope Berm Width �{� Endslope Berm Width �{� System Length � � w�� r �� �� �j�1�M���ll�rr�� Eagan BuU�ng b�speettans Otvision �$T� DC'Si�R SLl�1t'11dY')/ wO['kS�"'1E.'G'� Y UNIVERSITY : Minnesoxa Poilntion �y-a�s �F�I1�NESOTA � �,�<��r Controi dgen[y Pressure Dist�ibution Summary r� FerforaEion Spacin� [��ft Perforation Diameter ��in No.of Pe�forated LateraFs L � Laterat Diameter j/ in SuPptY PiPe Qiameter'---�c—'�� Minimum Dose Vatume Ftow Rate �GPM Tocat Head i�ft Maximum Dose Volume E�J L__sZ�.L--� • t 7081.0130 Fiow and V1laste Concentration t�etermination for - Otfier Estabiishments. Subpart 1.Method.Design flows for other establishments are determined by methods in item A or B. . , _ ___.__ _ _ A. The design flow of sewage for MSTS serving other establishments is estimated using Tabie I. . - . . . . . � . .._ { (g} Dance hall person 6 (h) Healtll club/gym meml�er 35 ,k J'r(� = f��� G Fj� -. (a) Pui�lie lat>atory user 5 � >!5(� =- �f��'a�� (b) Public shoc,�er � sho�ver taken 11 _--- __ -------_ -- Unless otherwise noted in Table I,the flow values e�o�Zat include ,��r=n O�✓ �" flows generated b57 employees.A flo��value of 15 gallons per T employee per eight-hour shift must be added to the flow amount. Y Design flow determination for establishments not listed in Table I '°" " shall be determined by the best available information and approved / c by the local unit of government. ---�d� r ' � The measured design flow of sewage for MSTS serving other ���-���'1 ' ¢ establishments is determinP�?b��avera�ng the measured L�821�i�OWS fOT d�011�"�"�1`ll ti� S!�V2T7-C��1e'�2TIOC; 1TL Which the h establishment is at n�axil�iunl rapaci#y or use.�/�;�.:�' :3%IdNr� "'''�'��� �S.'a.,. .3�.;;%�€�-' �t':w �... :`i!..,..,. .., ". _��.,;:' .� . ._. ?Y?G��t'. �YCJ6'3� Q;�v- 3 , � . ,. ,�..'... , ; �,f - . _, � ,: . ` . �: s.',s"� ,.u��� >:��.�.�° >. ...�-;� ....::� ��.:arvc.3i.� C,.�e�P9tA�#�, 1�€'!iS I�t3#'s�€!'$t� �3�5 � �C���� {�� J�g��� �f£�4„��!"� ���� 9��#�ich w� �ecup� 13;��Q sq ;��t. �ile are bi6��d �ased o�a�r s�uare �os��age, r�e�t ac�u�i us���. .__ __ . --__ -- ___.__. _ _ T#��,��o� i��°a� ��3,fl�JJ g�I�c�r§� �sc-ci, ���� �����:� i����;�c ��.;;; ."`� _��, _ �f��_, . � a��� ,c �5� �Et4�s ��r ���<. '�� ��----- t?.�t/ _.. (,�j 5 �G!�� _ __ F/t�u� LJc-s - -•v 1�.�..sc� _. �"l' tS'%�o���,• .�.�,- /%Gff�U - S�.�U GP� — � ?an�.c.. >� ��I G�'U I h2reby Ceftify thdt I hdve compteted this work in accordance with alt applicabte ordinances,rutes and iaws. G - ���� — v (Designer3� t ignature�� (License f�) {Date) QSTP Design Summary Worksheet U�i�'ERSITY Minnesata Pollution QF tti11NNESOTA ��_�.W-- Controt Agency Mound Design Summary AbSOrption Bed Area�//]�!'}�ft2 62d L2flSth D(J ft Bed Width(-__�ft t_ �sr�=]1.c_J Absarption Width�ft tlean Sand Lift��fit Berm W�dth {0-t%} � Upsiope 8erm Width�ft Qownstope Serm Width L,_._./.s�-�f t Endslope Berm Width � (�f y� TatafSystem Widch � � ft Contour Loading Rate gatJft 'fotat System length`—�'L—f--'ft At-farade D�si�n Summary Abso tion Bed Len th��ft System Height�]ft Absorption Bed Width��ft rP � Contour Loading Rate�—��aUR Upslope Berm Width�ft Downstope Berm�'`19dthC�ft Endstope 6erm Width�—�ft System Lengtit��f[ System W�dth��ft Leve[tt Equa[Pressure DistribuHon Summary No.of Rerforated lateratsC� Perforation Spacing��ft Perforation Diameter�in Lateral Diameter�in Min.Detivered Yotume��gal Maximum Delivered Volume���at Non-Level and Unequal Pressure Distribution Summary Elevation Pipe Votume Pipe Lengih Pertoratson Size (fty Pipe Size(in} (gaUft) (ft} (in) Spacing(ft) SpaCing(in) Minimum Detivered Votume Lateratl gal Laterat 2 Laterat 3 Maximum Detivered Volume Laterai 4 ��al Laterat 5 Laterat 6 g, AddiNona!info for TyQe IV/Pretreatment Design A, Cokutate the organic loading 1. Organic Loading to Prerreatment Unit =Design Ftow X Estimated BOD in mg/l in the efftuent X$.35 a 7:000>000 gPd X �m,gi[.x s.35�i,000,oaa= �Lbs BdDlday 2. Type of Pretreatment Un�t Beir�instaited: 3. Catculate Soi!Treatment System Organic Loading: BOD cancentrntion after pretreotment x Bottom Area =lbs/day/ft2 mg/L X 8.35�1,000,0�0 : �ftZ= ��Jday1#c2 Gommentsl5pecial Design Cansiderations: !hereby certify that i have compteted this work in an ' atl applicable ordrnances,rutes and taws. � ��� /�6�� '-G License#) (Date) (Desi ner) (Signa ure) t � �,.� � � � j ; � � � � � � ; z i � � �`� � a�, � � � f s ' ; � =��; � � � ; �v '', � � I •J � � ,— � <.., , ; � ; � � t � � � � p � � j � o i � � � � i v � � � � \E � � � ��. ._ � � ' j � '� �. .. � � � • i , . � � � : � . f G� � (�`� i : --\ ---- E— - -- i� �L � .�_ _ . .�__ � •� � '.. � � (`� --,` � r ' �� � i .�+ � � � a � �,, �} t ` � '°��l..: a �3 -�' L � �=i � i � Q �. r����,, s+ � � /�i- �.;. � `� �j � ��;�� t I � Y a.+ � � \ � � � � �� V � i � y`„'`- "'l`(�; � � _ � iGf 1 � � (�� ': i � t , , i � > i ,„ia � � \-. 6 al I � � � ` : _ ' � ; ; ��. . � . w . � ._... �_.. _ � —y._ _ � � t � p, .a+ tU _ -- , •��, Q � � � � a a i � -y Lt. '� � �� � � �. � fl' i � � W � � �� c R � � + ; � � . t ! O � - � °' ° v�, ; J �:. �' i ' � , a � � � '� � ' ; � � � t � i _. .1� a � � �, -- - -;- __ - T-- - � y - - � s = .� � J � � ` ` � a C � p_ Q s„ �) p '- '. � � o a ° ` �� �.+ � � N � � ' O y � � + � � � ( 3 _ O�. •� (�, o, ---- — Cj i"— � v � o ' � w � N � f1 N ' �_'--- K � � o LL � s � � i � ! � 1 � Y � � � � L � o , � ; , o �1 ; j a i ��y�p y � � � i � + f � f �( f , � WB C N � � ` � ' �� 4 — ]y , � .�s`�:—_ � —. � -�-- ---- � � � .� — j , � � � � � , � v � , ; /� � aYi 7 i �' p .�j - i 7� ❑ m � � � ; � � O `��' � � �' \ � � U O � ❑ E v '� " c; ; i � �� � � � � , �` �� +�-' �� � � {� p � � o t ��tJ. '. f g � � � t `�' -g � �` - - - N , � _ � � � , t x , �t { � , _ � �. � _— — -�-— — — L o � ; ° � � `n ; ��„ , : � ' i �� � y � � L � �� ; v► s �, � .� i � .�, �.' � �! � J � �:;•g; .�\ � .�4 �;��: � � � � �. � � }' �+ � � � � " a ?�k �i �� � � r � J � � v ��1 � � g � �� �; � j � �? � �c Ny \ �? �S3 �. ' i � - � ; � Y ` �a ; . V1 Y � — _ . � Y � � � -.� _r R1 Rf 4 V � 3 • v 0 R ��� 3 ' � � V � 0 � � � � � � � � i ; � � � N � p � i __ _.— ; - � _._ — -- __ - `" � = C E o v � *�c � , ° � '����. ��p[� �i �~ • 4 •^ � 1A V � '4d L � �'.��� �� RS 3 V V'� `�i ��� � � � w v '�'� � V X a �. r � Q � � = 0 X � �� � � ` ` 'C � '`� O ` � � `�a • ..�� i � F- < �( �� �I i . � � � � � . Cf�C in '-'�'�^� �k �. � G � � .., C -�--�----�— � '� d E a � c o - � - _ ��--- � o ;- � _ __. � tj = Q o u '6 c � �; �.i: v u v �.,y�; �ry;� `�� 'j°' � � � � � � � � � � (��. �: � � � � � ' ^% C�` � , . i � ' � V a, � w, � � a �; r; � : `� � � � � �� � �' O� ; o o a > � o Q �j � �-' c`� � `� o ° �i c;4 c`�i ; � � �� �NIVERSIT� - �.� �. ' €Utinnesota Polfation ����h��� � °� � 5�� � OF NIINNESOTA. �""' Contrc�l Agency �£'*X y�r 7. SYSTEM S3Z1NG: Project [D: v 05,93.14 A. Design Flow : f�Q� �PQ ���L� ��� LaADiNG RAi'ES FOR DETERA14NfNG HOTTOM A654RPTtON AREA B. Soi! Loading Rate: D, �j GPU��F�z AND ASSORPTIOl4 RATiOS UStDIU P£RCOLA'fl�Id TE5TS Treatmenilevei C Treatmenf Leve!A,�1•2,S, C. Depth to Limiting Condition: �ft ����o� as5o,��;o� � Perc9tation Rate Nound Nnund � ttrea Loading Area Loeding (tAPt) Rete ADwrption Rate Absarptian �}. Percent Land Stope: �^ �_I� �. (gPd/ft`1 Ratio (SPd�=) Raria E. Qesign Media Loadin�Rate: L1'4��GPD/ft2 "�` - , . ' �� o,s�._ i.a a �.s � �. Mound Absorption Ratio: � �'��=������'� o.b z , �_s ��� s����3�. 3t?��� i �.J?04j �.78 '{.D � �.s #,i�3��v°��L���d�='_31.�� ���1�e=;�piE.: ,�•'.r"i��`ls: i5.o^0 0.6 ? 0.78 2 t�;':��, }' 3':� _ 0.5 2.4 D.78 Z F4�.��'..#�� �'.fL�..�� l3'^��'V_'''v ." `� `� ��:�t�:^� _tflc'. 0_d5 2.6 0.6 2.6 ��i�a. ���a r��x�Ci�.l� �� C.. �t�r;,���i1� •-� . � �5���. �- o*�� - 5 Q.3 5.3 .2D - - - - _F��f17.'�.� i.�'1 t_:;. _,!�. ...-i_ ?. � _�: �j ;�{1 E_}�,� ;y:� � S, , r 3� *Systems with these vatues are not Type I systems. , Cantour Loadin�Rate (Cinear ioading rate) is a , ,�c�•„-��` _.��. � _�. recommendett value. 2. DISPERSAL MED1A S1ZtNG A. Catcutate Qispersal Sed Area: Design Flow (1.A} : Design Media Loading Rate (1.E} =ft2 I o2� GPD � /t �. GPDIftZ = IC�UV ft2 If a targer dispersal media area is desired, enter size:�_____�.lft2 B. Enter Dispersat Bed Width: �(� ft Can not exceed 1(1 feet. G. Catcutate Contaur Loading Rate: Bed Width (2.Bj X i?esign Media Loading Rate (9.E) �(J ft2 X /, �, GPDJftz = /� gaVft Cctn no£exceed Table 1 D. Calcutate Minimum Dispersa! Bed Length: Dispersat Bed Area (2.A) :8ed Width {2.B} = 8ed Length �U(�(� ftZ - �_�ft =��!..�ft 3. ABSt}RPTlON A�tEA SIZIPIG A. Catculate Absorption Width: Bed Width (Z.B}X Maund Abserption Ratio (1.F) =Absorption Width /� ft X �� _ �„C} ft 8. For slopes from 0 to 1�, the Absarpiion Width is measured from the bed equally in both directions. Absorption Width Beyond the Bed: Absarption Width (3.A) - 8ed Width (2.B}=2=Width beyond Bed (��ft - /(� ft) - 2 = ���ft . QlSTRtBUTiCI�i i+AEDfA; ROCK �. Media Votume: Media Depth below and abave pipe K Length X Width �ft X��f� X ��ft= C--� ft3 = 27 = �Yd3 5. DiST€21BUTiON MEDlA: RE�lSTEFtE6}TREATM�N'T PR�DUCTS: CF4AAABfRS AND EZFLOW A. Enter DispersalAAedia: �. Enter the Componenfi: Len�th: �ft Width: �ft Depth:��ft C. Number of Companents per Row= Bed Length divided by Companent Len�th (Round upj � ft - �� ft= ��components>row D. Actual Bed Length = Number of Components/row X Component Length: L__Jcom�onents X ��t = �ft E. Number of Rows =Bed Wicith divided by Component Width �� ft' � ft �� rows Adjust width so this is an whole number. F. Tofiat Number of Companents= Number ofi Components per�aw X Number of Rows 1_.__J X �� ��components 6. MOUtdQ SIZING A. Catculate Ctean Sand Lift: 3 feet rninus Depth�o Limitin�Condition =Clean 5and Lift (1 ft minimumj 3.0 ft - L_�ft =�ft Design Sand Lift {optionat): ��ft B. Upslope PAound Height=Ctean Sand Lift + Depth of Media + Depth of Cover (1 ft) L_!� �� + L!.1 �� + 1.Q �t = �ft C. Berm Width = Upslope Mound Height {4.B}X�4 (4 is recommended, but coutd be 3-12) � ftX � ft = �ft D. Totat �andscape Width= Berm Wit{th + Dispersal Bed Width+ Berm Width L_.L�_1 �� + L�� f t � �/� ft = i__��'_L�1ft E. Additional Serm Width necessary for absorption - Absorption Width -Totat Landscape Width ���,—r. 1 �� _ ��J��t =�ft if number zs negative (<O), value is ZERO , � i �.�.[..._� �'. Final Berrn Width=Addit�onat 8erm Width + Berm Width ��ft + ,�... �t = /� �t G. Total Mound Width = Fina!Berm Width + Dispersal Bed VJidth + Finat Berm Width L�1¢� }(�-1 f� +�—!�---�ft =�ft !i. Total Mound Length = Finat Berm Width + Dispersai Bed Len�th + Final Berm Width l�- �� + /vU t� -� I�2 ft = /� �t 3. Setbacks from the Bed: Absorption Width - Dispersat Bed Width divided by 2 {t��J �t - �C� ? I 2 = �f� 7'. Mt3UND DIMENSIONS --�. .�. __,..�. ..,_.:�,_� ,�....�..,p.�..q� .� E ,••' � ��` � ; � � � j �.�_n.,.._�...._._.„_.<.......�._..,._�.__.._., � � � -__.____....__.. ._..._� _.Yf�� � Upslope � ; � . 7 � +` � `••i � 3 ,..._..._._. _...____ ..... _ . _.._...#--_.._ ,...__..._ _._.._.., ,. .�.._.,_... � 1 i s � 1 ` t � f _�;�. Endsl',�ope�= Dispersal Bed �. Enc�;slop� I. � � � ; � �� � � � � � lU � � �lY� �l� � � ; �_.._.__ ... m._ _ ,,�. . .���_�� m ________ __________- ; o , � . 3 � � ; � � I� �' �, ' i ----.------d---.------ - i_____________----____ t-� � i � � � /� t DOWt1S�f)�2 � � ' 1 '1 �U��� MOU11f� �.QClg��'1 4° It'1SjJJGC�tQt'i �1(�� �.8" cav�r an �top ._.�� � ,�.�.�.� Upslape berm Downsiope berm ��� o --,. - --�-_�. s._�.,. ,_.N..._.y.,�,..� - -,.__ : . .._ ,� _ � F-' �U' -�'� _ �"�v e �"�4 ..,. .....�_.. ..,...._,..._.Y. ...e � ���4_. . ��� � �' ClEaF1 SBIi�1!ft (6.i�) ` z,' � ��" ��....'.,�r'� �� ---- ---' -�` °��:"-,-_ t� ` Depth to Limiting Limiting ondition _....._ ._.,v.__.�. . . _. _.. _._ .._�..__r_._.._.�_ ___._.._._ . ___ ._ ,.___.._ ____._. ---___.__.._.__._.___�_. .��,._....�r_..0_._� << ��� Absarption Width Comments: OSTP Pressure Distr�but�on ���. � _., " : . UNIVERSITY � �,..��,,� Minnesota Pollution Des��n Worksheet oF j�/j�NNESt?TA � � �=����.'��` Controt Agency Project ID: v 05.13.14 9. Media Bed Width: C�S�_lft Z. Minimum Number of Laterals in system/zane= Rounded up number of [(Media Bed Width -a) : 3] + 1. (�� -4 } + 1 = ��laterals Does not app(y to at-grades 3. Designer Setected Number of Laterats: ��taterals CQnnot be tess than(ine 2 taccept in vt-Qrades) _ - �"��� 4. Select Perforotion Spacing: ��ft Y h ��x W �} 1 � 1 Il' 5. Setect Perforation Diumeter Size: ,� 1' �n _ ;� r _ n,�. b. Length of Latera(s =Media Bed Length - 2 Feet. �(J('J - 2ft = �___EL�ft Perforation can nor be closer then �foot from edge. � Determine the Number of Perforation Spaces. Divide the Length of Zaterats by the Perforotion Spacing and round down to the nearest whote number. Number of Perforation Spaces �-�,1__!ft - [��ft = C .?� 1Spa�es Number of Perforations per Lateral is equat to 1.0 plus the Number of Perforation Spaces. Check table 8, below to verify the number of perforations per lateral guarantees less than a 10%discha�ge variation. The value is doubte with a center manifald. Perforations Per Laterot =C__��Spaces + 1 = �--��Perfs. Per Laterat Ma�t�n�l�t of f�etf�a�s Pe�r�iter�t tra t�ara�e�*�#�6 i}ascts�Va�iatio� , �,�Ert�n P.: �ai��s 7?32 i�e�,P��i�radc+�s Fe�f�rat�an Sparng�F�ti �{{re Q�a�er�l�t�;� Ferf�rati�Spa�i� F�}��a�t�r��nc�s} 3 1�: 3?2 2 3 rFee�:1 i i� 9t^, Z 3 2 �Q i3 i� � 6#� 2 11 16 �� 3� � 2+: � !� 1� 2� �� �� ��? 1# 2t? 3i b� � � 12 1b �� 5� 3 9 ��F f9 ' 34 b{1 3`td fr�ch Pe�ri�ra�i€�rs 13'$(r�ch F"�forat�rs P':�[�a�t�4f�he3� P�esf�r�titr�Sp�ir� Pi{�€�.��r t�►�ches$ Pe�ir,s�at��S�ar.ng IFe�t1 t i?� 9� "t 3 i��i} t S`� t�': � 3 2 1� i8' �b �s �7 2 Z� 3� �4 ;�4 1�� �F� i� 1� 2� � 84 �&'= 2t� 3t? �t 6� t35 � i2 9� 2� �7 7� 3 2� �9 ` 38 � �� 9• Totat Number of Perforntions equals the Mumber of Perfarations per Laterat multiptied by the Number of PerforQted Lcrterots. � `�..,� �Perf. Per Lat. X �Number of Perf. Lat. _ �Totat Number of Perf. 70. Select Type of Manifotd Connection (End or Center): ❑ End ❑ Center 11. Se(ec�Latercrl Diameter(See Tabte): �% in . �STP Pressur� �istrabt�ti�n �� �' o �NiVfiRSITY �; � _� MinnesotaPoflutinr� ��S��� ���'"�(����'� OF �INNESOTA � `�'`''=�' Controt Agensy 12. Calculate the Square Feet per Perforation. Recommended vcrtue is 4-11 ft2 per perforation. Dees not r�pp(y to Af-Grades a. 8ed Area = Bed Width (ft)X Bed Length {ft} �ft X /�U ft = f��� �tz b, Square Foot per Perforation = Sed Area divided by the Total Number of Perforations. /��1 ft2 .- ���J �perforatians _ J(� ft2/perforations L!=L_.J 13. Setect Minimum AverQ�e Her�d:L�,�.Jft 14. Select Perforation aischarge (GPM} based on Table�,�/�T 19� , ��GPM per Perforation 15. Determine required Ftow Rate by multiplying the Totat Number of Perfs. by the Perfaratian Dischar�e. [___��Perfs X J 5!// GPM per Perforatian= �� GPM 96. Yotume of Li�uid Per Faot of�isCribution Piping(Tabte 11): ,, �f� Gattons/f� 17. Yotume of�istribution Piping = (---Tabie ti�-- _ [Numbe�Qf Perforated Laterals X Length of Laterals X (Volume of j �a����a'��-���a�'� liquid Per Foot af Distributian Piping� �`p� Pipe t iqcsid �� X �__� ft iC �f (,�' gatJft =�___��Gallons j Diameter Per�o�t {inch�5) (Gdt3on5) 18. 1V�inimum Detivered Votume=Volume of Distribution Piping X 4 C '� �-�`�5 1.25 O.o7$ �.��gats X 4 = lc.�� Gallons 1.5 0.Z 90 2 0.970 manito a p�pe� L,..r_ t).3$O � i � C3.b69 � ---- — - ! -C�Caf7oU45 "� — � p� i e firom pump " � �✓"a tLtar�iiofd pipe� � lean ouu � �„s' - ___ aiternate iocation _ of i E fEOm um `Aitemate laation o#pipe irom pump Fi e itom mp Comments/Special Uesign Consideratir�ns: Per(�ation Uisct�uqe tGPM) Perforation Diameter Head tt` �4 � 1 j,g 3/tb 7�32 � 1.0' 0.18 4.4t 0.56 0.74 1.5 4.Z2 0.5! O.b9 4.9 ZOe 0.26 0.59 0.� 1.04 2.5 0.29 0.65 4.89 1.97 3.Q 0.32 OJ2 0.98 1.28 0.31 0.83 1.13 1.47 5.0` 4.41 0.93 1.36 1.65 t foot n�s with 3Jt6 inch to it4 i�ch perforatmns Dwettin�s with 118 inch perforatio� 2 feet Other establ'uhments and N�STS with 3/16 i�h to t!4 inch perforations 5 f eet �her estabtishments and MSTS with l i8 inch erforatians OSTP Basic Pump Selection Desi�n , ��, �: Minnesota Potlution Worksheet UNIVERSITY Controi A ency OF MINNESOTA �:p , .,�,,�,;,. 1. PUMP GAPACITY Project ID; Pumping to Gravity or Pressure Distribution: � Gravity �rressure Selection required 1. If pumping to gravity enter the galton per minute of the pump: �GPM (f0-45 gpm) 1. !f pumping to a pressurized distribution system: t�L"j GPM 3. Enter pump description: 2. HEADREQUIREAAENTS &�r�nla������ A. Elevation Difference ��ft �„r,.o between um and s"`�,YC�� p p point of discharge: 1 t p�pe � Elevatiai:''' 6, Distribution Head Loss: ��ft e�r��,�M� �� � ... �,: v,.- . � �. Additional Head Loss: ��ft ta�e co�ciat ec�,�p,nenc,etc.> -----------------°°-------- -------------� Tabte I.Friction tass in Ptastic Pipe per 100ft Distribution Head Loss Flovr Rate Pipe Diamet�r(inches} Gravity Distribution = Oft {GPM► � 1 N� 1.25 1.5��� 2� Pressure Distribution based on Mirtimum Average Head 1p � 9.1 � 3.1� 1.3 3 0.3 Value on Pressure Distribution Worksheet: �2 = 12.8 �}.3 1.8 � 0.4 Minimum Avera e Head Distribution Head Loss �.} ; 17,p SJ Z.4 � �.b 9ft Sft � . 2ft �ft �� i 21.8 7.3 3.fl ( 0.7 78 � 9.3 3.8 � 0.9 Sft � �Oft �Q � 71.1 4.6 � 1.1 � 25 1b.8 J 6.9� j 3.7 D. 1.Suppty Pipe Diameter: L�Jin 30 23.5 I 9.7 � 2.4 35 � 12.9 = 3.2 2.Supply Pipe Length: �j3f`}�ft 40 16.5 j 4.1 �.�..y i E. Friction Loss in Plasttc Pipe per 100ft from Table 1: 45 $ 20.5 � 5.0 50 ; � b.i Friction Loss= � [.,c j �ft per 100ft of pipe 55 ; 7.3 �-°--L'-�-1 60 � $.6 F, Determine Equivatent Pipe Length from pump discha�rge to soil dispersal area d'ucharge 65 � �p p rg point. Estimate by adding 25%to supply pipe Eength for fitting loss. Supply Pipe Lenqth �Q � i �.� � (D.Z) X 1.25=Equivalent Pipe Length 75 ' t �3.� 85 j � 16.4 �(,� ft X 1.25 = �ft q5 � { 20.i 1 G. Calcufate Supply Friction Loss by multiptying Friction Loss Per t00ft (Line E)by the Equ►mtent Pipe Lenyth (Line F)and divide by 100. Suppty Friction Loss= �ft per f00ft X �a,,� ft + 100 = L��ft _�_��__, H• Tota(Head requiremeot is the sum of the E(evation Difference (Line A),the Distribution Head Loss(Line B),Additional Head Loss{Line Cy,a�d the Suppty Frtction Coss{Line G) �ft } �`�✓Jft + 1-�ft + L��ft � ��ft 3. PUMP SELECTION ', A pump must be setected to deliver at least GPM(Line 1 or Line 2)with at teast ` feet of totat head. Comments: �. . OSTP Pump Tank Uy���ERS�r� � Mionesata Pallu[ion ' ` �,.'�_.�;"�� Controi Agency Design WQrksheet (}F iVII V�J ESOTA - DETERMiNE TANK GAPACt7Y AN�DIMENSfONS Project ID: v OS.t3.14 1. A. Design Flow{Des;qn Surn 9A): [__L�L��GPD I 8. Min,required pump tank capacity: �Gat GRecommended pump tank capacity: �Gal � D. Pump tank description: jy � MEASURED TANK CAPAtiTY(existi�g tanks); 2. A, Rectangie area=Length(L}X Width(W) ��� 1�.�ft X �� ft = t�.J�tZ B. Circle area=3.14r�(3.7A X radius X rediusj 3.14 X ��2 ft � ��ft2 Length C. Catcutate Gattons Pet tnch. Muttipty the area from 4.A or t.B, by 7.5 Lo determine the gattons per foot the iank hotds and divide by 12 io catcutate the ga[lons per inch. �—� ft� X 7.5 getlft' =12 in/ft = �Gattons per inch Radiu D. Catculate Totot Tank Ya[ume Depth from bottom of inlet pipe to Cank bottom: �i� Totof Tank Yofume=Depth from bottom of inlet pipe (Line 4.A}X Gof(ons/Irrch (tine 2) � in X L_._1Galtons Per irtch= �Gattons MANUFAGTURER'S SPECtFlfD TANK tAPAtITY(when availatrle): 3. A. Tank Manufacturer �;�,v — Note:Design caicutatfans are based on th9sspectftc Ccnk.Su6stltuting a B. Tank Modet: �' � dtf(erent[enk modet wi!!chvnge the C. Capaciry from manufac[urer: �� Gatlons P,designe ff th�es are netessory.�f D. Gatlons per inch from manufatturer; C_r�`��.1JGaltons per inch E. Uquid depth of tank fram manufacturer. C�inches QETERMINE�OSING VOLUMf 4- Catculate Volume to Cover Pnmp(The intet of the pump must be at(east 4-inches from the bottom of the pump tank Ec 2 inches of water covering the pump is recommended) (Pump and btak height+2 inches)X Gailom Per Inch (ZG or 3E) (� in + 2 inches) X ��1�.JGattons Per Inch = L�JGallons 5. Minimum DeCivered Voiume = 4 X Yolume of Distribution P[ping: -Une i7 oj the P�essure Distdkution or Line i i of Non-levet �!�.�Gat[ons(minimum dose) 6. Calcutate Moximum Pumpout Volume {25%of Design Flow) Design Ftow: ��� GPD X 0.25 = C ,,��Gaitorn(maximum dose) 7. Select a pumpout voturrie that meets both Mtnimum ond Maximum: �Gatlons s. taicuiate aoses aer aay=oes;�,r�ow:Detivered YoEume Volume of Liquid in �.C�tZtL�J��' OU sa! _ ��l�°°s� Pipe 9. Cattulate Drainback: A. DimneterojSupFlyPtpe= �inches p�Pe �1t�Ult) 6. Length of Suppty Pipe= ,,�(,� feet �dri12�EC Per Faot {inches� (Gallons) C. Yolume of Liquid Perlineat FooE of Pipe= , 7� Gattons/ft ' Q Q,4r� D. Orainbock=tengfh of Suppty Pipe X Volume of Liquid Per Eineo!Foot oj Pipe 1.25 Q.078 �' (� ft X � /�(' gaVft = ��Gattons 9.5 U.990 10. Total Dasing Vo(ume=Defivered Yotume plus Orafnbock 2 4.�7� �!!,:�_I gat+E�gal= �Gatlons � U.38� 11. Minimum Alarm Yotume=Depth of alarm(2 or 3 inches}X gatlons per inch of cank � Q,(361 �in X ��gaUin = ��Gatlons ���_� � � OSTP Pump Tank �� � � Minnesota Poiluzion UNTVERSITY Controingency Desi�n Worksheet OF�INNESOTA "" "=`'�'� T1MER or DEMANO PIOAT SETTINGS Setect Timer ar Demand Dosirn�: O rmer �p�„d p� A. Timer Settings 12. Required Flow Rate: A. From Design(Line 12 of Premire Distribution or Line 10 of Non-Level*): �� �pp� B.Or catcutated:GPM=Change in Depth(in)x Gallons Per Irtch/Time Intervat in Minutes 'Note: This votue must �� � be adjusted afte� in X gat/in: �� min=� GPM instatiation bnsed on 13. Flow Rate from L9ne 12.A or 12.8 above. pump colibration. � GPM 14.Catculate TiMER ON setting; Total Dosfng Vofume/GPM L� �al� �'� �Pm� �Minuces ON 15.Catcutate TIMER OFF setting: Minutes Per Day(t440)1Doses Per Day-Minutes On 1440 min = (--�dp5e5lday - C�min = ��Minutes OFF i___! 16. Pump Off Ftoat-Measuring fram bottom of tank: Distance Yo set Pump Ojf F(oat=Gailons to Cover Pump /Gattoru Per lnch: �� $Al: �� gdVifl= �Inches 17. Atarm Float•Meawring from bottom of tank: Distarece to set Alarm Float=Tank Depth(4A)X '�%oj Tartk Depth �—� in X 0.90= �in B. DEMAND DQSE FLOAT SEfTiNGS 18. Calculate Floot Seporation Distance using Dosing Valume. Total�sing Volume/Gattons Per lnch '—�l----�$dl = �.s��U i �a!/in= C�inches 19• Meawring from battom of tank: A. Distonce to set Pump Of�f Flqat=Pump+(�(p�k height+1 inches `--�—� ��} �� �n ` C_�Inches B. Distante to set Pump On ftont=Distance to Set Pump-Ofj F(ont +Ftout Separation Distvnce C----L�._J ��+ �� �� ° �inche� C. Distvace to set Alnrm Floot=Distnnce to set Pump-On Float +Atamr(lepth (Z-3 inches) �--.�J �h+ �___� ��_ ��incnes FLOAT SETTINGS DEMAND DOSING TIMED DOSING :'.°� Inches for pose: �v in � — � (� i � Atarm Depth�"v,T 1� t Alarm Depth in Pump On�in ;� Pump Off 1/.�yn� } Pump Off �� .��� .� ; < < � � � _ Dakota County Properiy Infvnnation Page 1 of 2 � Coun�y Kome �� ���:� � �ll�� 1U- �5 S'C>(� -�-C.�53 �'� _�`��. �� �� �T��� ��r�p��y Ir���ar�r�at�tior� �ea��� � x ��� � � $ � ,��� � ^� ����,.. v;�.x f� � , �f�� �� � h� < ,��., �� � ��. � r$ �y ��� � ;� �� �� •� �.��` '� �°- � ffi �� � � � � � �. � � �s s $�`�� �1 � n �� ��% � � � � � ��� �� ;� �y � � ��� � �' � ��:�� ;� � ` �s � � '�"�� ' �'�� s��- �.� . � �,, � , �:t `�� � � : �� ' ��. _ ' �. `y' � �. 9 d ,«G���� �) ����'t �n � •�y.w � L', .�"��$'��,�' `� '` a � �.; ^�� � ,.,,� .s� �,� '+m�`� �,��` .. . . � �' � "� '�"" �"r� z .� �' -��a '� g .k��-�`� . . 3" � � '� `° � : f� � � ��'� .�,�' �.� �{��'� �' ����� � �`� �t--+ � �„ � �r � �� � �, �+ �� ,���� �f ,� � ` � Ed �,. ��S ������ ,� �� "�� �`� � +. ; ` � � � � ��"e���, '� "� 'G� � r � � � �`��"� ��' :� � � � � � '�� ,:. � +�+: � ���'�� �-�,� ' � � � tts ,�:' � �"� ;�s �`� � �; � �� �}, ^��� '� � ' ,� �,#: s�""`��' � "�`° �"� r �� . : �: � .- 3�+� �*���YN ���` � `�"�` ' `�ys'� ���s� � � � �`�"��� �` � � �..- �, �' ���� � �� � ,� T� -��_. ��� *v `� x` ���t ���� � � �� �f �„��� ��"�'� ' �� � �� �� � � ��•� �� � ,� �'� � � ���`; � ���.�� _ '. � �. ���`� ��� x � n ,� ,ti������, .� �xi��,c'�� ; � x, �� ��� � ��.�" . �� � ���� ��. � �"� . ��� '. >.� ' a'� .r.� e . t r��`�'�„, r ? ��' ,d.. ^.:a kt „�e e `F-� rz c :i�'�" f : . � "w",R�, :./ S'�" � y, z�`i?'��1��i � . . � �.-a{}t b� r^ ,.T�.�. p q�b�,`"�..�?,�°}r #'a:s �"�t�ti,% � � � t �� ��I� ��� Jf���}� ��� �.�m� �4 ��� ��� , � ���� k* � � t � � „� - ,, '._ � �; �, � � �'� ' 3�� . �� ��.: .� ,.. - � .. ���`; ��,� I �, � Y� ����� � � �'n :� :',�.. t�,a i . � � � .�F . � . �T��i�i � � �� . .� ���� r � � .. ,.,, _ �` �.�f�6�,�' � � - . _ . . � . �.'�,._ � �,.. �S�........� . . ..__ pI �..'..�.....S�z. . ����� � Ef � � � � l� � �� � ��f.7%l,C. `�� �� �� � � � http://gis2.co.dakota.mn.us/maps/property.htm 1 i/4/2014 - Dakota County Property Informatian Page l of 2 � "'.Cour�it�Nom� �; � �/C�� IU— ���t�C�, —�—��3 �� . m� �� , a . ��. � ��opert�r l��cr�°rrrat��ra Se�r°�h , ����" ��. ����� .� ��? ������ �' , �`' '���� �- � � ��._��� , '. <.� � .' �� �. �.� ��z �E � '� `4xi�n.- �.+' 3 �,'�: � �� 'i �., � , �,� qf�,. . �. � .s�• �� r� � � v �3 � ��,.- , � � �"`«x � � � <�.� � � ,� ��, � � � �s � ; ��� ,� ��� � � �: ���. � ���R ��s, � � � �:' �, � �, � ��� � - �:� �:� � �if� '� =: �t� ,�. �� � �: �-: � ��, �.' � � � � ���� ���� ��U�� �� �����t�� �� �� � ws� �` �,� .�' � � �.,�r '. .. �". �"' � '. , .� l� � '� �.�� �� � � � � �. � �. � � ���� »�., "�� � �� �� � � z ;�� � � �. �x �`: s.�^? . ..�. 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Rain sensors required on irrigation systems � Pg��TYp� • Avg.GPM (2"turbo required unless smaller size allowed by Public Works) � � Meters Cali(651)B75S646 to verity that tests passed prior tq_pickinfl u[�meter. � � � DomesUc:Size&Type Ftre: 1 � tt � ���n:$�� � Avg GPM�Y��,�HFgh ddna�n ,d devices? Yes�No ����Flushom�ters,Yes ��No ��^ � � COMMERCIAL FEES � LL� Contract Value$ (°����� x 01 � � $55.00 Permit Fee Minimum pO _$ q� Permit Fee � 7 � 'If contract value is LESS than$10,Q10,Surcharge=$5.OQ =$ 9 Surcharge' � � "*I#contract vatue is GRER7ER than$10,010,Surchar�ge=Contract Value x$O.Q005 � � '`*"!f the pr+�ect vatuation is over$1 miliion,please call for Surcharge =� TL�TAL FEE � � - „�,,��:,.��,.�-.�R,�.��. .���,��.s,�,�,�,���„s.:�..�,,..�,:��,�-.�...�,�,:.�„�..-,�-��,,.�����.�,,� ..����.,.�,<�..a � Following fees apply when instailing a new law�irrigation system $ Water Permit � � Contact the City's Er�gineering DepaRmeni,{651)675-5646,for required fee amounis. $ Treatmen#Plant � � $ Water Supply&Storage � �,,,�,�,.4��.�,,.����,.e>�,�^�,.�.,,.�„,�.�.,�,�„�.�.��� �� $ State Surcharge � � .�..�x�.. �.«�.>.�.,�� ._ �,b-�- „��.� � _._._ �.��,�...�.��.���������.�.�,.��.�.�..�..���. ��� _� aow ��v��� TO'fAL FEE��.� �ALL BEFORE YOU DiG. Call Gapher State One Cail at(651)45d-4002 for protection against underground udlity damage. 1 1 hereby acknowiedge that this ir�#ormation is complete and accurate;ifiat the work wili be in confarmance with the ordinanoes and cades ot the Ciky of Eagan; that I understand this is not a permft, but onfy an applicatiort for a permit, and work is not to start witMaut a permit;that the work wNi be in accordance with the approved pian in the case of work whicfi requires a review and approvai of pians. x —�� -�'(ns-sS.c� x AppfiaanYs Printed Name nYs Signature �t�R Q�FICE U5E . �pproved By: Ciate:"� ' ��' Required Inspec#ions: �Under Graund �ough-In �Air Test �Gas T�st �Fin�t PI2V Requtr�d:,,.,_ es,,,_No Met+er�ei�fed.ltems: M�eter Size Radio Read Manarr�eter Sta#f: Page 1 of 3 Use BLUE or BLACK Ink �----- --, � For Office Use = � . � Cit of a � ' ��� tt � � n � Pertnit#: � ll � �% i 3830 Pilot Knob Road � Permit Fee: � � Eagan MN 55122 I � Phone:(651)675-5675 i Date Received: � i Fax:(651)675-5694 � Staff: � I �����������������J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit finro(2)sets of plans with ail commercial applications. Date: Site Address: ��v �O�(�J�C Tenant:�Qy' ��A/'"Ya•. Suite#: �. ��������� Name: Phone: Address/City/Zip: �=f z: f ,; Name: " icense#: `' � ,�-�' 1' '� �� ��t�t'���3T ry Address:��?�s�� -'�� [s�e� CitY=l t � %�..���- State:�Zip:�s/�Z} Phone: �,S�.a-���-�3 7.�� f � � Contaet:cSC�45�f�atL�ra�� EmaiL�c.b� !�,r'rdcr�7-1�,�•3�Gt.�, .t;p�n-. New ReplaCement Additional �Alteration Demolition �����fc�t`�� � Descript�on of work ��,/i� ,�.R;y�„�.. �i� c�,t� �j,�!?,1/�' �������������������x���������� _ �������+�3 � � � � " � RESIDENTIAL COMIHIERCIAt y _Fumace New Construction _Interior Improvement �����:� ` _Air Conditioner _Install Piping _Processed � ; � �Air F�cchanger Gas _Exterior HVAC Unit x _Heat Pump UndedAbove ground Tank �Install/_Remove) Other � RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(inGudes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Va1ue$ � x.01 $55.00 Pe�mit Fee Minimum �,c $70.00 Underground tank installatioNremoval =$ � Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =$ �L'� Surcharge" ""If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 J """If the project valuation is over$1 million, please call for Surcharge =� ( C3�r TOTAL FEE I hereby adcnowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a perrnit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the a�proved plan in the case of work which requires a review and approval of plans. ;����'�'��� X�a7�G�.Gr� ���'2� X�: Applicant's Printed Name Applicant's Signature � � �� � � � � � �� � ���� � � � �� ��� � � �. g� � 1 : Z � { N .}���� �nl++.i.`r+nz�,,.. . ' ,r ,;,< �3�T� `„'�y�y`���. � �� � ��,:+n!.�!*ti+�.�; �4�� � �d r $ } ' Y �3 , s: ... ,..: . . . , ..,. ..., , .� ,�.,a ,a.:.., g�, ' ; "�� �: -a INDIVIDU�L SEWAGE SYSTEM AS-BUILT Date Installed�:��'Perm�t No � � Owner: �'��.ai,L!� ��� ��-,� Project Address !� � ��� �� House Type:(D II III Property ID No.(PIN).��- �,�"'�'�j U- Q Q= �(Dak Co Tax Info 651-43 576,or co.dako�a. .us) City/Twp � ,9�P/ Installed for_Bdrms or �`� � � /�DU gaVda Commercial Use?�/N � f �New�eplace�Repair DAddition ��ll' E �,,�.yD� °� Property Transfer Upgrade?�/N F t .. Bsmt Lift Pump?Y/N Future?Y,� � ��'` � '' `" � ��� ��� �� � � � � ' e�,�,"' J a c u z z i?Y,mb G a r b Disp?Y/� �`� Soil Survey Map Unit ` Soil Compacted?Y l� � � ,f)�p FiII Soil? Y/(fi� Circle Soil Texture: � �� � / �v�� (Faster than 0.1 mpi) \a �t� �C l�.� .� Coarse Sand � � J Medium Sand �o '� o Loamy Sand 0.83 �^�`� �r�v���tvc� �.�� � �� J Sandy Loam�j� �� Loam 1.67 �� ,��� Silt Loam, Silt 2.00 Sandy Clay Loam 2.2 ' y Silty Clay Loam Clay Loam �j 5� �,,%� Silty Ciay, Clay 4.2 ° ✓ (Slower than 120 mpi) � � -.. J Soil dry enough for a- �I construction?Y/N � ���` SETBACKS: Prop.Lines 10'� ° Bldgs 10' to Tank_�'�20'to Drnfld_ Well(s) setback>6U� ( )not installed yet Well Depth�/�—�.Well Record( )Measured Distance to Lake /J/A Creek��Wetland� Buried Water Pressure Lines 10'to Tank& Drnfld?� Line draw from Tanks to Pump Truck Access< 100'? Y(,Pd' System located by Photos?Y/� GPS?Y/� RESERVE AREA?�lf'"/N Fenced Off? Y,/,Pl- SEPTIC/HOLDING TANK(S) .�New ❑ Existing Owner informed to preserve Reserve Area?,.�lf'/N Liquid Capacity Od ompartment or 2 ? '0wner given Septic System Owner Guide? Y l.P� Made by /�,.u.v ��As� Watertight? Y/N TRENCHES/BED OR GRAVELLESS DRAINFIELD: Ba f f le Type: as Fi berg lass Sanitary-T Cancrete Drop boxes level? Y/N Type concrete/pla ' ,> „ No. of Inspection Pipes=4 /6 diam. Tank Level?�/N Trench Depth Width No./Diam. Manhole Access �i- " nle u e /Cenfer Number of Trenches Trench Bottom L Y/N No. & Height of Manhole Risers - Trench Lengths Spacing New Tanks 4 ft or less below Final Grade �N Rock Clean?Y/N 2"over Pipe? Y eoTextile Cover?Y/N Pipes into Tank Sealed? with ��s�r`Ts fS�ll N Depth Below Pipe? " i Backfill Depth " Riser into Tank Base Sealed? with i�a�n�� Q�/N Gravelless Pipe Size� Made by Outlet Effluent Filter? Y/� Type Chambet'Size� Made by MOUND / ATGRADE: Absorpti rea: Sq Ft Lineal Ft Percent Slope�% Scarification Method: .�.5'��-�or- Tr Bottom to mottling/bedrock? inches Dike Width �2C� Up�_Down �a, Side /,� � pUMP TANK Made by,�r';v P�cas�r- Capacity/,�SD Clean Rock.'�/N Depth Below Pipe /(Zinches No. & Height of Risers l-o?`/"�'6 ' Sealed?(�/N Clean Sand'�/N Depth Upslope�" Downslope,�" Pump Manufacturer Cov/c/ Model# " �0 J� Inches to Mottling 3((�Pipe Size/Spacing f�-,�' Horsepower�GPM��_Feet of Head a.3 Perf Size/Spacing �Final Cover Depth / " �'`-3 -�Z— Cycles Per Day�_Gallons Per Cycle �DU Rock Bed Size /V�/ov' Supplier: - � ' '� Size of Discharge Line " " 2" Sand Base Size�U'.�/i��' Supplier: � � vc:- Type of Electrical Hookup �post&box by tank Upslope needing draina e/diversion? Y Provided��V- qlarm Location c, c�a/ - i garage/basement Grading done:Rough ina Alarm: ank Ale Level Alarm/Other (�eeding OSod to be done by.�,�,�y7".5' S j�,�,c,� � � C c l e C o u n t e r. Y W a t e r M e t e r. Y,f� I hereby certify,as installer,that this individual sewage treatment system Designated Registered was installed according to the approved design,and as applicable,this Professional Onsite Municipality's Sewage Treatment System Ordinance,&accurately locates , all system co ts f relocatron. PCA Lic.No.��Company Name �/��T S „ �-4u!'C�j Installer L Si n Date: �/J Ph � �,3 Address �lj D'�,S'/ �" , Inspector ��� / ` � ~ �/ _y� /�` 5r�"�.,� ,.v, �033� Sign /1✓Il�G� �--��� Date: .�Approved:No Yes Yes with Con�itions: White copy:Countv Yellow:Owner Pink:lnstaller � o:\emgmt\forms\wal m\ists\as-bui It-form.doc , � a r . . Use BLUE or BLACK ink r-----------------I 1 Far Office Use � � � � Perrnit#: � � � � I C�t of �� �n � . 2 � ; � � REC I Permit Fee: t'� � J• 3830 Pilot Knob Road ��vEa � � � � Eagan MN 55122 J�� 2 � ���� i Date Receiued: � Phone: (651)675-5675 � Fax: (651) 675-5694 j Staff: � �----------------- � � �-� ;�� 2014 COMMERCIAL BUILDING PERMIT APPLICATION `��� � Date: Site Address: ��7C/� /�OG�i(" �moc , � �. � Tenant Name:��.gy��7(A��ru� (Tenant is:�New/ Existing) Suite#: Fonner Tenant: Name: t p Z�� Phone: (�S�—�D '�'�72�'6 Property Owner Address/City/Zip:�D� ��� �da �c�� ,�l�(,(� ,j /�/ Applicant is: Owner �Contractor Type of Work Description of work: !�G r �.� << rr'd�c t �� .� Construction Cost: � � Name: .TJ���� (/�^�T t r�/i S�i �NC. License#: , Contractor Address: �L�I�-C/�(�lj.�.�S��' City: [�GC.�'q �.. State:�Zip: �7��_ Phone: ���' (��'�9'v�- Contact: ✓t maii: r"e�ircc�c� �r//"��h—N�t�1• Cd� Name:___�� �O���v� V`/� Registration#: l�6g�_ ArchitecUEngineer Address: ��( (�ST� (\eclo�,S ��� city: �/,. ��� State:�i��Zip: ��� Phone: �S/ -��? _ (� ��� Contact Person: t W ��"C✓ '�Orc'r" Email:ak W�( c�t�1kWN1.C� Licensed plumber instailing new sewer/water senrice: Phone#: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non public if you provide speci�c reasons#hat wouid permit'the City to conc►ude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. wv.�w.gopnerstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval af plans. x �Z�� /L.L��vtiC/L X Applicant's Printed Name ant's Signature Page 1 of 3 � y ��o� ����� � . � DO NOT WRITE BELOW THIS LINE � �"�c�� SWB T1fRfS ;^�.�oundation Public Facility E�erior Aiteration-Apartments ,! Commercial/Industrial _ Accessory Building Exterior Alteration-Commercial _ Apartments _ Greenhouse i Tent _ Exterior Alteration-Public Facility Misceflaneous Antennae WORK TYPES _ New +f Interior Improvement _ Siding _ Demolish Building* _ Addition _ E�cterior Imprpvement Reroof Demolish Interior _ �ration _ Repair ^ Windows Demofish Foundation _ Replace _ Water Damage _ Fire Repair _ Retaining Wall _ Salon Owner Change *Demolition of entire building-give PCA handout to applicarrt DESCRIPTION va � Valuation ���da�� Occupancy �a MCES System {'ld Se�"� �- Plan Review c�'� Code Edition 2d 47112,�'Q�., SAC Units � (25%_100%� Zoning � - ( City Water '—' Census Code Stories Booster Pump ---- #of Units Square Feet PRV ""-'-�- #of Buildings Length Fire Sprinklers !t D Type of Construction a..{.�. q Width REQUIRED INSPECTIONS Footings(New Building) Sheetrock Footings(Deck) �Final/C.O.Required Footings(Addition) Final/No C.O.Required Foundation Other: Drain Tile Pool:_Footings _Air/Gas Tests _Final Roof:_Decking _Insulation _Ice&Water _Final Siding:�Stucco Lath Stone Lath _Brick �''' Framing �ndows Fireplace:_Rough In _Air Test _Finai Retaining Wall Insulation Erosion Control Meter Size: Finai C/O Inspection: Schedule Fire Marshal to be present: Yes �No Reviewed By: _ ��E�- �� . Building Inspector Reviewed By: � , Planning COMMERCIAL FEES Base Fee /,35�0, ?� Water Quality , Surcharge ?s. dG Water Sampling Fee Plan Review �'�!• $� Water Supply 8�Storage(WAC) MCES SAC Storm Sewer Trunk City SAC Sewer Trunk S&W Permit&Surcharge Water Trunk Treatment Piant Street Lateral Treatment Plant(Irrigation) Street Park Dedication Water Lateral Traii Dedication Other: Water Quality TOTAL�0��3�3.�O� Page 2 of 3