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Home My WebLink About1990-003398 - septic system � `� �°ERMIT � • �� PERMIT TYPE: � � R n Rd. South • P.O. Box 66 Permit Number: � , � � stal Bay, Minnesota 55323 Date Issued: ,-�� W�� :.:.- �) 473-7357 t rt��:;:�;'��; -- __. _ ____ - ��.,r:��,�_3�� SITE ADDRESS: 1:�?�:3 'aN��F:�L.i i�lE uh L.:�11 D PTI . ' �'`'^ - - :;��W�)~ �-� W,�c�•C�' �'��•r�ii�. i;F=� :�:�..i�'i Ii.: �:�':w�l`EI`'f ::��,��t� G� W�t.�r ��:�i't:: Ty�� F,E:=�iLE�t�Ii�:� �, � �r�...�`.:, !'T T 1+ :'iC i��r�?�F3 .. �� ^',��. . L•1 f 1 W L�1 YI Y � �r;�r��rc r,c��:-�r i .t e*ni t+L v� i frr. .. 1ti�1��VL�YYY !! r i 1 tTii "r �j� . V3. UL11 IJf1fV . .. . . . . . .. . .. . � . i i�i i•'e• /'��, 1 iir�r:�t�L��V V� � — C�C�� I�EMARKS: ;.�:;;�,�i' �t ?'4,vv' r";wui:i'�i�—�i','''�i�t':• +�Gv' � . . � � !�lSJ}tt+.�!!4' l.•Yll1 7-S�!!1 �1��•J� �.. .. .. . . � ]'3 rlk�!t}i� FEE SUMMARY: c�as� Fe� �7�, i;t:y _�`.��_ :1u r c h�i~�� ------- � 5c,� T=-�t�I F�� •�75 . 5�:� CONTRACTOR: OWNER: __ A��1 i c��-�t. -- i.��f=`F'I I�i �`!E;C; 5�.i'�•�=;1�. :T(��:�i��'=: I�:W I td .�::=;i St�� i.:i-iiiTEi 1t 1 L� 1 i t;i�r :�:H�=��iE.L I t•lE i ki=� i 1�f'_1idLt �'11+.1 .�-��_��=�:�- �,a1Ai'�::i�TA Mi�! �,�:}'�1 - �- - -�� t ' �'``rya' 'r' � ' }. r.:'T' '• '�': E ��"'P'.r 'i1i —..r._�f .i._r�_..:., t..:.";.'�' " _' h.:n':'r. ..... t�.. _ _ . �._._. �; . ..... . . � �` : .� :• i . � i�-{� �3s:�L!r,r,`:,�i L.:• �LJ }"rr 1z_?'"�p !'!e_ta'._r�' _� y ._ y�'�r�i•i f :_ -� i i_i��.� i i_� i'[h�P�.,I'a i �-:c-_ ti�.t-SL.. .t i'�F��",v_i',iL?i�-!y! �� .,,,; .�--. r r � •:-:--r-. •. t r 1-:= r - r �-.-• — .'f - _-r•:, � � 'y;�•�-i T'M -t�,� i-i_; �� I t1i; i T i � i} F. � { i i'� � j�;"� : . , ,_L•.t"" a� I1 t.��J rf e c_c_•i� _ rjs_;_ ,a=.s i � a- .� , , '�. i �•,:i= :;i . t�. t-�__�_ _ i .� � -:F—: � ��r. � r • r. �fr, ,-•-; -r r�- si� r . ,� � , i r��-�•,!'�T= C-wj�-F re•,-. { 3i"1( 1 7 ltCZil �r ..._�tl P�t t'�til 3 �IJ'[ S 1„ C1`%"�J4Fifl ' C�'v' : � _ _.!� .. . ._ ��`�y-i�S_ r..! H��fR.� •_'�!.�H 1� �i�Er �c t41'�f" _ .. _ ._ ... �_� ..� t-. _ _ _ .. C! !. . . •'� . r APPLICANT,PERMITEE SIGNAT RE ISSUED BY:SIGNATU�i . . , R-�N d 3�y� APl'�ICATION FOR SEPTIC SYSTEM PERMIT v ¢ �� l} I O� �CITY OF ORONO �, Box 66 (1335 So Brown Rd) Crystal Bay, MN 55323 *******�**#*#****#*:********#**********:*�*:**��*******�#****#**�******��* General Instructions: 1. You may app ly for septic system permits by mai 1 or in person at the City offices. However, permits will not be mailed out and must be picked up in person at the City offices. 2. Permits are not valid until you receive a permit card. 3. Work must not begin unless the permit card is available on the job site. 4. Permits will be issued only to contractors holding a City of Orono Septic System Installer' s License. 5 . 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 s.igned by the City Inspector. 6. The following ins�ections will be required for aIl 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 , 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 station (where required) components are functional and comply with codes. 7. Individual holding MPCA Installer Certificate shall be present during all inspections. 24-hour notice is required for aIl inspections . *********�********�*�*********�**t*****�****�****�**��****************�**** JOB S ITE ADDRESS: 1 f �� J^�_ \\ � � � Occupancy Type: Residential �� Commercial Other -� Owner' s Name: ��t'`��n ��C�� Phone: Mailing Address: �`� t� c7 S �-�.�-e \� � � � City: � f J •'�- O Zip: �� -�.�-� Septic Contractor's Name: �� Q �v�Yn I� �� - Bus. Phon��1�--�-3 l � Mailing Address: �'3 � �' �-��-c�,1 �-.� City: �.�.�✓LJ Zi�;s ��b� *******�****�*****��****************:*****:*********��********�**��**��:** - over - � , ,, � � �_ f��.� �= ��> �J i � l��'�j �� "�' ��,�,�,�� --� �� — � � � � �'�'�'�� j/— � ��' a .. . __ . _ __ ._ ._ _� . . SBPTIC SYSTEM PERMIT APPLIGATON - PAGE 2 ' � Permit Type � Fees (check one) New Construction, Full System $75. 00. . . . . . . . . . . . . . . . . Replace Existing System (1 or more new tanks & drainfield) $50.00. . . Partial Replacement (replace just tanks or just drainfield) $30.00. . . $0.50 State surcharge added to above permit fees SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES DO NOT MAIL PAYMENT WITH THIS APPLICATION t*****�***#**�********�********t*************�****#****�***t**�**�*t***�*** NOTS: Applicant must initial all spaces. Fil I in al 1 appropriate blanks, check all appropriate boxes. Initial l. I have received a copy of the system design including the City of Orono Septic System A�proval Cover Sheet. 2. I will be installing the following: A. Tanks: e/� Precast Concrete '� Other Manufacturer /�� ,,,� ;�„� Tank Capaciti�s: 1 )��gal. 2 ) ��al. 3 ) gal. , � B. Pump Station (if required) Pump make & model (attach pump curve & literature) ; system design requires gpm at feet of head. High water alarm make & model Outside electrical work to be completed by _installer electrician other ° Inside electrical work must be completed by electrician. • C. Treatment System: �j�� : �/'d'�� Trenches: �� s.f. Mound De th of rock��elow 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: �C borrowed from site (show location on site plan) ' trucked in = ; **:**�**********�**�*�*�*t***�*********�****��****�**#�:t*�****:�******t** � 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 the ordinances of the City and the regulations of the State r of Minnesota, and certifies that al 1 statements made on this app lication +. are comp lete,. true and correct. � Si nature of A licant: � � � Date: � �' � " ` � ` g &P MPCA Certification No. : �_�t/�, �, � � � � ; �� /�dl =`� �� DATE TIME CITY OF ORONO CALLED IN II' �' 9a INSPECTION NOTICE SCHEDULED //'8-4d '� PERMIT NO. -3 3 Q� COMPLETED ADDRESS � �� OWNER CONTR. �%� L�e�'�-%�� TELEPHONE NO. ��a - �-� �b j; ❑FOOTING ❑MECHANICAL RI ❑SITE WELL ~ � FRAMING ❑MECHANICALFINAL ❑WELLTESTPUMP � Q ❑ INSULATION ❑FIREPLACENVOOD BURNER ❑ EXCAV/GRADING/FILLING y ❑WALL BD. ❑WATER HOOK-UP ❑ LAKESHORENVETLANDS O Z ❑ FINAL ❑METER SETITURN ON ❑TREE REMOVAL Q O DEMO—SITE �SEWER HOOK-UP ❑SITE INSPECTION � ❑ DEMO—FINAL ❑SEPTIC MAINT. ❑ PROGRESS v � ❑ PLUMBING RI ❑SEPTIC INSTALL. �COMPLAINT _ ❑ PLUMBING FINAL �SEPTIC FINAL ❑ FOLLOW-UP ZCOMMENTS: /� Y1 �' ��`' o -7'� _ a -- ' � �_` � i�;►��o�r�vr.en� � � � �/�rn �>n� , �. . i�,"a�,S: �, � o � � � �OCI��v�� '� � �r�i Q � /.�� -�--- , ! .3 — �X7� z � � � �`�.�'" ��`,T� T.?r�tGf,�S W iL � �//� �� 6�4VORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN W � ❑CORRECT WORK 8 PROCEED ❑CITATION ISSUED W O ❑CORRECT WORK,CALL FOR REINSPECTION ❑ PROJECT COMPLEfE V BEFORE COVERING ❑ ISSUE CERTIFICATE OF OCCUPANCY �CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY INSPECTOR WILL RETURN PERMANENT ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor n site: � Inspector. White Copyllnspector's Flle Canary CopylSite Notice