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Home My WebLink About2013-00758 - septic ` '• • CITY OF ORONO * z 0 1 3 - P1 0 7 5 B * 2750 KELLEY PARKWAY DATE ISSUED: 08/13/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2080 SHORELINE DR PIN : 15-117-23-21-0006 LEGAL DESC : HARTWOOD : LOT 007 BLOCK 001 PERMIT TYPE : SEPTIC PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : NEW ACTIVITY : MOUND SYSTEM-SEPTIC NOTE: (3)PRECAST CONCRETE TANKS-EACH 1,000 GALLONS MOUND TREATMENT SYSTEM-500 S.F. APPLICANT SEPTIC NEW 200.00 HAYES& SONS EXC.INC. STATE SURCHARGE SEPTIC 5.00 263 82ND STREET S.E. TOTAL 205.00 MONTROSE,MN 55303- (763)479-1762 PAID WITH CC# 5293 Minnesota State License#:L640 OWNER STALOCH&MICHAEL STEWART,ROBIN 2080 SHORELINE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be y im f due cause. � / /� /� / Ap icant Pe 'te Signature Date Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED A , City of OrOno FOR CITY USE ONLY �-�� P.O.Box 66 � � 2750 Kelley Parkway l/ Date Received: �� Permif# �� 3��0 sg Crystal Bay, MN 55323 �� (952)249-4600 �11� Amount $ y ,� �� G� CAk6S H�� CITY OF ORONO - SEPTIC SYSTEM PERMIT APPLICATION (All permits must be approved by the On-Site Septic Manager and/or Building Official) .,A�. irt. �� k„ ,t� :f3k � t��"€,.�"� r , x•' ,t -_ ;.. � .� .�v ': . .. .�.:. . � .,... Site Address: �. c��C� ..S �l o�-e �r��-�e � S � � Owner: `�� a�` Mailing Address: City: C�/'�M-� Zip: S'��'3Z� Home Phone: � (o�Z- z-8v - �� l � Alternate Phone: � _ � n � . �� 3 � . ,. : , . . ,� . . i,�, 2,' 0�1�5 Contact Person: �� C�ntract�r/App.. � S -T� . Address: � � �� S'� �� State License #: �- � � � City: �� Zip: 6�r Expiration Date: t� ��Z`�� Phone: ? �°� ��i�" � � � `�— A�1sr-��hone: �2 �2-- Cs��r' �� , � _ � , , r _� . . , . _ �,� � �, r .� , � fi. � Residential ❑ Commercial ❑ Other � ,k _ . ; . . , . . , ,�� _ .�. e - � _ � ��,. , r � � �� . . . � . _. . New or Replacement System $200.00 Z� � Repair Existing System 100.00 (Tanks or Drainfield) State Surcharge 5.00 5.00 � Total $ "�Z�-'� S � W:\(Permits)\Septic PeRnit Application-Updated Surcharge 07-28-11.doc 1 /2 . •' � . *'� ATTENTION APPLICANT ** Fill in all a ro riate blanks and check all a ro riate boxes. I will be installing the following: an�s Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other i (list manufacturer) Number of Tanks: � Size of Tanks: U�� Treatment System Trenches s.f. � Mound � � s.f. Gravel less s.f. Chamber s.f. NOTE: The contractor is required to provide an As-Built of the system before the final inspection. The undersigned hereby applies to the City of Orono for issuance of a septic system installation permit, agrees to do all the work in strict accordance with ordinances of the City and regulations of the State of Minnesota and certifies that all statements made on this application are complete, true and rect. , , Signature of Applicant Date: � `�� MPCA License No.: �C�� Staff Review: Accept ❑ Denied Reviewer: � � � � Date: �� (� Reason for Denial: Comments (to be printed on inspection card): W:\(Permits)\Septic Permit Application-Updated Surcharge 07-28-11.doc 2 � 2 , , � CITY OF ORONO — SEPTIC SYSTEM PERMIT APPLICATION �, � -�� .�� `�a��`..� .�� '� ,.. ,�,,�� .: �� `�� 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. *** DO NOT MAIL PAYMENT WITH THIS APPLICATION *** 2. Permits will be only issued 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. 4. The following inspections will be required for all septic systems: A. Tank installation prior to covering. B. Drainfield trench installation prior to covering. For mounds, inspection is required after rough up, but prior to sand placement (sand must be jar tested for silt content) and again during pressure distribution piping installation in the rock bed. C. Final inspection to verify final cover depths and to verify that all pump station (where required) components are functional and comply with codes. 5. MPCA licensed Installers or their DRP (Designated Responsible Person) shall be present during all inspections. A 24-HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS. W:\(Permits)\Septic Permit Application-Updated Surcharge 07-28-11.doc 3 / 2 � a� ` ` �, .? �L k�• � CITY OF I - E--s-- � �-7 .� L s WORKSHEET FOR SEWAGE DISPOSAL WORK � � U�� I� � N Date � Inspector L-'�--'� d � � r Building Permit No. Owner (�"'h a v'� �-�'4��x-- � Fee � � Property Address�L� ' 4� ��'✓'K�� 'r Kind of Building � � ,� Plumbing Contractor-Outside Sewage Disposal �� '✓� � � ` r' I � �� `'� Septic Tanks ��S V c.� /�1 J Material � � �L✓`C � r�%�� Capacities -��"��.%�� Proper Outlet & Inlet? Z-�""� Baffle Plates? �''�� Drain Field: � Total length of lines �� Number of lines � Type of soil 1? ��-�� Percolation Test �~ � y t� �i1'� Width of trench �-- Type of filter material ��'C(- �� E7�`'� Amount of filter material below line � 2 + + S �4�.�'� Depth from top of tile to finished grade �`�i � Check Vents �" Check Caulking � Check Grade in Horizontal Waste Pipes �� Clean Outs � Tonage or Yards of Filter Material i .3�� Total Sq. Footage of Drain Field 7?-✓U Sand � ( 1` �� - Rock j (,7 1L ��% .i Overall Size of Mound System �'� �" �f`� Size of Mound System Rock Filter Material ( r�'L- Draw detailed diagram to scale with measurements below. � � �! . - j W � v � � � � l7�`��t �� t � � �''i� � ► = �o � E�1 �� .� y �. P z �� ;,,�,� ..� � �. ��n�, � ' �1 1� 1 � � 3� �� , g-y l� � � � - ��,' � � -- ..._.. ....... ..... .... .. .. .... ... It.r'V 1 l'� J I K 1 V 4Y' 44./ / �v�..-.Y� •.-v. ...... . . ....... ...... ._ �� . � . . .'�'i4.�i�� " . f��3�C�(z, .. �Q��. �'&gG�'^�" _..........._........_._._...___.__._....e.. .�......,__....._».....,_.�.._.___:_..,,,_.,,.-.,....._...,...,_�._.__.. � � � � ,e, _....._..�...e.�.,--"'"w"'-__._._....._�.e�.�.._....��.... .........._. � . � ... _ .. .. . . � . .. H�YES & �ON� EX�AVATIN�, iNC. - P.0.BOX 191 iNAPL�PLAIN, MM 55359 (7fs3) 479-17b2 (763) 6$2-0977 _._. --_. _ _ , __ � - -- .. .. ..-"---__ / � � I LAIE , . _.�..., .� H)('Q��P.L L6..9II�TrD YJ .. . . . � � 6HCM1r "*�)( � , .. �. . . _ ��G'�Z.'"�L'�:. ��'�&' �"�" " �'��'�°` 's`'�.U� 11r'e �'�'"�^- �ff� c..�r°'� __ . _ ,_.. -- -- _.._... _ __-,-� . ....._ _ — — - -- S1Rl - � . ...�—...— i J78NF'�iF. . , . . � � � .G-� � 4✓ •��`"�V"t3 ��,�!'�k'_ �,.J� . �� y�� .� T9 C '�Lq 'S'T�"Yl"'� . . .� . �. ---- -._.�� _..___ �....._.._ . . ......_..��___... .:._..__I . _ . .. , .. ,.. —_....... .. _ .._��....... _Ll_._ -��._—._._. —:3----.__. . (.I7�...TATE ac•c`LIY CODE� - � �</)6'�L'.Q�f.•.A.TiO�a . . �. � 1 .�.��(�* � aC'"' '��'�'(�. -'----- �.s1tT.sti"1r�� ' ----.. .. �__...___- -_ ---- _ ____. � ___. _.... ___.._.__ _AR:'HI;k:Ci -'---- _.._._ ��DS�tE.r)�F'LANS� �. � .. . . I J06�H�N� .�. � . A -� �� o r—�5 — ► �... `-f . I��t..�rr��a•�s. i � �n,a hereby sub�'si;specifications and estimates iar. ' +�:A a-t__ .�b.If'►'�,_�``�`.._._.'�� _� _.4.7Ci'�•-l�-i.�._._�� .__._-J_vtv�.�G-S -----------____-- — __,�.1�..��.__.:___ ---�N� � �f�~ l � �' =__ tcaC3�C',____�``_�.-�Q�^-----�.�4fw�':r-��t�-vc�`� —�-.•�#�_ __.........___- `�_._._��_. __ o.s — _ �_{3� j'� 6 i/"t? f.._k-.....__�'^f� __...�_ � �a�....._�/-�r� _J�nV`_ __It��?-c/l -..----- _...____--- __...�_. _ ~ ' r^Vv1 -7c..v1/�.,_ � —_._.._._..___. ----- ----- __�e�t ��t�__��,�--�'---�. ��----_�s------- _ , .. �.,- �.� ��e.. 5 � , ,�.c.. v _._._......— —....____ e♦ _ _ � en. ��---- �r�,.t e.,lte.,�._. _..._..--- --__.----. - --;�----..._- ---..._......___ 4 , , �,:�. 1c�..�... ' � a.�.,3 f r: w,. ' , � ��'�� Zt3'�F 3 s�-�.k.t,r ,� j�4K.. t�•.�t VYL-..........__._� i_n, c. V C.�c? --.__.�___ ..._.._ _ - Y _..----> _._.. ____ _—._._� __ -- --.. --.�..J .LL�t.,� ..___�f_JQ� ',�4?v�_._W1,F�w'lGK .._ .�. '4%+�___LN C��vC�,_�.. ��'-�_ �-•��__ ��=�' _...�� c..,_�-_..._�'�.,.rn��- �;.��1 vr.,(er..l _..--- --...... i /� , . r ` �1��!'t._._ YtUu �� hf.�•��h ��` u°#- C�Mi�. —. .�'�'_ '�'---t'=9�-_..-`�"�` .t��.c„�� '�^�wc�_ _ �.�'.a'`_'..�.�'.-�L� --.... ._ `�. .. _........._.�----__--- --- �-�_ -�,0_.�"._._...�'.�-a L'_�aZ S_i��'_..__.._.��'��_s_�°S��'J��:.1%�_r.,� 7�._.........____._.._. _......-----�..._-- --� ��-��w_ 1� lr��e�.�_�'�v�_t.a� __._I.��.i�rz.- 7'ra� .et�'�.- o�.��,�a-- �_:�_..._- ---_..._ S�, A {,7 a"��'��_'�' �,� c�n._' t wr'1'�_._ �`'v r f' �,� - �- ��K S f2�"�'"._�1��'___�!.-�_.�`� D Y1. ` _..... —._.__ _.�---"`_�------ _. � .— 47 �� 9`��OS� hereby io furnish material and labor—compiete in accordance with above specifications,for the sum of: } � J� yj �yw /a.. r . a .t �! . aa. n /t _ i 1 ..L. _ c1 .�., ., +2—�.Jf .. �ny "�� . Z V � / CERTIFICATE OF INSPECTION ACCORDING TO MPCA 7080 ORONO BUILDING & ZONING DEPARTMENT 2750 Kelley Parkway P.O. Box 66 Crystal Bay, MN 55323 - This certificate has been issued this 4�' day of October, 2013 to certify compliance with provisions of the Orono Municipal Code and Minnesota Rules Chapter 7080, regulating installation of individual sewage treatment systems. Owner: Robin Staloch & Michael Stewart Site Address: 2080 Shoreline Drive P.I.D.: 15-117-23-21-0006 Permit #: 2013-00758 Installer: Hayes & Sons Excavating Compliance Officer: � �<�:/� data/forms/blank cert of inspection MPCA 7080 �p{ �� `�`,��-�'" �titi c/ �,,�, —oarE—' Tirn�' CITY OF ORONO ,. GJL�LLED IN / INSPECTION NOTICE '�,;� SCHEDULED� •, / PERMIT NO. �~ C ' COMPLETED,�-.., ADDRESS C� �CJ �L'�9�� l/!lfe �� OWNER �g��.�V S��C.�-(�'ELEPHONE NO. CONTRACTOR ��d�T`�(�S ��.11 c� SC�J`IS � DESCRIPTION �� A`�L f�_c'��.+LC � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � �v� �n K S � t/ °` �tn� - C� a J � � O � � O ' �� 'J �• � W � � Q � Z W � j .�� L� 1 �-. N a � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED � � ADDRESS �� C��L2—,rb�i/l/�Q 1��_ OWNER „ LEPHONE NO. CONTRACTOR C� � DESCRIPTION �� '�� Y /`� C��J� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL � ❑ P�UMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � O � ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OflDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White CopyllnspectoPs File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS �0�1 D 5��N� L�(�. OWNER TELEPHONE NO. CONTRACTOR � ��'�S ��' SCJ N� � DESCRIPTION SC� � l S U\�1 � ��b9�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a J O � � O � W � Q � 2 W � w � � a W O WORKSATlSFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. White Copyllospector's File Canary CopylSite Notice