HomeMy WebLinkAboutseptic permit application-1989 � ._ : � .
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SBPTTC SYSTrM .PffitMIT APPI.IC�ITON - PAGB 2 . , �
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- Per.ait Type & Fees (csec.�s one) - - . _
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New 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. '. :
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$0.50 State surcharge added to above permit_ fees �� "��` � �-':
S�E FEE SCHEDIILE FOR NON-�ESIDENTIAL PERMIT FEES ^�
� DO NOT MAIL PH�'1' WITS THIS APPI,ICATIOA
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AOT�: ApFlicant must initial all spaces. Fi11 in all a�progriate blanks,
check aIl appropriate boxes.
Initial
1. I have received a cogy of the system design including the
. City of Orono Septic System Approval Cover Sheet.
2. I will be installing the fo lowing:
A. Tanks: �Precast Concrete �Other Manufacturer�
Tank Capacities: 1)��gal. 2) fa7S� gaI. 3) ,,��gal.
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B. Pump Station (if required) 5� � P'� I7 +
Pump make & model ( tach gump curve &
literature) ; system design requires ggm at feet
of head. High water alarm make & odel .
Outside ele�trical work to be completed by _installer
�electrician other . Inside electrical work
st be campleted by electrician.
C. Treatment System:
Trenches: s.f. � Mound �
Depth of rock below pipe " Rbck bed dimensions ,�0'x � '
Drop Boxes Sand bed dimensions �g'x_��
Distribution Box Pressure Dist. Pipe Diam. "
Manifold Pige Diam. � �-^='
D. Final Cover/Topsoil to be: borrowed from site '
(show locatioa oa site plan)
_ �...._ .._ o._ _ _ � trucked in
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`he undersigned hereby applies to the City of Orono for issuance of a
eptic system installation permit, agrees to do alI work in strict
ccordance with the "ordinances of the City and the requlations of the State
= Minnesota, and certifies that all statements made on this application
re comp lete,. true aad correct. � .
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ignature of AFplicant: � �'�' Date: � r/
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?CA Certification No. : �� � _
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APPLSC�iTION FOR SBPTIC SYSTEM PEI2MIT
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CITY OF ORONO , _ . -
Bos 60' (1335 So Brown Rd) ' . .� ' -
Crystal Bay, 1�• 5�323 . .
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General Instructions: � ' �
1. You may ap�Iv for segtic system permits by mail or in person at the
City offices. However, permits will not be mailed ont and mnst be
pic.�red up in person at the City offic�s.
�j 2. Pez~mits are not valid until you receive a Fermit card.
3 . Work must not begin unless the permit card is availabl.e on the job
site. .
4. Permits will be issued only to contractors holding a City of Orono
Septic Syste:a Installer's Lic�se.
5 . All work must be done in accordance with the approned septic system
design. Design reForts are not considered approved unless accompanied
by the "City of Orono Septic System Approval" cover sheet signed by
the City Inspector. •
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6. The following insFections will be required for all septic systems:
a) Pre-installation site inspection to include inspector, installer,
and generaS contractor.
b) Tank instaZlation grior to covering.
c) Drainfield trench installation prior to conering. (For mounds,
inspection is required after rough-up but prior to sand
placement, and again during pressure distribution piping
instal Iation in the rock bed.)
d) Final inspection to verify proper final cover depths and to
verify that all pump station (where required) components are
fun'ctional and comp ly with codes.
7. Individual holding MPCA Installer Certificate shall be present during
all inspecticns. 24-hour notice is required for aIl inspections.
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JOB SITS ADDRESS:
Occupancy Type: Residential� Commercial Other
Owner's Name: Prone: y � � o� �,7 S._
Mailing Address: � City: Zip:
Hus. Phone:�s /
Septic Contractor's Name: .
Mailirig Address: � City: _ Zip: 3�-�
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