Laserfiche WebLink
' . � C�C�� � I�t-c; i h `�c �� �i C I� �' �C_�e�.�n- <br /> �'p� City of Orono FOR CITY USE LY <br /> %� � �Q�` P P.O. Box 66 C <br /> ` 2750 Keiley Parkway Date Received: '3 `� � � <br /> � C stal Ba MN 55323 ✓� � /-� C� �7 <br /> �:� Phone:(952)249-4600 Pertnit�Y y, ` " t�'�1,,,�G �,/ <br /> ' �'�a�` oa�,' Fax: 952 249-4616 A p Proved 8 y: <br /> sH � ) � � <br /> AlItOUftl$' ��- _� <br /> CL <br /> CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION <br /> (All permits must be approved by the On-Site Septic Manager and/or Building Officiai) <br /> .lob Site/Uwner information: <br /> Site Address: 300 BIG ISLAND, ORONO, MN 55331 <br /> Owner: CRAIG HEIMERL Mailing Address: 12235 62ND STREET <br /> City: WACONIA Zjp; 55387 <br /> Home Phone: 952-210-2148 Alternate Phone: N/A <br /> Con#�actor/Appli�ant lnformation: <br /> Contractor/App: BOHN WELL DRILLING CO Contact Persan: CARRIE RAHBAIN <br /> Address: 18190 DAIRY LANE State License#: 1043 <br /> City: JORDAN Zip: 55352 Expiration Date: 03/2018 <br /> Phone: 952-445-4809 Alternate Phone: NiA <br /> TYPES QF �CCUPANCY ' <br /> 0 Residential ❑ Commercial ❑ Other <br /> ** ATTENTl�N APPLICANT*'` <br /> Fill in aN a ro �i�#e blanks and check atl a ro riate boxes. <br /> Tanks: <br /> � Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other: <br /> Number of Tanks: 2 <br /> Size of Tanks: �,OOOGAL �,OOOGAL <br /> Type of Activity: <br /> � Trenches ❑ Mound ❑ Pressure Bed ❑ Chambers ❑ Holding Tanks <br /> ❑ Pre-Treatment ❑ Other <br /> NOTE: Provide an As-Built of the system before the final inspection. <br /> A 24-HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. <br /> Paqe i <br />