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CITY OF ORONO * 2 0 1 z - e 1 0 e 3 * 2750 KELLEY PARKWAY DATE ISSUED: 10/09/2012 ORONO,NIN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2380 ABINGDON WAY PIN : 03-117-23-23-0016 LEGAL DESC : ABINGDON GLEN : LOT O10 BLOCK 001 PERMIT TYPE : SEPTIC PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : NEW ACTIVITY : MOUND SYSTEM-SEPTIC NOTE: ADDING 500, 1300 PRECAST CONCRETE LIFTS MOUND-630 S.F. ROCKBED-10 X 63 * THE INSTAZLERS OF DESIGNER MUST INSPECT MOUND SYSTEM FOR FAILURE EVERY 6 MONTHS FOR A PERIOD OF TWO YEARS. (INITIAL) * SOILS MUST BE VERIFIED PRIOR TO INSTALLATION. (INITIAL) APPLICANT SEPTIC NEW 200.00 HAYES&SONS EXC.INC. STATE SURCHARGE SEPTIC 5.00 263 82ND STREET S.E. TOTAL 205.00 MONTROSE,MN 55303- (763)479-1762 PAID WITH CC# 5293 Minnesota State License#: L640 OWNER BUSACKER,JOHN&CAROL 2380 ABINGDON WAY LONG LAKE,MN 55356- AGREEMENT AND SWORI�T STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. 'The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revok any tim for due cause. � 1 / � / / tilic 'ee Signature Date Issued B gnature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB .