HomeMy WebLinkAbout1992-004368 - sewer & water . f
�'ERMIT
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 Permit Number: `=�EGJEfi �� WATEFi
Crystal Bay, Minnesota 55323 Date Issued: t�{j�:'�.;"�
(612) 473-7357 f��/i'�/'J�
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APPLICANTiP ITEE SIGNATURE ISSUED BY:SIGNATURE .t�/
DATE TIME A
CITY OF ORONO CALLED IN 9'��l✓�
INSPECTION NOTICE� �� SCHEDULED '��
PERMIT NO. � OMPLETED ��
ADDRESS �
OWNER�/o�° /�/��' CONTR. �
TELEPHONE NO.
� DESCRIPTION � �V ,� '�,
� 01 FOOTING 11 MECHANICAL RI 16 WELLTEST PUMP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREMIETLANDS
Z04 WALL 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 O6 PROGRESS
v 07 DEMO—FINAL 27 SEPTI 21 COMPLAINT
i09 PLUMBING RI 22 FOLLOW-UP
J 10 PLUMBING FINAL 23 SEPTIC�AL
Q OWNER/CONTRACTOR TO MEEf YOU:✓ES_NO
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance.473-7357
OwnedContracto o s' e:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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APPLICATION FOR SEPTIC SYSTEM PERMIT
CITY OF ORONO 'l
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Box 66 (1335 So Brown Rd)
Crystal Bay, MN 55323
t********��****************t*�t***��**t**�**�t***t�**#**t**�t*****t*�t*****
General Instructions:
l. You may apply for septic system permits by mail or in person 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 �ollowing inspections will be required for alI 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
f unctional and comply with codes.
7. Individual. holding MPCA Installer Certificate shall be present during
instal lation. 24-hour notice is required for all inspections.
*****�***:�**�*****:******************:t***�*�#****************�**********�
JOB SITE ADDRESS: �iZ.% �'-�C�l/� ��
Occupancy Type: Residential� Commercial Other
Owner' s Name: ��, ,,��Q ��p Phone:
C-7
Mailing Address: �1j0 ����r�� ���� City:�r�f��,�; Zip:
Septic Contractor' s Name: j�f/;,1��� � S"�-�-v;���- S �L��`- Bus. Phone: y7 3-y30r_?
Mailing Address:,���j,/�v.,,�p� �, City: (,(����,u ��; Zip_:�S-;���
***##***t*****#*******t �#**:�****##*�:**#*t***��***� t***#�**��*�t�*�*****
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S$PTIC SYSTffiK P$RMIT APPLICATON - PAGE 2
Permit Type � Fees (check one)
New Construction, Full System $100.00 . . . . . . . . . . . . . .
L-- Repair or Replace Existing System $50.00. . . . . . . . . . . . .
$0.50 State surcharge added to above permit fees
. SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES
DO NOT MAIL PAYMENT WITS THIS APPLICATION
**�**�***��*����******����**��***�*�**�**��***��*�*****����*�:*�*****�*�***
NOT$: Applicant must initial al 1 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) gal. 2) gal. 3 ) gal.
G��
� B. Pump Station (if required)
�/�_ o ump make & model (attach pump curve &
rr,� l.,��1 V�I'iterature), system design requires gpm at feet
o�r�' of head. High water alarm make & model
�rp���� 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 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 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.
Signature of Applicant: Date: s+�.�—y�
MPCA Certification No. : ��� �