HomeMy WebLinkAboutSE22-000010t�0
s� City of Orono Septic Asbuilt Form
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Address Ujr'cy ;4z Building Use
Installer " License # ,V VET Date /0
Septic Tanks 2,2 0 %'�L �% �� sr� Pump Tank f a 5-0 � l l e --
System Type '+ I ❑ II ❑ III Mound ❑ Trenches p Pressure Bed ❑ Other
Draw detailed diagram with measurements indicating distances to tank risers using 2 points from a permanent
structure. Show location of drop boxes and length of trenches.
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Site Address:
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Company Name: f ? `kr.�" License #:
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1. That a representative or I of my company has verified that the Indoor or Outdoor Pump Alarm
sounded by lifting the float switch and the alarm light is on and that the pump was tested with
the float switch.
2. If applicable, that myself or a representative of my company has verified that the Indoor or
Outdoor Filter Alarm sounded by lifting the Float switch and the alarm light is on.
Date:
Print Name:
Signed:
Please upload to your permit in Citizenserve when completed.
Final Inspection and certificate of compliance cannot be issued until this form is received.
10/06/2023
Hendel Homes
975 Long Bridge Lane
Orono, MN 55356
Permit Number: SE22-000010
To Whom It May Concern:
This letter, along with a copy of the approved OSTP As -Built Form, serves as the Certificate of
Compliance for the Subsurface Sewage Treatment System (SSTS) installation at 975 Long Bridge Lane in
the City of Orono. The design was reviewed, a permit was issued, the installation was inspected, and
final approval has been granted for use in compliance with the approved OSTP As -Built Form.
As a reminder, proper care and maintenance in accordance with your SSTS management plan is needed
in order to extend the life of your septic system. County Ordinance requires your septic system be
pumped every three years or as necessary to maintain the life of the system.
If you have any questions or need additional information, you may contact the office at 952-442-7520.
Sincerely,
Uw�4�h-e4, uetv-/
Christopher Uebe
Septic Inspector
Certification # C9852
Cc: City File
2750 Kelley Parkway
Orono, MN 55356
Phone:952-249-4600
Fax:952-249-4616
http://www.ci.orono.mn.us/
INSPECTION RECORD
PERMIT NUMBER 5 6 a;� — 0 coo 1 0
MUST CALL TO SCHEDULE NO LATER THAN THE
BUSINESS DAY PRIOR TO THE INSPECTION DAY
8:00 A.M. TO 4:30 P.M. Monday thru Friday
952-442-7520
Site Address: 'Q-7S �"'� Se L►'1c.
Description: kJ C-j f v `C-J 5-5-1-5
Permission is herebygrantedto:
Owner: H b%AJ,I `` --)
Contractor:- oe(As
To install or construct the improvements applied for.
This permit is granted upon the condition that the
person to whom it is granted, and his agents,
employees and workmen, shall conform in all respects
to the ordinances of the Municipality of
GVOr\,o and to the Statues of the
State of Minnesota in such cases made and provided,
this permit may be revoked at any time upon violation
of any of the provisions of said Ordinances, Statues,
or for any misrepresentation in the application.
This card and reviewed construction plans must be
posted at the wor€csite and maintained until all
inspections have been approved. NO INSPECTION
will be performed if card and plans are not available
to inspector. REINPSECTION FEE WILL BE CHARGED.
NO DEVIATIONS FROM THE APPROVED PLANS ARE
ALLOWED WITHOUT PRIOR CONSENT FROM THE
BUILDING INSPECTIONS DEPARTMENT. Do not
occupy until all final inspections have been
completed.
Permit expires when building and work is not
commenced within 180 days or if building and work is
suspended, abandoned or not inspected for 80 days.
Occupancy:
Construction:
REQUIRED INSPECTIONS
Note: Permit holder is responsible to call for these
inspections.
Required Inspections
Date
Inspector
Plan Review
7 < <Tx -a
c
Soils Confirmation
'7 11'1-.)-
C L—
Scarification
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Septic & Pump Tanks
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Rock bed/Laterals
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Final
0 /517-3
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Notes: A -5 tLV To 1-- 10 A/a I
Infield Soil Verification Report
Date of Verification: - f
v2.
Time: 9 '. i �;- 4-"-
Site Address: G "15 L a h
13rt'J c_ Log
Permit # 5 C--WD
Limiting Condition & Distance:
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Boring 4r Test Pit Location:
AC-A3
S 0 q
Depth In
Inches
Soils Encountered
-7
1 U — I
7_ 15
3 S,-..t
End Of Boring At:
Redox Present At:
Standing Water Present At: