HomeMy WebLinkAbout1990-05-29 Application for Septic System PermitAPPLICATION FOR SZPTIC SYST-.-X PMtMIT
CITY OF ORONO y
Box 66 (1335 So Brown :3d)
Crystal Bay, MN 55323 '
General Instructions:
1. You may accly_ for septic system permit by mail or in person at the
C-J-y offices. However, permits will not be mailed out and meat be
c -,.toed up in person at the Cit.- offices.
2. Permits are not valid until you receive a permit card.
3. 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
Sectic System Installer's License.
5. All work must be done in accordance with the acproved septic system
design. Design retorts are not considered acproved unless accomcanied
by the "City of Orono Septic System A_r>proval" cover sheet signed by
tte City Inspector.
6. The following insrectiors will be required for all sectic systems:
a) Pre -installation site insrect'_on to include insrector, installer,
and general contractor.
b) Tank installation prior to covering.
c) Drainfield trench installation prior to coverine. (For mounds,
inspection is required after rough -up but prior tj sand
placement, and again during pressure distribution piping
installation in the rock bed.)
d) Final inspection to verify proper final cover depths and to
verity that all pump station (where required) components are
functional and comc ly with codes.
7. Individual holding MPCA Installer Certificate shall be present during
all insre:-:ans. 24-hour notice is required for ail inscections.
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JOB SITS ADDRESS:
Occupancy Type: Residential Commercial Other
Owner's Name: Jc�l Phone:
Mailing Address: moo& City: Zip:
Septic Contractor's Name : 4I . n *4�1 4 �x. i9 Bus . Phone : i b j 9S
*sailing Address: i�Sc9S— //o �T City: G Zip
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$BPTIC SYSTM Pffi2MIT APPLICATM - PAGE 2
Permit Type i p
New Construction, Full System $75.00
Replace Existing System U or more ..
?a--tial Replacement (replac= just tau:,
$0.50 State surcharge added to above p
SEE FEE SCHEDULE FOR NCN-:.
Y one)
-ainfield) $o0.00. .
rainfield) $30.00. .
. PERMIT Fr-rS
DO HOT MAIL PAM43NT WITH TST S APPLICATION
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70T8: Applicant must initial all spaces. F....1 in all appropriate blanks,
check all appropriate boxes.
1. I have received a copy of the sy.atem design including the
.City of Orono Septic System Approval Cover Sheet.
2. I will be installing the following: [[
A. Tanks: Precast Concrete V' Other Manufacturer
Tank Capacities: 1) gal. 2) c�ogal. 3) _gal.
B. Pumn Station (i= re red)
Pump make & model (attach puma curve &
literature) ; syste_^t design re-iires cpm at feet
of head. High water alarm make & model
Outside electrical work to be completed by _installer
— electrician other Inside electrical wok
must bM completed by electrician. - 'r : ✓ t�fv-A ^ ^�
C. Treatment System:
Trenches: s.f.
Depth of rock below pipe "
Drop Boxes
Distribution Box
Mound
Rack bed dimensions /' ' x SV'
Sand bed dimensions M'x'
Pressure Dist. Pipe Diam._ZA-"
Manifold Pipe Diam. 0
D. Final Cover/Topsoil to be: borrowed from site
(show location on site plan.
trucked in
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-.a undersigned hereby applies to the City of Orono for issuance of a
t-tic system installation permit, agrees to do all work in strict
:cordance with the or3inances of the City and the regulations of the State
Minnesota, and certifies that all statements made on this application
complete,. true and Corr-.t.
mature of Applicant: Date:_��?rc t'
CA Certification No.: % ��