HomeMy WebLinkAbout1997-009136 - SAC only iI PERMIT
ditY OF ORONO
PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: _`�'�=``. ='' � ')T_R
Crystal Bay, Minnesota 55323
(612) 473-7357 Date Issued:
SITE ADDRESS:
WAY.'-ATA BLVD_
DESCRIPTION:
W;;t_r Permit. Type
w i�C ONLY
Water Work Tce t"J. 1
REMARKS:
FEE SUMMARY:
Toi ll Fee i y 9100 . ()
CONTRACTOR: OWNER: Applicant
FLAMINGO WIRE.. INC
a
Ti-II � QER. GNEC , HE REQ S`T 'ERI 5 � wE THE . I Rt tEMEl
, ` QED fiNatPEE ; Tia : „ .��'tR N . tTT :��LJA
� ..t � � _LL, CITY,
ORDINIAN ` S STATS: t�l�' ,MINNESOTA ltbIN C
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
Metropolitan Council ATE PAYMENT
Environmental Services
JUN 3 0 1997
SAC PURCHASE FORM
The Metropolitan Council Environmental Services has determined that DUE BY
Company Name: rlaminso Wire' Is=
Facility Address: W ta $01Ievard
Orcm, Mn 55356
Community• C'_tv of Oram Permit No.:
is required to obtain Service Availability Charge (SAC) units at the 19_rate of
$ per unit for an increase in the volume of wastewater discharged to the Metropoli-
tan Disposal System.Payment of applicable SAC is a Permit Condition described in Section
205.00 of the Waste Discharge Rules for the Metropolitan Disposal System,
Total amount due: $ 11900
Note: Payment of SAC does not relieve companies of charges assessed by communities for
an increase in the volume of wastewater discharged through the local sanitary sewer.
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VERIFICATION OF PURCHASE
To be completed by Community offical
I verify that Flmingo Wire, Inc,
(company name)
has purchased 2 SAC units on Ame 27, 1997
(date)
Signed: Buildi
LM Official
,
(name) (title)
representing: City of Orono
(community name)
white original - to Company
yellow copy - to Community (to be submitted to MCES with monthly SAC report)
pink copy - to Industrial Waste Section, MCFS (to be submitted by company)
Village Permit N2 2163
Contractel�.C� �-�'``� � Address
Owner_ __ Address ,%
State License No. Village License No
GENERAL PERMIT
Y
VILLAGE OF ORONO
Crystal Bay, Minnesota ,
Dare -
Parcel No
Section No Lot Block Subdivision__
Plat No
Other Description:
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
,F
Inlumbing systems: Fee $ � Signature applicant
Install
sewage disposal systems. Fee
��
Install ., o
water supply systems: Fee $
Repair Signature of Village Official
Fee $ — /
Total amount paid to Village....... $