HomeMy WebLinkAbout1998-010765 - new septic system PERMIT
CITY OF ORONO PERMIT TYPE: - = - � �. -
` 2`7�0 Kelley Parkway- P.O. Box 66 =- '°`�-- - -'=" `�''��' ` F'`
Crystal Bay, Minnesota 55323 Permit Number: ;_��;f�'_�
(612) 473-7357 Date Issued: ;;�;�i�,;'<<;;-;
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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APPLICANT/PERMITE SIGNATURE ISSUED BY:SIGNATURE
CTTY OF ORONO SEPTICSYSTEI�TPERII�IITAPPLICATI�v
Box 66 (2750 Kelley Parkway) `
Crystal Bay, I1��t ��323 �� � �'�'
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JOB SIfiE ADDRESS: �
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Occupanc�• Type: Residential � Commercial Other
Permit Type: I�'etiv or Replacement Sy'stem, $100.00
Repair Existina System, � 50.00 '
(Tanks or Drainfield)
0.50 State surcharge added to above fees
*See fee schedule for non-residential permit fees
O�vner's Ir'ame: �, ��
c��c� �� Phone\Tumber:
Nlailing Address: S���c ��S �e City: �P�
Contractor's I�'ame•� ��'���t ��4 5 � �'� Phonel\Tumber: �?� -
I1�Iailing Address: t�,��� �o . �� �� City:_�r �
Zip: �� ^'�
DO \TOT i1�LA7i, PAYIti"IENT tiVITH THIS APPLICATION
GENERAL INSTRUCTIO\TS
1, Applications for septic system permits may be mailed or submitted in person at the Ciry
Offices; however, permits will not be mailed out. The permit must be picked up in
person at the Ciry Offices and work must not bejin unless the permit card is on the job
site. �
2, permits wi11 be issued only to contractors holdin� a City of Orono Septic System
Installers License.
3. All work must be done in accordance with the approved septic system desi�n. Desijn
reports are not considered approved unless accompanied by the "City of Orono Septic
System Approval" cover sheet si�ned by the City Inspector.
4, The followin� inspections will be required for all septic systems: _
A. Pre-installation site inspection to include inspector, installer, and general contractor.
B. Tank installation prior to coverinJ.
C. Drainfield trench installation prior to coverin�. For mounds, inspection is required
after rouQh-up buc prior to sand placement (sand will be jar tested for silt content),
and a�ain durin� pressure distribution pipin� installation in the rock bed.
D. Fin.al inspection to verify proper final cover depths and to verify that all pump station
(��here required) components are functional and comply with codes.
5, Individual holdin�NIPCA Installer Certificate shall be present durin� inspections: A 2`�'
hour notice is required for all inspections.
NOTE: Applican[ rriust initial all spaces. Fill in all appropriate blanks, check all appropriate
boxes.
�
C 1. I have received a copy of the system desi;n includin� ihe City of Orono
Septic System Approval Cover Sheet.
� �� 2. I will be installin� the followin�:
A. Tanks: Precast Concrete �Other Manufacturer
Tank Capacities: 1) �� �aI. 2) �� �al. �) �� oal.
B. Pump Station (if required)
Pump make & model �c� �, ./� (attachrpump curve &
literature); system desi�n requires gpm at i� feet of head.
Hi�h �vater alarm make & model Outside
• electrical work to be completed by installer �� electrician
other . Inside electrical work m{�s� be completed by
electrician.
C. Treatment System:
,�_ Trenches: � S,f, Mound
Depth of rock below pipe ��" Rock bed dimensions 'x '
Drop Boxes Sand bed dimensions 'x '
2 Distribution Box Pressure Dist. Pipe Diam. "
Maniford Pipe Diam. "
D. Final Cover/Topsoil to be: borrowed from site
(show location on site pla�)
trucked in
The undersi�ne�l hereby applies to the City of Orono for issuance of a septic system installation
permit, a�rees 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.
�
Si�natureofApplican[: �� Date: �- � -�� ��
,
MPCA Certification No.: �� s�j -
Staff Review: Appr v � D ni
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_ _ �,
� Revietiver: _ � � ,/��� Date: ��J�-"��
Reason for Denial: