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Home My WebLink AboutBuilding 02-0836 :;- 0 0 (') D~ 0 0 0 0 "ll 0 > -0 C/l 0 :I: == 0 z_ " 0 0 CIl"TI-"TI"TI"TI 0 0 ~:;! g C1l 0 0 :!: --Z~OO z Z :xl (') 0 -IZCIl c:0 m mO > ~ :xl :xl ;: m>C m :xl m ~"TI t::l ;:0 ;:0 _r~3:Z"'" CIl r., r m m m Z -0- Z CIl -"tl r 0 0 CIl .....~>~ 9 o:xl ~ t ..... ..... 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()2 r~~ ZONING (office use) 13G,L(o- LEGAL DESCRIPTION (office use only) LOT ADDITION BLOCK I ?rta::e~R7)tFjj- ~/ (Address) ~~'h", ~j(JW~\ t&, PID ~S-Cj, j-{)CJ:)- ;6:) -LfLfS::-Lf~ (Phone) BUILDER (Name) (Contact Name) (Address) (P~ne) (Pkdne) 0162 - 272-- 55 & Y TYPE OF WORK o New Construction ODeck ORe-Siding DLower Level Finish OPorch ORe-Roofing tJ {fJt(C/ G o Fireplace WA~ition o Alteration PROJECT COST IV ALUE (excluding land) $ DUtility Connection o Misc, I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter to perform needed inspections. Permit Valuation B o . OC:> Permit Fee $ 153. 'ZS- Plan Check Fee $ '1(, . ~ I State Surcharge $ 00 Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ 7-10-02- Date - Contractor's License No. 0r--~,-C)~ Date Park Support Fee # $ SAC # $ Water Meter Size 5/8"; I"; $ Pressure Reducer $ Sewer/Water Connection Fee # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTAL DUE $253. P;(4 I ~;ei~'j:2-5lJt-- Paid ~. ~0 Date _ () ,- Q 'Z-- This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be iSS<Ji~~~-r--'~--? :; (tc (e-L ~ ~~Q~\. (c-v0J~tc\/\- Planning Director Date Special Conditions, if any 24 hour notice-for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 The ('enter of Ihe L.kt Countl")' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~""~ N-e. UC' (~ APPLICATION RECEIVED 7 - s - 0 L The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which i rop sed at: Ccv~.er " Accepted Accepted With Corrections )<' Denied ~ /J, Reviewed B~ - _ ~ Comments: Date: )-LO-OZ ~ ?-el'~;k ~,~r- cWI-c'c:c<~ "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." II"P!IB^ aq lOU IIB.L.Is UO!p!pspn! a4l!O SaOUBU!pJO Ja4l0 JO apoo S!4l !O SUO!s!^oJd a4l laOUBO JO alBIO!^ Ol AlP04lnB a^!D Ol Du!wnsaJd Sl!WJad 'UO!p!pspn! a4l !O aOUBU!pJO Ja4l0 AUB !O JO apoo S!4l !O SUO!s!^oJd a4l !O AUB !O UO!lBIO!^ AUB '!O IB^OJddB UB JO 'JO! l!WJad B aq Ol panJlSUOO aq lOU IIB4s SUO!lBlndwoo pUB SUO!lBO!!!Oads 'SUBld !O IB^OJddB JO l!WJad B !O DU!lUBJD JO aOUBnSS! a4.L, ~ ~ )\l-^-d~ ~ ~ '1?YVJPJ~ ~ ~fi1S6~ p.; \AQ~ (1"/ " · ~~~~~ p~A /h'/O~ I oS' ~ ~~ U~A, OC'~ ) GIC wrnw'l}V";Vf ~tJ } CJ ("7 ~ -;;< -c IV ) "rJ ,., ---CO/07/c :al"O ----yyY-/'?-Jf71 v~ :1\8 P8M8!^8l:J pa!uao SUO!l~aJJ08 lH!M palda~~'v' palda~~'v' ~ CJH f\jl hxJ~~'>'1fV Ot7~27 :lB pasodoJd S! 40!4M Al!^!PB UO!pnJlSUOO JO! UO!lBO!lddB l!WJ8d DU!PI!nq 84l P8M8!^8J 8^B4 SlU8Wl-lBd80 DU!UUBld pUB 'DUP88U!DU3 'DU!PI!ns 841 -ZO/2/6 on ~(lcyroti EVV\ 03^1383l:J NOI1'v'8Ildd'v' 1N'v'Olldd'v' .:10 3V\1'v'N lSI1>103HO lN311\111::l\fd3C NOI1\f0l1dd\f 111l\l1::l3d ~NIC1In8 6U!UUeld - >JU!d 6u!Jaau!6u3 - ^Jeue~ 6u!pl!"a - al!4M ,(uuno.) ~'1"J ~~I JU J.JIU.J.) ,)IU ~.- ,~--,~_...,_.- .~,,----- -_..~._.--._._-- ~--~-, /' " ~ ) ",""',"" ~rott SCOTT COUNTY COMMUNITY DEVELOPMENT DIVISION ENVIRONMENTAL HEALTH DEPARTMENT GOVERNMENT CENTER Al 04 ' 200 FOURTH AVENUE WEST' SHAKOPEE, MN 55379-1220 (952) 496-8177 . Fax: (952) 496-8489 . WV'vW.co.scott.mn.u5 July 25, 2002 \ / Vlct; \ o?;L ~" D Matt Newville 13640 Canterbury Rd. NW Shakopee, MN 55379 Dear Mr. Newville: This letter regards the compliance inspection done on the individual sewage treatment system (ISTS) at 13640 Canterbury Road on May 30,2002. Our records show that you are the owner of this property. The results of the compliance inspection indicate that the septic system is not in compliance because you have an unsealed tank as part of the system (this type of "tank" is known as a seepage pit, cesspool, drywell or leaching pit) and because there is less than two feet of vertical separation between the bottom of the drainfield and the water table. Your property is located in an area of the County where surface contaminates present a low risk of contaminating the underlying bedrock aquifer (which may be used as a source of drinking water). The Scott County Individual/Community Sewage Treatment System Ordinance NO.4 requires that a septic system located in an area that presents a low contamination risk and where there is an unsealed tank be replaced within five years of the determination of failure. Therefore, your system must be replaced or otherwise brought into compliance with Minnesota Rules Chapter 7080 and the ISTS Ordinance by May 30, 2007. However, should your system begin to discharge or back up into your home, you will be required to replace the system within ten months, unless the replacement date above occurs first. Factors that influence how long the existing septic system will continue to function include the age of the system, water usage, amount and type of chemicals sewered, how it was maintained (especially how often it was pumped), and whether or not a garbage disposal is used to flush solids down the sink. Please be aware that you must obtain a permit from this Department to replace your system. A list of installers and pumpers who work. in this area is also enclosed. There is currently low interest loan money available through the Scott County Soil and Water Conservation District to replace failing systems. Call Shelly at 952.492-5425 if you are interested in obtaining information on this loan program. For your general information, we have enclosed a handout describing how your system should be maintained. Please call me at 952-496-8352 if you have any questions. SrJerelY, -&~ II ) --1-- JfV7 _ v_~ I)' , Peter M. Schmitt Environmental Health Supervisor Enclosures An Equal Opportunity/Safety Aware Employer 2/25/02 Water /Wastewater- ISTS4 .31 ~ ~ ..., ..." ~ Compliance Inspection Form for Existing Individual Sewage Treatment Systems Minnesota Pollution Control Agency Completion ofthis form fulfills the minimal requirements of Minn. Stat. 9 115.55 (2001) and Minnesota R. ch. 7080 (1999), Please refer to local ordinances for other requirements or information, especially for compliance requirements for bedroom additions. General: Date of Inspection: -t~ Reason for inspection: ~ILD /;.) " P FfJ-fI1 ( f Property Owner(s) _ _ -f _ _ Telephone ~ ~.s-7'7~e Person requesting inspection j'Y7 ;:JTT t-:EwVI'c.-l..6- Telephone ( ) Site Address / ....'3~rtJ ~,urc/Mc/!t'7 I?..IJ . City .S//FlIZ.~6.L. Zip Code ~~3?r Fire No.1 Parcel No. County <:.. /7( -f Township legal Description local Regulatory Authority ~crff ~ Date system constructed tII'(,~ If 'f3 2 System in Shoreland Area: yes@ System in Wellhead Protection Area: yes@ System serving a MDH licensed facility: yes 69)Local Permit # (if any) Systems built prior to April 1, 1996 and not located in Shore/and or Wellhead Protection Area or Serving a Food, Beverage or Lodging Establishment Is the system an imminent threat to Dublic health or safety? (a yes answer is an ITPHS system) - Discharge of sewage to the ground surface? - Discharge of sewage to draintile or surface waters? - Sewage backup into dwelling? - Situation with the potential to immediately and adversely impact or threaten public health or safety? YES ~ YES @ YES (@) YES @) Is the system failinQ? (a yes answer is a failing system) - Less than TWO feet of vertical separation between system bottom and saturated soil or bedrock? - A seepage pit, cesspool, drywell, or leaching pit? ~NO @.S) NO Is the system non-comDliant? - Is the system regulated under a monitoring plan or operating permit? (if no, go to page 2) YES NO If yes, - Has the required monitoring taken place? YES NO (If no, the system is non-complying) - Does the monitoring indicate that the system meets performance expectations? YES NO (If no, the system is non-complying) Page 1 of 2 Systems located in Shoreland or Wellhead Protection Areas or Serving a Food, Beverage or Lodging Establishment, or systems Built after March 31. 1996 Is the system an imminent threat to Dublic health or safety? (a yes answer is an ITPHS system) - Discharge of sewage to the ground surface? YES NO - Discharge of sewage to draintile or surface waters? YES NO - Sewage backup into dwelling? YES NO - Situation with the potential to immediately and adversely impact or threaten public health or safety? YES NO Is the system failinQ? (a yes answer is a failing system) - Less than THREE feet of vertical separation between I system bottom and saturated soil or bedrock? - A seepage pit, cesspool, drywell, or leaching pit? YES NO YES NO Is the system non-comDliant? - Is the system regulated under a monitoring plan or operating permit? (if no, go to page 2) YES NO If yes, - Has the required monitoring taken place? YES NO (If no, the system is non-complying) - Does the monitoring indicate that the system meets performance expectations? YES NO (If no, the system is non-complying) wq-wwists4.31 Property Owner(s) 1'111 IT U~ 1~Vt't-c..e Fire No./ Parcel No. ..................................-......................................................-..........................................................................-.......-.........................................................-...-.........-........-.-..................................... Svstem Components (Please describe the system components and attach site sketch showing system location): (!r,~~p fJO( +- T/(F-/J (+f- ~ P't ( AJF ( ELi) What methods were used to make the determinations for the comoliance insoection? (Note: No standard protocol exists. The following list is not exhaustive/ or in sequential order nor indicates which combinations may necessary to make a determination) Wa.tertight tank(s) )( Probed tank bottom D Observed low liquid level D Examined const. records D Examined empty (pumped) tank D Probed outside tank for "black soil" D Pressure/vacuum check D Other Hydraulic Functioning D Searched for surface outlet D Performed hydraulic test )( Searched for seeping in yard D Checked for back-up in home Vertical Separation Distance 'f( Conducted soil borings Depth to limiting layer 3~ II Depth to system bottom .2'1 D Examined records D LGU Umiting Layer Verification CJ Other D bcess!ve ponding in sol! system/D-boxes ')( Homeowner testimony )( Examined for surging in tank D "Black soil" above soil system D Other Status of the system Based on the compliance criteria, the system status is: (check one) II failing (to protect groundwater) D an imminent threat to public health or safety (ITPHS), 0 non-compliant (monitoring issue) 0 compliant (none of the 3 previous conditions). Therefore, this document is a: D Certificate of Compliance )( Notice of Noncompliance Is this system an EPA Class V Injection Well? 0 yes': no Certification I hereby certify as a state of Minnesota licensed Inspector and/or Designer I or Qualified Employee Inspector and/or Qualified Employee Designer I that I conducted an investigation that accurately determined the compliance status of this system and that my recorded observations are accurate as of this date. No determination of future hydraulic performance has been nor can be made due to unknown conditions during system construction, abuse of the system, inadequate maintenance, or future water usage. Inspector's name (print) License and/or Registratio Employed by F Signature Phone f{(' ,;r 8.'3") en ( Y ((.)'7 ~c..~~~ 4~ ~t4(~()~.lLe MV CFJ? f Date '1r( ~Z- Address ,L\.ddress UD9rade Reauirements {derived from Minnesota Statutes 9 115.55) An ITPHS must be upgradect replacect or its use discontinued within ten months of receipt of this notice or within a shorter period if required by local ordinance. If the system fails to provide sufficient groundwater protection/ then the system must be upgradect replact4 or its use discontinued within the time required by rule or the local ordinance. If an existing system is not failing as defined in law/ and has at least two feet of design soil separation/ then the system need not be upgradect repairect replacect or its use discontinut4 notwithstanding any local ordinance that is more strict. This does not apply to systems in shoreland areas/ wellhead protection areas/ or those used in connection with (oort beverage/ and lodging establishments as defined in law. Suaaested Attachments 1) Site sketch could also include: well, well setback to system, dwelling or other buildings, tank(s),reserved soil treatment area, surface water and soil boring locations. Include'as-built drawing if available. 2) Soil boring logs, showing each horizon. Indicate the texture, color, redoximorphic features depth to bedrock, standing water and whether the material is fill. 3) A list of any and all requirements of the local ordinance that are different from the state requirements referred to on this form. 4) A homeowner survey of system performance, signed by the homeowner as being factual. 5) Monitoring data as appropriate. Page 2 of 2 Soil Boring Log Date (fic/ t7 Z. , Project Location: .. Client: ~ .IV.6:.J~'" Address:'" /. ~. ~7 _ _~R~yP ,n",.~ City State Boring method' Auger .-. Pit Probe ~,}79 Zip Other Twp. Borings made by: j 1J"If~ ()6urJ ~ L{jb3 IC. Color classification system' Munsell Other Boring Number fA/ J Surface Elevation ~ Soil type at system depth: t-"A ~e-.L. Boring Number Surface Elevation Soil type at system depth: Depth Texture Color (Feet) -- 0-// 8~ 1 --- )/ - LiD 1ir -- 2 --- Depth (Feet) Texture Color LJ-9 9- C/D 3/1 flY 1 --- 2 --- 3 --- 3 --- 4--- 4 --- 5 --- 5 --- 6 --- 6 --- 7 --- 7 --- Structure: Blocky Platy Prismatic None Structure: Blocky Platy Prismatic None Slope: /,;}., % . C( End of boring at fO f~. Standing water table: yes tfto) Present at feet of dep'tr( hours after boring. Slope: /7 % I{ End of boring at fo 1eJ'r. Standing water table: yes (;) Present at feet of depth, hours after boring. Mottled soil: , Observed at < JY' ~f depth. Not present in boring hole Observations and comments: Mottled soil: ~ Observed at:5 ~ of depth. Not present in boring hole Observations and comments: /~. r~ S/T~ 1J/2-/l~J /pUc... /1U-S~ccTO/L: ()II'1U 'J ~~~ 9-}>:J d33 O::?IY '- r ;#/01 tf _>t1 3- "- p p{,S't!Lf::- '- (YllH,l tJ l) J4-~1r "- /, , ! / , " \ / pP {l\~ ~f~ /' tJ p :> 13~~iJ (A-A.-JI"U6v/c'/ ~/f~..e-(),P'1Uy /?:'~) na-,+I~ II I ( ()~~ ~ I I (@ I I I I Li \. (jJtf< .""- . IJVl;Jb fft1" . '-... PRIOR LAKE INSPECTION RECORD QaMt~ll1- ~ rra~ DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS _\3Ce4D NATURE OF WORK -1J~w USE OF BUILDING S F\') PERMIT NO. ~-O~'" DATE ISSUED ")-/o-o?- CONTRACTOR"]Y\tt KlQW\l~'Ll ~ PHONE 952 -'It15=- '!?58 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING ~ I ~/LC/'/~"'J2- I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS .....------ - ~ -- ~ FRAMING INSULATION --- \ .~ let- COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ~ l DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card s,hall be'placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850