HomeMy WebLinkAbout1989-08-11 Application for Septic PermitA"LICMON FOR,
C SYSTEM PERMIT
C. rt OF ORONO
66 (1335 So Brown Rd)
Crystal Bay, MY- 55323
General Instructions:
1. you may auurly for septic system permits by mail or ?..n person at the
City offices. However, permits will not be mailed out and must be
Picked up in person at the City offices.
2. .: ermits are not valid until you receive a rermi -'- :-ard..
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
Septic System Install-13r's License.
5. A21 work must be done in accordance with the L- ►;roved septic system
design. Design retorts are not considered approved unless accompanied
by the "City of Orono Septic System Ap.roval" cover sheet signed by
the City Inspector.
The following inspections will be required for all septic systems:
a) Pre -installation site inspection to inc;:ude inspector, installer,
and general contractor.
b) Tank installation prior to covering.
c) Drainfield t_ ench installation r. _'_ to cove: ' ^c ,o s,
inspe,.,nion is required after rou•,,i-up but p. o sand
placement, and agwin during pressure distrib- piping
installation in the rock be..'.)
d) Final inspection to verify proper final cover depths o
verify that all pump station (where required) c-conents �.:e
functional and comply with codes.
7. Individua?. holding MPCA Installer Certificate shall be present during
all inspections. 24-hour notice is 7z-aired for all inspections.
JOB SITE ADDRESS:
Occupancy Type: Residential_�� Ccmmercial Other
Owner's Name: /�, //� r` // Phone: --
Mailing Address: C:ity:� Zip:
Septic Contractor's Name a..�rDUJ��N Bus . Phone
Ming Address: _ City: zip.-
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SEPTIC SYSTrM'PSRMIT APPLICATON - PA'Z 2
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Permit Type & Fees (check one) - :-
New Construction, Full System $75.00.
Replace Existing System (1 or more new tanks & drainfield) $50.00. .
Partial Replacement (replace just tanks or just drainfield) $30.00. . .
$0.50 State surcharge added to above permit. fees
SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES
•I W NOT MAIL PAMIENT WITH THIS APPLICATION
HOTS: Applicant must initial all spaces. Fill in all appropriate blanks,
check all an-:opriate boxes.
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 follSWing:
A. Tanks: _Precast Concrete 1�LOther Manufacturer
Tank Capacities: 1) gal. 2) gal. 3) ��?=�� gal.
B. Pump Station (if re fired)
Pump make Q model /� c '�_>�_ (attach puma curve &
literature); system design recuizes ?,�,gpm at 14- feet
of head. High water alarm make & mode i�J- f rvr /
Outside electrical work to be completed by installer��
electrician other I. side electrical work
must be completed by electrician. .
C. Treatment System:
Trenches: s.f.
Depth of rock below pipe %U "
Drop Boxes
Distribution Box
Mound
Rock bed dimensions Z Z'1' x
Sand bed dimensiohs " ,.- r '
Pressure Dist. Pipe DLam.' "
Manifold.
Pipe Diam.'
D. Final Cover/Topsoil to be: borrowed from site
(show location on site plze.)
rucked in
lie II-AYYsig'IL. hereby applies to the City of Orono for issuance of a
apt.item installation permit, agrees to o all work in strict
oco,: :e with the ordinances of the City and the regulations of the State
and certifies that all statements made on this Zpplication
-r complete,. true and oorrec
:gnatnra of Applicant: J Date:
,CA Certification No.: