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HomeMy WebLinkAbout2008-00266 - new septic CITY OF ORONO PERMIT NO.: 2008-00266 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/06/2008 952 249-4600 FAX: 952 249-4616 ADDRESS 3685 WATERTOWN RD PIN 32-118-23-34-0011 LEGAL DESC UNPLATTED 32 118 23 LOT 000 BLOCK 000 PERMIT TYPE SEPTIC PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE NEW NOTE: SYSTEM INSTALLED AT 3725 WATERTOWN RD. LAKES RD.NW APPLICANT SEPTIC NEW 100.00 10337 TWIN L DEAN BITN STATE SURCHARGE SEPTIC 0.50 ELK RIVER,MN 55330- MISC FEE 0.00 (763)241-5288 TOTAL 100.50 Minnesota State License#:L1595 OWNER MERIDETH,JOHN&MARLA 3685 WATERTOWN RD MAPLE PLAIN,MN 55359 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 separate permits. All provisions of laws and ordinances governing 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 revo ed t any time for d Applicant Perm a e Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. O$ +0City of Orono FOR CITY USE ONLY P.O.Box 66 %(.• 2750 Kelley Parkway fJete Recx3Ned Permit*.O 8' Crystal Bay.MN 55323 + b` (952)249.4600 Amount S BL CITY OF ORONO—SEPTIC SYSTEM PERMIT APPLICATION (All permits Must be approved by the On-8119 Septic Manager and/or Building OEFkial) Job Site/Owner Information: Site Address: 3725 WATERTOWN ROAD Owner. WADE SHATZER Mailing Address: 3685 WATERTOWN ROAD City: MAPLE PLAIN Zi P 55355 Home Phone: (952)200-9222 Alternate Phone: Contractor/Applicant Information: ContractorlAPP•- Contact Person:DEAN BITNER DEAN BITNER Address: 10337 TWIN LAKES RD NW State License#: L1595 ELK RIVER 55330 05/04/2009 City: ELK Expiration Date: Phone: (763)241-5288 Alternate Phone: (763)286-3148 TYPES OF OCCUPANCY [� Residential ❑ Commercial Q Other PERMIT TYPE AND FEES New or Replacement System $100.00 $100.00 Repair Existing System 50.00 (Tanks or Drainfield) State Surcharge .50 .50 Total $ 100.50 VA(Permits)1Septic System PermIt AWIcation.doc 1 /2 Z-d L55g-LvZ (£9L) b3NAEI 310ENVY '8 Nd30 e6V90 80 9L deS ATTENTION APPLICANT ** Fill in all appropriate blanks and check all.approprilate boxes. I will be installing the following: Tanks 1 Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other (list rnanutacwrer) Number of Tanks: 2 Size of Tanks: 1500/2 1000 GAL. LIFT Treatment System Trenches s.f. ,Mound s.f. Gravel less B.f. Chamber s.f. Final Covet 1 Top Soil t—t 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 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 correct. Signature of Applicant ' �iDate: osil7rzooe MPCA License No.: 1-1595 Staff Review: ff-Accept �j ❑ Denied Reviewer: /,, .�,[,/� Date: (7- Reason for Denial: Comments (to be printed on inspection card): c^ '5- tic AAJ FF cr eA�T 6)AA1 Ou--1 e-7- U 7.4A Reset Farm V:l(Permlts)lSeptic System Permk Applicafion.doc 212 £'d mg-Ltz (£9L) '63N119 310JdIN $ NV30 eO V:90 g0 86 deS - .. �Jun. 5• 2008'f2.20PM- . .. No. 711 ' ''P. 4. Swedlund �:.' • . +;�sr CoA b T AlaRJUN"Na Septic AS NOTED. r err, =° NO'i'APARQYLi>`tYllltt �RBSUA�tIT _ -•' cu _ $ ?hese comments ats Ax}wlt hUbn 11M. a gra&shaft he done GtR ' h tun compliena xhtr an apptbabb �l Xegaimments Isciuding i1man t��RIT �$YSTEM Ems VAN* - i�F.P TNtB PLA.1t iB'C WI tti'Wi�tT,It�i.1yMT� � �� . Date a, OwnedBuilder U; 4&,> hl e-A?:i,!n(jr A Address o +„_j Site Address -^)F_ _ Home Phoneme Z- X7.5— 40 &L. Work Phone '' PegedGeFl . ��"L 1�'.'•r?C:�.,�:�•,M1l: ,..C� -Y.. ..•.t�''f'b-t.G., •i.r.�hA.._.1_ � � :� AC:. �1�...- _ .!-.�. T to foliowingr Inilormation has been compiled for a single family hvmv Bed ms GPD_�D'Q Garbage Disposal A!�jn Lift Pump in Basement Au r;; Septic Tank Capacity S,/Z Pump Tank Capacity Systsm Type: Mound _ Trench Distrrbutioif." Gravity Pressure , ,IV Land Slope Depth to Restricted Layer _ SOi[Sizin0'Factoi -19f. Per�c'Rats Trench System: Drainfield Size/Sq,Ft. Lineal Ft. 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