HomeMy WebLinkAbout1991-004029 - replace drainfield PER �rI'
CITY OF ORONO ' PERMIT TYPE: :^;���� t, ��-�-��;
1335 Brown Rd. South • P.O. E�ox 66 Permit Number: ��t1��?'�`�
Crystal Bay, Minnesota 55323 Date issued: 1;si�i/�1
(612) 473-7357
SITE ADDRESS:
I;i t'� t����i�iTH r�t�•;l�i F:I�
L'<<V
F'. I . id. , '.:�?-1 t=c--'L:=t—�.:�—��fiiii�-.
DESCRIPTION:
���F�''�_�it.��_ �.�F'�1-13!�I- i�i �3
��F'�1JC�' �'_:2 ';i;�E.;_'t' 1-�l:'1'!6i�.�L• I ,Y i-`f�'` L;f"-.i S.I��i-i L/ �it? � k'jlVf�•.
!_��'td=�!' _. t4°%iT•t'j"' ':nF>>iI�'Y�. ! ;��-'t' �iri"�Lf-f�•� C_:`.�:_� I 11�{L7
{"' .Y��. ,:s' d
� w " �. �,�
�'�
& `'�r ;e � � q''y
a
a ,s � ,� � � '£.� � k -�g�K
4'�� y ��,k ��� � �� 'i�
�.
� � � � � .� �:.
� , r � s S.
.t`". F „ff '._ - WA�':
'� _ V �
� � � �� �_
P . *� � .. ,.. � �, .
� �� ��*�
h� �� �,r
�
REMARKS:
FEE SUMMARY:
�+•��f' FCC �t.j{j ,{)f}
:_:�a�-�rl�,-�� -----______�.��t?
�r,�,t.:�� ��� �:w;��. �;;_�
��;�` vr ���'�r?
;i,".�niii.t�. .;�FlLtr.
��j.i.3vvi��v �r �y ii
�� uiii ,.�r��,vii
1 iLLtV�V VL•Y �
� jJ[' i V}i VGf� aJ�(f�
4l7L475• �L �.?tY�JV
jj I�E4E��l�T-j��;�i���AJ�' �'�Gf �(
f�lsitVViV L�rVL/� 71{%� �V��L.sl
1Vlt t f1
CONTRACTOR: -- �,����1 i�a+-�t. -- OWNER: ,t G'�h
�j��l�•�'�.�4�l=i�T G�i.t�-lt?}!=4f 1��{~'? fi(�!?%fi{ji� E�-t,`s_3:.�t�4C7�tF�� 1�I-F�����lj
�,�T :� ����}� :_ 1?i��� I�aE;�hTH Fl��i�1 F:D
n�_{�:���.F�_��iC� hi�J �;.__,:=;7:�: i�tf;�:#P•i�=� C�{fid �:5:=;��:,
�:�,1';�:, d7.7—�t;;'7
_" '_'._."_ )L_ ._.__...... . . . . .__'__
..._ . ._� ._ . .. . . .. ..._ ....._... .,. "_ ______�—_ _ . .. .. . __' ___. . ._. ._...__ .
e
-r;,t_ a . r r•s r•;�� r, � �r•- ; �,i.:_:; ,� -�F.: ' }::_.:— — •- T - n.
. r,• ., (
� , e_j��L.�It.����- !t r r� r e r_ t, , r ° f ti � iiv ii t'•ii-;.•. i:.__ .1�_ ��z .i_i � :-
, t?!�_.f... ��!__:�_._.. . .1'..�.k,�_�_ _ t _. . �.t�. k_. _. _ .}. _.[ 1 �. .�_ :{t_ .f i Y4,t !Z._!4
�. � .—.7 r—r �-t-.� n t:: r;:.r�.r—�—r_ y^.,;^. ei:"y�' �4e f-� T i �� ....
�:�'"i��•11'" i�V i-�lhii.� t1;.5i:��___ _`i_! �;__. �,t��i'.: . R'� =+ ! t�l;: t {_=t;°ii��i r-;i'�'•_��. { �i i ii 1.... �_•3 I �?� � i''-
, .
_ _ . ..
s. _.,�,., . � �,�., ,r; .�,s.�:-• r: ., ,_�..r, _ :,�, - -� r�,; •7� r.s . . �",•-� . '�, �'
. , . ." .._..
iCt ' I �+��i ( I tt��V' "" .__ _. .
,=` '1�_�i_. _f"i_ . .H�'�L.�t "' '^'{;;�� ,^, F F_: . ;- s •i� ;;'.�....,�i_s i•.'-, __�t i d L_L! 1 �`�Ii� �.•�_.�L.�_ f1s".+._ d . 1�..E�f r
i:
L _.. ._. . . . . . ._. .. . ._ __ �
---_ __ _
APPLICANT"PERMITEE IGNATURE ISSUED BY:SIGNATURE ��,���
APPLICATION FOR SEPTIC SYSTEM PBRMIT � C/�
, � I
CITY OF ORONO ��
Box 66 (1335 So Brown Rd)
Crystal Bay, rII�7 55323
:*:**:*:#tt**��*****:**:******:**:*:****:*:*:***:**:�r***�:***:**�**:***:***
General 'Instructions:
1. You may � for septic system permits by mail or in person at the
City offices. However, permits will not be mailed out and must be
picked np 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 Appronal" 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) 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 Instal ler Certificate shall be present during
installation. 24-hour notice is required for all inspections.
*****:*:::t:**�*�******:***:�*�*�::�:��::**�**::�*::::�**:**::�*::**:*�*#*:
JOB SITS ADDRESS: I `v / �� ���
Occupancy Type: Residential ✓ Commercial Other
Owner' s Name: �Yl� o � Phone:
Mailing Address: S �/�L� �-- City: Zip:
Septic Contractor' s Name: � � ��l�Gf� o��l__�X� Bus. Phone: ' ' 7�
Mailing Address: ��� d-v k� City: v' Zip= �_5373
���t��tt������������t��t:�������������t�:::***:::*�**::::**** ��***�:***::�
- over -
Y� y
� /� � /O a�'��
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 ' ' ' $50.00. . .
�Partial Replacement (replace just tanks o just drainfield) $30.00. . .
$0.50 State surcharge added to above permit fees
SEE FEE SCHEDIILE FOR NON-RESIDENTIAL PERMIT FEES
DO NOT MAIL PAYMENT WITH THIS APpLICATION
*************t*f*************#***********************�*******************�*
NOTS: ApF licant must initial aIl spaces. Fill in all appropriate blanks,
check all appropriate boxes.
Initial
� 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) _9a1• 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: � �� � l� K S�
Trenches: s.f. Mound /U t.�t� lv �c?'O
Depth of rock b pipe " Rock bed dimensions _'x '
Drop Boxes Sand bed dimensions 'x �
Distribution Box Pressure Dist. Pipe Diam. / /�.
Manifold Pige Diam. �_"
D. Final Cover/Topsoil to be: �r�show locationeon site plan
�
trucked in
#******#******#***:*�****�*�:#:�:******�*�*:**t***:***:***�******��:�:***#*
The undersigned hereby app lies 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 cer ifies that all statements made on this app lication
are comp lete, true and orrect.
Signature of Applicant: (�1/Y�� Date: �'�f—�
MPCA Certification No. : � ���
✓
DATE TIME
CITY OF ORONO CALLED IN /��9/ �'
INSPECTION NOTICE SCHEDULED �� ��'�
PERMR NO._'�� COMPLETED T ��a�'
ADDRESS �
OWNER ���d/'� CONTR. G
TELEPHONE NO.
� DESCRIPTION � f
� 01 FOOTING ECHA CAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
�3 03 INSULATION 2M25 WOOD BURNER/FIREPLACE 19 LAKESHOFFJWEfLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MA1 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL 22 FOLLOWUP
J 10 PLUMBING FINAL I �NAL
Z OWNEFiICONTRACTOR TO MEET YOU: YES_NO
c� COMMENTS: $ �
�
�
o �
a
oc
O
�
W
�
Q
�
2
W
�
W
�
�
� �10RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTiFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP OROER POSTED.CALI INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner►Contractor sit
Inspector: _
White Copyllnspector's File Canary CopylSite Notice
DATE IME �
CITY OF ORONO CALLED IN Q'" �Q�
INSPECTION NOTICE SCHEDULED '
PERMIT NO. ��� COMPLETED '� �'
ADDRESS
OWNER CONTR. ��
TELEPHONE NO.
� DESCRIPTION L
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADINGIFILLING
V3 031NSULATION 2M25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAI 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC 21 COMPLAINT
i09 PLUMBING RI S C 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC AL
2 OWNERICONTRACTOR TO MEET YOU: ES_NO �
� COMMENTS:� � (
�
j
0
a
o�
0
�
W
�
Q
�
W
�
W
�
j
� �WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOAE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance.473-7357
OwnerlContract si .
Inspector.
White CopyAnspectors File Canary CopY/Site Notice
�
�/
�' DATE TIME
CITY OF ORONO CALLED IN b ',2-S ' � r�`'
INSPECTION NOTICE SCHEDULED " �
PERMIT NO. 4�D.��1' COMPLETED d
ADDRESS V �Z�'w"�
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAI FINAL 18 IXCAVIGRADING/FILLING
v3 031NSULATION 2M25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANOS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOYAL
Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION
� 07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBINCa RI 15 INSTALL 22 FOLLOW UP
v ING FINAL 23 SEPTI INAL
2 OWN NTRACTOR TO MEET _NO
y COMMENTS: — . �
�
� ' !i si� ,p -
� fY.�i�° G�L�/ ___O�il�]9 C!/I'GC !� t-1 P-�_
O
�
O
�
W
QC
Q
�
Z
W
�
W
�
�
� ❑VNORKSATISFACTORY:PROCEED -.�ROJECTCOMPLETE
W O CORRECT YI�RK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT VNORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOWERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectfon 24 hours in advar�e.473-7357
OwnedContractor si :
inspector:
wn+a cop�rnnspectors Flls canuy copylSla NoNos