HomeMy WebLinkAbout1990-11-09 Application for Septic System PermitAPPLICATION FOR S2PTIC SYSTEM PSBMIT
CITY OF OROHO
Box 66 (1335 So Brown Rd)
Czystral Bay, MN 5t^323
Ganeral Instmctions: . ^ .
1. You may acclv for septic system permits by mail or in person at the
City offices. However, permits will not be mailed ont and mnst be
picked np in person at the City offices.
2.
3.
Permits are not valid until you receive a permit card.
Work must not begin unless the permit card is available on the job
site.
4.Permits will be issued only to contractors holding a City of Orono
Septic System Installer's License.
5.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.
6.The following inspections will be required for all septic systems:
a) Pre-installation site inspection to include inspector, installer,
and general contractor.
Tank installation prior to covering.
Drainfield trench installation prior to covering. (For mounds,
inspection is required after rough-up but prior to sand
placement, and again during pressure distribution piping
installation in the rock bed.)
Pinal Inspection to verify proper final cover depths and to
verify that all pump station (where required) components are
functional and comply with codes.
7.Individual holding MPCA Installer Certificate shall be present during
all inspections. 24-hour notice is required for all inspections.
JOB SITE ADDRESS: f. J _ _ _ _ _ _ _ _ ___ _
Occupancy Type: Residential Commercial Other_ _
Owner's Name Phone: ^/~7
Mailing Address: !/*)crC Citv: /C _ 1
Septic Contractor's Name: Sa UBus. Phone
Mailing Address: ■
- over -
Peraiit Type & Fees (check one) .
/rew Construction, Pull System $75.00. . . . . . . . . . . ... . . . . . . .
^ eplace Existing System (1 or more new tanks & drainfield) $50.00. • •
artial Replacement (replace just tanks or just drainfield) $30.00. .
• ■* ■
12PnC S7STSM PERMIT APPLZCATOH - PAGE 2
0.50 State surcharge added to above permit, fees ~
SEE FEB SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES
DO HOT MAIL PAIMENT HZTH THIS APFLICATIOR
OTSs Applicant must initial all spaces. Fill in all appropriate blanks,
check all appropriate boxes.
litial
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 Uie following:
A. Tanks: Precast Concrete ___^Other Manufacturer
Tank Capacities: 1) gal. 2) gal. 3) ) "Z-s^ gal.
B.Pumc Station (if required)
Pump make & modelT^,?/ _ _ _ _ (attach pump curve &
literature); system design requires feet
of head. High water alarm make 5 modelx^^/^^
Outside electrical work to be completed by ^installer
electrician _other_ _ _ __. Inside electrical work
must be completed by electrician.
C.Treatment System:
Trenches:
Depth of rock below pipe
s.f.
Drop Boxes
Distribution Box
Mound
Rock bed dimensions jo *x^g *
Sand bed dimensions 4/iO *X/g</ *
Pressure Dist. Pipe Diam._^
Manifold Pipe Diam. 2 _**
D. Final Cover/Topsoil to be: \<^ borrowed from site
(show location on >*ite plan)
trucked in
^ underslgn.d h.r.by «ppli*s to the City of Orono for issuance of a
tic system installation permit, agrees to do all work in strict
ordance with the ordinances of the City and the regulations of the State
Minnesota, and certifies that all statements made on this application
complete,, true and correct.
uatur^of Applicant:
A Certification Ho.:_2Zl2.
Date g
I