HomeMy WebLinkAbout1989-07-05 App. & Permit, Septic System #001781CITY OF ORONO
1335 Brown Rd. South • P.O. BOX 66
Crystal Bay, ^linnesota 55323
{612)473-7357
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued;
gtWER ^ WATER^■51
07/0R/R9
SITE ADDRESS:
1390
P. I. N. : lO-l l7-2:3>*32-0009
FRENCH CREEK OR
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DESCRIPTION:TIT
Sewfrr ti Water Permit Type SEPTIC SYSTEM
Sewer & Water Work Type RESIDENCE
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REMARKS:
PER MPG'S REPORT - COPY TO CONTRACTOR
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FEE SUMMARY:
, Base Fee
' Surcharge
Total Fee
$75.00
$75.50
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CONTRACTOR: Applicant --
CLOVER HILL COMPANY INC 55504934
RT 1, SOX 372 A
WAVERLY MN 55390
(612) 658-4334
OWNER:TEARSE HAROLD
1330 FRENCH CREEK OR
WAYZATA MN 55391
473-2774^ - - - - I
^ THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAl IMPROVEMENTS
SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF L. URONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS _J
APPLICANT Pt RMITEC StGNATURt >«5UEDQp SIGNATURE iin
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WPLICATIOH FOR r':mc SYSTEM PERMIT ^ fh^\<iL
CITY OP OROHO
Box 66 (1335 So Brown Rd)
Cxystnl Bay, NH 55323
Ganaral Instructions:
!• You may acclv for septic system permits by mail or in person at the
City offices. However, permits will not be nailed out and most be
picked np in person at the City offices.
2.
3.
Permits are not valid until you receive a permit card.
'York 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.
b)
c)
Tank installation prior to covering.
Orainfield 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.)
d)Final 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.
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JOB 8ZTB ADDRBSSi Cr<^ck Ot'.
Occupancy Type: Residential / Commercial
Owner's Name: Heh^ci_ _ _ _ _ _ _ _ _
Other
Phone8 ^ 3/ V
Mailing Address: /2/Z U/oyz a CLtvi U/<’V2 Zin:
Septic Contractor's M// Co ________ Bus. Phones
Nailing Address:^;// /?/y 111 _________ City: U/cn/et^l-J • gjpt
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S8PTIC SYSTEM PERMIT APPLICATOH - PAGE 2
Perait Type £ Pees (check one)
New Construction, Pull System $“"5.00. . . . . . . .! 1 • • * *
Replace Existing System (1 or more new tanks & drainrield) $50.00. • •
Partial Replacement (replace just tanks or just drainfield) $30.00 e e e
$0.50 State surcharge added to above permit fees
SEE PEE SCHEDULE FOR NON-RESIDENTIAL PERMIT PEES
DO MOT MAIL PAYMENT WITH THIS APPLICATION
NOTES Applicant must initial all spaces. Pill in all appropriate blanks,
chock all appropriate boxes.
Initial
Silo 1.I have received a copy of the system design including the
City of Orono Septic System Approval Cover Sheet.
a&)2.
A.
I will be installing the follo;.ing: y *
Tanks: X Precast Concrete _ _^Other Manufacturer
/
Tank Capacities: 1) gal. 2) {UiQ gal. 3) \o^ gal.
PuBip Station (if retired) ^ ^ 7
Pump make £ model ^
literature); system design requires
(attach pump curve fi
gpm at feet
of head. High water alarm make £ model/1^./.^ ** 2w -4- -•
Outside electrical work to be completed byelectrician other_ _ _ _ * Inside electrical work
must be completed by eelectrician.
C.Treatment System:
3 Trenches:
Depth of rock below pip
3 Drop Boxes
__ Distribution Box
Mound
pipe / 2_ " Rock bed dimensions _’x_ _|
Sand bed dimensions _'x_
Pressure Dist. Pipe Diam. *
Manifold Pipe Diam. ^
D. Fln.1 Cov.r/TOp*oll to b.» borrows! from sit.(show location on site plan)
trucked in
Th. and.rsignad h.r.by appll.s to tb. City of
are eosqplet^ *ue and correct.
Signature of Appli Date: .
MFCA Certification No.: /r72
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