HomeMy WebLinkAbout1989-06-30 Permit, Septic System #001861CITY OF ORONO
1335 Brown Rd. South • P.O. BOX 66
Crystal Bay, Mifinesota 55323
(612)473-7357
BITE ADDRESS:
P.I.N. : 10* U7-2:3-*:32-00i4
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DESCRIPTIOI^i
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PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
SEWER & WATER OOlb’bl
0S/::-:0/S9
FRENCH CREEK OR
Sffwer & Water Pertnit Type SEPTIC SYSTEM
Sewer & Water Work Type RESIOEMCE
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REMARKS
PER WG'S REPORT - COPY TO CONTRAC TOR
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FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$75.00
$7S.S0
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CONTRACTOR: — Applicant —
INGE LSIDE ENGINEERING S47S1RSS
4920 HWY 55
ROCKFORD MN &.5:373
(512) 47S~1J363
OWNER:
LAURENT JOHN
1270 FRENCH CREEK OR
WAYZATA MN f-SSSt
475-4015
PERMISSION TO MAKE THE REAL IMPROVED.NTS f ASKEES to Dij all work in STRICT COMPLI^CF WITH ALL CITY OF
tz. ORJNU ORDINANCES AND STATE OF MINNESOTA BUILDING CODttI
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APP T PERMITFt SIGNATURE
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•OUIREMENTS.
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ItssuFoey signature
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^^LZCATIOV FOR SBPTZC SYSTEM PERMIT IZ7V pe. ctK.1
c: IT OF OROMO
B4'X B€ (1335 So Broim Rd)
Cryotal Bay, m 55323
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Gonoral Instructions:
!• You aay apply for saptic systam paralta by nail or in parson at tha
City officaa. Howovar, paraits will not be nailed out and auat be
picked up ia person at the City offices.
2.
3.
Paraits are not valid until you raceiva a permit card*
Work must not begin unless the permit card is available on tha lob
site.
4.Permits will be issued only to contr
Septic Systasi Installer's License.
tors holding a City of Orono
5.All work must be dona in accordance with tha 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.
b)
c)
Tank installation prior to covering.
Drainfield trench instantiation 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.)
d)Final inspection to verify proper final cover depths and to
ynrify 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. 24Miour notice is required for all inspections.
JOB BITS BDlIRBSSs
Occupancy Type
Owner's Hemes
0/1 o a lAy^.
vidential
^okyy
Commercial Other
i h-Phone
Nailing Address:,City:Zip.:
Septic Contractor's Name:Bus. ^honmt^T? 9"
Mailing Address: . vTT' City: - Zios _
— over -
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SEPTIC SYSTEM PERMIT APPLICATON - PAGE 2
Peraiit Type & Pees (check one)
Mew 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. . ,
$0,50 State surcharge added to above permit fees
SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES
DO HOT MAH PAYMENT WITH THIS APPLICATION
NOTES Applicant must initial all spaces,
check all appropriate boxes.
Pill in all appropriate blanks.
Initial
^1^-4 1.1 have received a copy of the system design including the
. City of Orono Septic System Approval Cover Sheet.
2.
A.
I will b^installing the following:
^Precast ConcreteTanks:Other Manufacturer
Tank Capacities: 1) gal. 2) (ttr- gal. 3) gal.
B.Pump Station (if required)
Pump make S model 65 Ai3aA
\is
I
^^_ _ _ _ (attach pump curve &
literature); system dt^sign requires ctm at ^ feet
of head. High water alarm make & model
Ou3b$ide electrical work to be completed by _installer
Other • Inside electrical work
must be completed by electrician.
C.Treatment System:
‘ ‘ Trenches: ^ s.f.
epth of rock below pipe
Mound
n
Drop Boxes
_ _ Distribution Box
Rock bed dimensions
Sand bed dimensions
X
*x
Pressure Dist. Pipe Dieun.
Manifold Pipe Diam. _ _ _
If
n
D. Final Cover/Topsoil to be: AA 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 the 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 of Applicant:
MFCA Certification No.: /P-5LuL
Date: /i /a6 /r9
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