HomeMy WebLinkAbout2007-05-24 WC Notification of 09-20-2005 Septic Work MA't^*24-07 08:48 FROM-WASH I N GTONZ,Z 651 430 6730 T-257 P.001/004 F-158
�` Department of Public
\ashi igton � ', ,. Health and Environment
County 1:r Lowell Johnson
Director
Sue Hedlund
Deputy Director
FAX
T.: Il ; ��� - FROM we
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RE: CC:
❑ URGENT ❑ FOR REVIEW ❑ PLEASE COMMENT E PLEASE REPLY ❑ PLEASE RECYCLE
COMMENTS: 4.17AANAC5 I K.S' '1Lle..) -7"-<1 zoo
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Go:ernment Center • 14949 62nd Street North—P.O. Box 6, Stillwater, Minnesota 55082-0006
Phone. 651-430-6655 • Fax: 651-430-6730 • TTY: 651-430-6246
www.co.washington.mn us
Equal Employment Opportunity r Affirmative Action
MAY-A24-07 08:48 FROM-WASHINGTON, 651 430 6730 T-257 P.002/004 F-158
Ils�gton Department of Public Health and Environment Permit Fee: $90.00
14949 62nd Street North PO Box 6
Stillwater MN 55082-0006 Total Foe:M $90.00
Office:651-430-6655 TTY: 651-430-6246 Fax: 651-430-6730
Previous Payment $90.00
Community: Oak Park Heights Balance Due $0.00 ~e
Permit Number: 1700.05-1 N
Owner: Larrtn Philips
5272 Stagecoach TR
Oak Park Heights MN 55082-
Applicant: Lary PItItlips 1
PERMISSION IS HEREBY GRANTED
To execute the work speciTi d in this permit on the following identified property upon express condition that said persons and their agents, '
and employees shall conform in all respects to the provisions of Ordinance#128,Washington County Development Code, Chapter Four,
Individual Sewage Treatma1t System Regulations. This permit may be revoked at any time upon violation of any of the provisions of said `
ordinance.
Project Address: S2 r2 Stagecoach TR .
Geo Code: 03-029-20-31-0005
Designer:
Type of System: Tank Replacement
Tank Sinai
1: 1500
2: 10001
3: 0
lift Station: 0
Authorized Work/Special Conditions
1. Abandon old tank(s) properly.
2, Minimum 50 feet from septic tank/drainfield to well.
•
—L _._— . —. .—.— -- —
Permit Issue Date: 3/17/2005 Pete Ganzel
Permit Expiration Date: 3/17/2006 Senior Environmental Specialist•
MAY.:24-0T 08:48 FROM-WASHINGTON„C TTY 651 430 6730 T-257 P.003/004 F-158
uepartment or room .,
Washington
and Environmet,.
��COun Individual Sewage Treatment System Inspection Form
Project Address: 5272:stagecoach TR Application ID: 1700-05-1
t^'eommunity: Oak Park Heights Geo Code: 03-029-20-31-0005
fawner: Larry Philips Type of System: Tank Replacement •
plicant: Larry PhillipsDesigner:
e of Installation: 0 VI!H Type of ❑ Site Review Inspector: 0 Pete Ganzel
❑ Repair Inspection: eg.Tank ' lig.Chris LeClair
❑ Replacement ❑Rough-Up ❑ Other
❑ :1tier 0 Treatment Area
;=
0 Final Inspection Dates: SEP 2 t S
Lan ber of Bedrooms: w
stetter: L.t.E oc_A< ' X- e t ti,J ._
120 e Review Mounds/At-Grade
Date: Conclusions: 0 Mound 0 At-Grade Absorption Area
0 Soil Boring ❑ Site Suitable Percent Slope Sand Below Bed
❑ Soil Pit ❑ Site Unsuitable
Depth of Plt/Boring -___ ❑Additional Tests Required Upslope Width Rock Below Pipe
Comments _ Downslope Width Pert Size/Spacing
Sideslope Width Pipe Size/Spacing
Pressure Bed Dimensions: Length _ Width
immiEzna Holding Tanks Pump Information
Tank 1 7500 F New Baffle Type 0 Plastic Lift Station Capacity Feet of Head
❑ Existing
❑ Fiberglass Horsepower/GPM Size of Discharge
Tank 2 /000 New 0 San-T Gallons Per Cycle Line:
❑ Existing 0 Concrete Type/Location or
Gallons Per Minute Alarm
11.1111=11111M ches, Bed or Gravelless Drainfield Setbacks
❑ Drop Box 0 Distribution Box ❑ Gravity ❑ Pump Trench ❑Pressure Bed Buildings)to tanks IC=.
❑ Serial 0 Parallel 0 Chambers 0 Gravelless ❑8" ❑ 10" Buildings)to drainfield
10/
Surface Water
Trench T1 Trench T1 Trench Width Rock Below ,›. I�
Depth (in) T2 Length (ft) T2 - 0 24" Pipe Property Lines
0 36" ❑6" Wells 81-50. 0 100'
T3 T3 0 Other 0 12"
T4 T4 ❑ 18" Pressure Test
Trench Spacing 0 24" Time Time
T5 T5
Pressure Bed Dimensions: length Width Absorption Area _
PSI PSI
Comments ._._
• Inspector
Go a ntment Center- 14949 62nd Street North-PO Box 8-Stillwater, Minnesota 55082-0006
Pi e: 651-430-6655 Fax: 651-430-6730 TTY:651-430-6246 www.co.washington.mn.us
Equal Employment Opportunity/Affirmative Action
MAY:24-07 08:49 FROM-WASH I NGTON CTY 651 430 6730 T-257 P.004/004 F-158
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