HomeMy WebLinkAbout2002-P05783 - septic - .
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos�s3
Crystal Bay, Minnesota 55323 Permit Type: septi�
(952) 249-4600 Date Issued: io�3o�2002
SITE ADDRESS: 625 Deborah Dr
Maple Plain,MN 55359
P I D: 31-118-23-23-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Septic Permit Sub-type(s): Undefined Septic System
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Owner must get pumping agreement sighn within 1 month
FEE SUMMARY: Permit Fee: $ loo.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 100.50
APPLICANT: Westonka Water&Sewer OWNER: Randy&Christina Arneson
6501 County Rd 15 625 Deborah Dr
Mound,MN 55364 Maple Plain,MN 55359
THE UNDERSIGNED HEREBY REQUESI'S PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF
MINNESOTA BUILDING CODE RE REMENTS.
.
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APPLICANT PERMITEE SIGNATURE [SSUED BY SIGNATURE
Cooies: 1-File(Signitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing. 1-Finance Page 1
CITY OF ORONO SEPTTC SYSTENI PERI�IIT APPLICATION
Box 66 (2750 Kelley Parkway)
Crystal Bay,Mn 55323
JOB STTE ADDRESS ���� �e �o�� �q, � ��
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Occupancy Type: Residential � Commercial Other
Permit Type: New or Replacement System $100.00
Repair Existing 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 l�'ame: Phone Number:
MailingAddress: 5,��'�� ,�s /��nJ� City: Zip:
Contractor's Name: t.�5v�o� k5 5�„x-'T �.,��f�� Phone Number:�5�� �7�-���(
l�Iailing Address: (��v( cf%. ,2 i `j City: �'1vu�� Zip: �-�L y
*** DO NOT MAII., PAYMENT`VITH THIS APPLICATION***
GENERAL INSTRUCTIONS
1. Applications for septic system permits may be mailed or submitted in person at the City
Offices; however, permits will not be mailed out. The permit must be picked up in person
at the City Offices and work must not begin unless the permit card is on the job site.
2. Permits will be issued only to contractors holding a Minnesota Pollution Control
Agency(NII'CA) Septic System Installers License.
3. 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.
4. The following 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 covering.
C. Drainfield trench installation prior to covering. For mounds, inspection is required after
rough up but prior to sand placement(sand will be jar tested for silt content), 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 stations
(where required) components are functional and comply with codes.
5. Individual holding�IPCA Installers License shall be present durin�all inspections. A 24-hour
notice is required for all inspections.
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate
boxes.
1. 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 following:
A. Tanks: ,:�. Precast Concrete Other Manufacturer
Tank Capacities: 1) i,S�� �al. 2) gal 3) gal
B. Pump Station (if required)
Pump make& model (attach pump curve&
literature); system design requires gpm at feet of head.
High water alarm make& model . Outside
electrical work to be completed by installer electrician other.
C. Treatment System:
Trenches: s.f. Mound
Depth of rock below pipe " Rock bed dimensions ' x '
Drop Boxes Sand bed dimensions ' x '
Distribution Box Pressure Dist. Pipe Diam. "
Manifold Pipe Diam. "
D. Final Cover/Topsoil to be: 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 ordinances of the City and the regulations of the State
of Minnesota,and certifies that all statements m e on this application are complete,true and correct.
Signature ofApplicant Date: ' � - �v' �
MPCA License No. � ��C'J
--------------------------------------------------------------------------------------------------------------------------
Staff Review: Approval �� Denial
Reviewer: �" 0`\� �1��� �2�'7 -c,�Y— Date: � (���U a C� �
Reason for Denial:
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DATE TIM
CITY OF ORONO CALLED IN
INSPECTION y�Tl SCHEDULED ""� �.`���
PERMIT NO. f" L � � 3 COMPLETED �1-1�-d Z- ��_C) (�
ADDRESS : j ! � �_�..�� J�/2
OWNER CONTR. G� ��L��'�-
TELEPHONE N0. � 5'� y 7� 7 � �(�'
� DESCRIPTION '�-� �'"�•�� "—� ���G I� ��� � �r�
� 01 FOOTING 11 ECHANICAL RI � 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANOS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15., EPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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� O�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUiRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.�h�.� �1J���--�
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