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Home My WebLink About1991-003943 - replace 3 tanks PERMIT � � � � ��T"Y OF ORONO PERMIT TYPE: 1335 Brown Rd. South • P.O. Box 66 Permit Number: :t:��tc;; tt �r,�"��: Crystal Bay, Minnesota 55323 Date Issued: '''•-t��=�`�=� (612) 473-7357 ;�;: ��.;'�J� ( ;��TE ADDRESS: ,,,-t r•�. ,. ,:•�- �,� . �__ .�'.J i L•f••.�t LHi•�.L " ``3 . �4 . , •_�4"j �,�r:—�z':�—i'i:—:_i[3!}.'� � D��iS�CP'" 1 iVtV. {--ii:�'�_j-fi.C_ ti. �til�F�.=� _ :�4�F=i' .:•_? ';,=;iT.r_� €''t_+1'fitl�• i,�f='N ��1.'11�1i`i�'L�) li�; IH(4�-. .�'��:�44f�°1' Ct 5!�et l•C!' �+C�!'Y�. } �j-'t-:' !"!r�"�(�_f�t•�: C h i�_�!J.l4i7 vl�i �.�i vilrr�i�ii i ii l+=iif4i i.�i�i tri i a i i 1f�i:f�riA # 1JIJNVVVVV �%.� vie'�r� �v,v� i`i':%%tirt lS�9 � i,:aa.:vv�vv i:� � �'�i .� REMARKS: �:�F��fi' �L i�-.J3 r rr�rr�,-_� ntt ��L�.�.f � ,�n��4� r,:� �;•.��ri%�s r•�Ent r�;st Til•t� lfiir':G. 4 V1 !Vl J lY•1 yt/�11�%%1 �I FEE SUMMARY: �a�a f-�� - '; rii'� ,-�. �:;t_ . - - •��l�ii�C�'lcti��t� 5� �,4; �i+'-�t.�1 ��r`= `__--_---_.�s{... �s,�i:�:t), _�t f CONTRACTOR: __ �� j i��k `� OWNER: �'�i E�i:=�t��t �LtiEn _� t::i�+ ��%1`c'I'�1 � r- �:Ft '.� t i' - - �-F±�Ifict�iC.:c ;I_i[3[; E•-,t i.�� s�.;.. „ r,� `�`"_ � t•..E; t_+=��::E Ci� e�E L��ks_+ i�,� �;.��,:='L� Lt=3��z� L�=i��::c �Jr,� �.�,:�r F. i:r.1',:.:i r'-{4�.'' y` _��i;, _ ` =�' -- ".l j-'--f'i j:7- — — ---__.�� E.,-.__. f?'!� '_�k`+L.3L.�'tti�l.L"f?+�E:;.if �"!�'_i"1I".["��!{ �";�t.�+t S�:�,j :�� '�i'.t',!'!�:T.`_�i I_i{i� i%1 j�};F�..L_ i�"dG !"4�".Y�L_ !t'!�.'�!"4t..�`s'�G_!'l�_�'�{r- .-..-,r_.-.,,-r;-iJ :_i`i_t�• t.i- .l e_ i l��iJ , � - " - - - - - __ _ _ r,. F'i`:31"�� __ i i I yJt : %j `j ' �" i'�'T ^:i T , _ .. _ . _ ., �`�' ' - • _ .. _? . . 1 I'` _ ,'; . � , � ,: : r,, �,:.. . �-� �: .•,-, [_ - -- - - __ • • s , r .:: =tii i ',;.j;- ^�_ � j_��'l�..f�'�€_� i_i�}!,r��r1y��t.�.�. t-t�'�ft_i :_��F-!S C_ {_i�- 3'�.k f41�v :i_f��y- Y'r�E I,�i i_i L_ a � ��' _ �•� s � .7.h]��/i., ;d�i T�"� (-(�. t_.*r t: i t _. . _� [' �ti.; �e!r�,-. � ..._ . _ ,. i,„.� � 1L= �'t�#t':r`i j=}�f'!L=£ti: - �a APPLICAN ' _RMITEE SIGNATURE ISSUED BY:SIGNATURE �SPPLICATION FOR SEPTIC SYSTEM PERMIT CITY OF ORONO Box 66 (1335 So Brown Rd) Czystal Bay, MN 55323 *******��**************�******�****:****************:*****�***�****�*****�* General Instructions: 1. You may apply for septic system permits by mail or in perscn at the City offices. However, permits will not be mailed out and must be picked up in person at the City offices. 2. Permits are not valid until you receive a permit card. 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 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 genera 1 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 station (where required) components are functional and comply with codes. 7. Individual holding MPCA Installer Certificate shall be present during installation. 24-hour notice is required for all inspections. *:********�********�*��**�**�**�***s�**�*:***�**:********�**:**�##�r****:�** . � JOB SITE ADDRESS: ,�� Occupancy Type: Residential� Commercial Other � Owner' s Name: ��%d � ,��z.J�7y-,.�� Phone: L/7�� '� j � Mailing Address: , City: ��i�_,�;,,�.� _ Zip: � Septic Contractor' s Name: ,!_ � Bus. Phone: �% �� S � , Mailing Address: �% �;� J,:��„Z,- City: Zip: 5.5�� ****�********��*�:�r��**�**��***** ******:*******�***�********#**�********:* - over - SEPTIC SYSTEM PERMIT APPLICATON - PAGE 2 ! _ Permit Type & Fees (check one) _ __ New Construction, Full System $75. 00 . . . . . . . . . . . . . . . . . . Replace Existing System (1 or more new tanks & drainfield) $50 . 00 . . . ,�Partial Replacement (reFlace just tanks or just drainfield) $30 . 00 . . . $0. 50 State surcharge added to above �ermit fees SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES DO NOT MAIL PAYMENT WITH THIS APPLICATION �**************�*******************************�****�********************** NOT$: Ap�licant must initial all spaces. Fill in all appropriate blanks, check all appro�riate boxes. Initial l. 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 ) �l�J gal. 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 Inside electrical work must 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 ' Distribution Box Pressure Dist. Pipe Diam. " Manifold Pi�e 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 the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are comp lete, true and correct. - - � -�"" %��'%� Signature of Applicant: ,�� ,�i� Date: � / MPCA Certification No. : 1 S�'� ` � j,'/ �/l� � � / ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT E SCHEDULED e� PERMIT NO. COMPLETED /�-?� .'� � ADDRESS ` � � +�✓��`" ` � ✓ ' OWNER CONTR. �.�� i.'�.��-. TELEPHONE NO. � DESCRIPTION � 01 FOOTING 11 MECHANICALRI 16WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING y 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS Z 04 WALI BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SET(TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT ? 09 PLUMBING RI 15 SEPT STALL. 22 FOLLOW-UP J 10 PLUMBING FINAL � 3 SEPTIC FINAL � OWNERICONTRACTOR TO MEET Y ._ S_NO � COMMENTS: � a � j � O a � O � W � Q � 2 W � W � j d ❑WORKSATISFACTORY:PROCEED •-�'pROJECTCOMPLETE � � W L7 CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContracto o si : Inspector. ' � -_� � ��'`-�- White Copy/inspector's File Canary CopylSite Notice � DATE TIME CITY OF ORONO CALLED IN CJ �/' INSPECTION NOTICE SCHEDULED 4/�0 l9, �D' 3 0 PERMIT N0. `t'`��' COMPLETE ADDRESS � v � OWNER CONTR. �`-��' ' TELEPHONE NO. ��/�� DESCRIPTION .�l��l�� 01 FOOTING 11 MECHAN ALRI i6WELLTESTPUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING � 03 INSULATION 24125'WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETlTURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS J 07 DEMO—FINAL 27 TIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 5 SEPTIC INSTALL.} 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEP 4}fct�" � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: �'� ��i� �i r^%��f,7 �.�L'� ��1. I'�� G1 � � � o �' �- (�`� �� (� a � � , � r� r �a � W � � Q � Z w � W � � d �WORK SATISFACTORY:PROCEED G PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance.47�73�J7 OwnerlContract r ite: Inspector. �-�_� ��-�- White Copyllnspector's File Canary Copy/Site Notice �'