HomeMy WebLinkAbout2007-P11321 - new septic system PERMIT
UTY'�OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P11321
Crystal Bay, Minnesota 55323 Permit Type: Septic
(952)249-4600 Date Issued:
8/10/2007
SITE ADDRESS: 1180 Wyndmere Rd Unit#
Wayzata,MN 55391
PID: 26-118-23-41-0008
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Septic Permit Sub-type(s): New Septic System
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 100.00 Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 100.50
APPLICANT: Marty's Excavating OWNER: Youngki&Youngsgun Kim
7185 Rutz Lake Rd 1180 Wyndmere Rd
Mayer,MN 55360 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PERMITEE SIGNATURE &iUED BY SIGNATURE
Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page I
A1132-1
CITY OF ORONO SEPTIC SYSTEM PERMIT'APPLICATION
Boz 66(2750 Kelley Parkway)
Crystal Bay,Mn 55323
JOB SITE ADDRESS
Occupancy Type: Residential_ �, Commercial Other
Permit Type: New or Replacement System $100.00
Repair Existing System $ 50.00
(Tanks or Drainfield)
$0.50 State surcharge added to above fees
* See fee schedule for non-residential permit fees
Owner's Name: A-' v "k I Phone Number: `� 2- Y 76 — `13if9
Mailing Address: / I ,v City: Dec Zip: 323
Contractor's Name: lr%111-9 Phone Number: 8 8
Mailing Address:-7l A ?_v City• A e-ez Zip: ,S S,3G�
*** DO NOT MAIL PAYMENT WITH THIS APPLICATION*
GENERAL
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 Minnesota Pollution Control
Agency(MPCA) 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 stations
(where required) components are functional and comply with codes.
5. Individual holding MPCA Installers License shall be present during all inspections. A24-hour
notice is required for all inspections.
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate
boxes.
1. I have received a copy of the system design including the City of Orono Septic
System Approval Cover Sheet.
2. I will be installing the following:
A Tanks: _Precast Concrete Other Manufacturer
Tank Capacities: 1)l00o gal. 2) Aoe al 3) gal
B. Pump Station(if required)
Pump make&model 1 Gv Go v (attach pump curve&
literature); system design requires 6 gpm at feet of head.
High water alarm make&model . Outside
electrical work to be completed by installer ?C electrician other.
C. Treatment System:
Trenches: SIV Mound
Depth of rock below pipe Rock bed dimensions A9 ' x '
Drop Boxes Sand bed dimensions ' x '
Distribution Box Pressure Dist. Pipe Diam. "
Manifold Pipe Diam. "
D. Final Cover/Topsoil 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 work in strict accordance with 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 ofApplican( Date:
MPCA License No. 74.1; 8
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Stat'Review: Approval Denial
Reviewer: ���'r /� Date: 0
Reason for Denial: