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HomeMy WebLinkAbout1994 - 006347 - new septic system PERMIT I CITY OF ORONO PERMIT TYPE: 2750 •ielley Parkway • P.O. Box 815 Permit Number: FP :....-Ya.:.-... "'. . -- 006..7;4/ OronoNinnesota 55356-0815 Date Issued: OW19/94 (612) 473-7357 SITE ADDRESS: 2000 WERBEF HI LLS RD CH PI . N . : 03-117-2 -94-0017 DESCRIPTION: WW EFFLY:: SYEJEM Sewer & Water Perff!it Type NEW :A7±' itf.j. SYSTE Water kjcir iypE, HIEN :. LI 1 OF ORONO ,L. i'.4tiCE OFFICE I SI.3300020 4 c/i izs...)i i iii".iii, .1.::1 ..:'.:)000 h REMARKS: :_.riti...A ie.. ' 100.50 FLAi.i;-.. ,iflii • ':i •ii?:-.-i i'''.' 1 i'?'4 71)1=11i 1.'IJV L.iii.'1 !22/4. i 1 il•Vi-: 08/1 9/74 FEE SUMMARY: • -:5100 . 00 . fc.-...1., , ,w-, L,-) CONTRACTOR: - Applicanr. - OWNER: !.1.:WFDL ; :-:,,,FPT1C 9. RY10ES - -1-..- -' -; 5OMEARA PILL 9520 LAKE TOWN Rn 2000 i:JE1. 31-.7.k HiLLS RD C. f F . .L . 1 _ ciRu....i:;: FIN 55:391 (61 ) 442-5S55 I . I THP UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO AIL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDTNANCPS AND ST TE OF MINNESOTA BUILDING CODE REQUIRPMPNTS . I 1\'‘ APPLICANT/PERMITEE SIGNATURE 46 ISSUED BY:SIGNATURE 7 CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 JOB SITE ADDRESS: 2'C,().0 74 ' Occupancy Type: Residential >( Commercial Other Permit Type: New or Replacement System, $100.00 !^t? Repair Existing System, $ 50.00 0.50 State surcharge added to above fees *See fee schedule for non-residential permit fees 7 Owner's Name: �) PhoneNumber: Mailing Address: z City: ,';) ; Zip: ? . Contractor's Name: R to,a(.1 F � ;rA s $ = PhoneNumber :., Mailing Address: ) . s r s. pi . 1. t..,,�x' City: Zip: DO NOT MAIL PAYMENT WITH THIS APPLICATION GENERAL INSTRUCTIONS 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. 2. Permits will be issued only to contractors holding a City of Orono Septic System Installers License. 3. 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 signed by the City Inspector. 4. The following inspections will be required for all 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 (sand will be jar tested for silt content), 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. 5. Individual holding MPCA Installer Certificate shall be present during inspections. A 24- hour notice is required for all inspections. s NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate boxes. 1. I have received a copy of the system design including the City of Orono Septic System Approval Cover Sheet. l Y(2 2. I will be installing the following: G .Precast Concrete C/- � ` : = A. Tanks: V Other Manufacturer� Tank Capacities: 1) A; ) gal. 2) /060 gal. 3)I gal. B. Pump Station (if required) Pump make & model. 4 Y (attach pump curve & literature); system design requires L/` gpm at z:°: feet of head. High water alarm make & model Lcve./ AL,)e=3715 . Outside electrical work to be completed by installer electrician other . Inside electrical work must be completed by electrician. C. Treatment System: Trenches: s.f. (Mound Depth of rock below pipe " Rock bed dimensions /0 'x SD ' Drop Boxes Sand bed dimensions 7 'x S 2_' Distribution Box Pressure Dist. Pipe Diam. ,'/z." Maniford Pipe Diam. Z" " D. Final Cover/Topsoil to be: borrowed from site (show location on site plan) X trucked in 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 of Minnesota, and certifies that all statements made on this application are complete, true and correct. Signature ofApplicant: L s_ Date: I g-q 4-- MPCA Certification No.: f' !` Staff Review: Approv. De ial Reviewer: /At/ / y Date: Reason for Denial: O CITY OF ORONO CALLED IN ° ` rr INSPECTION NOTICE SCHEDULED 47.13g PERMIT NO. <<z�`� / COMPLETED ADDRESS eQ22n `1. r "/f 4 OWNER CONTR. TELEPHONE NO. DESCRIPTION Lf ly 01 FOOTING 11 MNICAI!RI 16 WELL TEST PUMP 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT Lu 09 PLUMBING RI .r»VAIMPI. 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC F NAL OWNER/CONTRACTOR TO MEET YOU:_10"YES_NO 9 COMMENTS: J /415 cc Ax4-4S Q� n / ccCC CC Q Sc CC d ORK SATISFACTORY:PROCEED W PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O LI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. U PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor • i -i Inspector. 40,- - '- _ White Copyllnspector's File Canary Copy/Site Notice I,/ DATE T AAF` CITY OF ORONO CALLED IN • •••--,+-• INSPECTION NOTICE SCHEDULED ; . PERMIT NO. ', COMPL T '.1 ADDRESS CM 'I' 'r % pd OWNER CONTR. ,-��'4;6 TELEPHONE NO. • DESCRIPTION �_ W 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP W 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS • 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION • 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC u• • . 21 COMPLAINT IQ 09 PLUMBING RI SEPTIC INSTA . 22 FOLLOW-UP v 10 PLUMBING FINAL 23 SEP 0---- AL Z OWNER/CONTRACTOR TO MEET YOU: Y S NO oy COMMENTS: ' ... :A0 ip.,,V,.. cc a /V --/a101-'/Z, /i0 iht 0 cc LP/— '� 0,0/0 , Ir 1 e eW ccA wa,e i Ad Q r W Z W Cc VWORKSATISFACTORY:PROCEED 0 PROJECT COMPLETE _. W ❑CORRECT WORK&PROCEED r: ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor o e: / Or /PirrInspector. White Copyllnspector's File Canary Copy/Site Notice ATE TIME CITY OF ORONO CALLED IN 9 INSPECTION NOTICE SCHEDULED 02 ' 30 PERMIT NO. h , .7 COMPLETED ADDRESS6)nO --C4,E (moi c'' OWNER (9 ,-A-o / CONTR. , ' TELEPHONE NO. `t�P- DESCRIPTION tu 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING " 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS • 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL • 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO—FINAL 27 21 COMPLAINT LU 09 PLUMBING RI 22 FOLLOW-UP 10 PLUMBING FINAL 23 SEPTIC' AL Z OWNER/CONTRACTOR TO MEET YOU: ES_NO /1 oy COMMENTS: ' %-r"- «t, ��� cc — /*Lc; Q. cc 0 cc 0 cc z W cc Et;/WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W/ CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O� BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. a PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR E CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contracto/: ' -/ Inspector. /� %( .107. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED __— ► 9 PERMIT NO. lGy(.5yf /`�/COMPLETEEDD iADDRESS �G1 ' � r/7k'A , OWNER ©//l°4ir6Y CONTR. �-7i/Y TELEPHONE NO. • DESCRIPTION 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP 4. Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORENVETLANDS • 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION h 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP PL ING FINAL J Q 10WNERI ONTRACTOR TO MEET YOU: YE NO o COMMENTS: /I1p54-- i--in (3)&...... CC0 _ 0or cc X+€51SI kr-. 0Lu . -�s eI (? 7 iesk Zi. l o WzgIL YS1 �ocA sii4 ce- fr'i k. Es. -$4,8f2//ke ,*'Aill/ ceizifie,4--e A.Jo c k -I-A A-ive.,k. d ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W 111 CC ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN fl]STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnerlContractor o Inspector. White Copyllnspector's File Canary Copy/Site Notice SEPTIC SYSTEM INVENTORY Address: 2000 Webber Hills Rd. PID: 03-117-23 34 0017 Building Type: residence #BRs/GPD: 4 #Systems 1 Units Billed 1 Permit#: 6347 Date of Permit: 8/19/94 Installer: Swedlund System Type mound Experimental: no Appliances lndry,dshw,dspl SYSTEM CONDITION Conformity: 1 Tank Condition: 5 DF condition: 11 Failure Pot: low SEPTIC TANKS Material: precast concrete Capacity: 1000, 1000, 1000 Setback to Bldg: 40 Cesspool: DRAINFIELD Length of Lines 150 #Lines: 3 Trench Width: 10 Treatment Area: 82*42 Type of Filter rock,clean sand Soil Boring: yes Tile Size: 1.5 Under Tile 9 Perc Rate: 41 Setback DF-Bldg: 80 DF Ht above Wt: 3 Soil Type: loam,clay loam Limitations: water table WELL DATA Setbacks - Well-Tanks: Well-DF: Report in File: yes Pump Type: subm. Depth: 113 Diameter: 4 Method: drilled INSPECTION RECORD PUMPOUT RECORD DATE DESCRIPTION COMPLIANCE DATE GALLONS 8/29/94 Installation 1 3/25/98 1000 10/27/97 no surfacing 1 9- )-of ConrQ teL) to SewQr zno6.Ab'?-`r nit id qq:',00 . 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