ST. LOUIS COUNTY, MN
PLANNING AND COMMUNITY DEVELOPMENT DEPARTMENT
(On-Site Wastewater Division)
Government Services Center
Government Services Center
320 West 2nd Street, Suite 301
201 South 3rd Avenue West
Duluth, MN 55802
Virginia, MN 55792
Phone (218) 725-5200
Phone (218) 749-0625
Toll Free (800) 450-9278
Toll Free (800) 450-9278
Compliance Inspection Report
Existing Subsurface Sewage Treatment System
Your Contact Information.
If the information is not correct, you may need to update your contact information using the 'Edit Contact Info' option once you have filled out this application.
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Enter the Primary PIN and Associated PIN (if applicable) of the property to be reviewed.
After entering the PIN, press the TAB key or click "Add Response" to enter an Associated PIN.
PIN is found on your Property Tax Statement. For example, 123-1234-12345. Primary PIN: Parcel where Structure/SSTS are located. Associated PIN: Additional and/or adjacent property that you own or that is related to the project.
County Land Explorer: https://www.stlouiscountymn.gov/explorer
Property Lookup: http://apps.stlouiscountymn.gov/auditor/parcelInfo2005Iframe
488-0400-00080
INSPECTOR INFORMATION
Select Inspector
Crosby Inspection, Design & Consulting, LLC
Enter Applicant Information
Landowner
No
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RICHARD DOBAK
3068 SPRING LAKE RD
DULUTH
MN
55811
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Maureen Rooney (POA)
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Property Owner Name and Contact Information.
If the property owner information we have on file is not correct, please enter the current owner information.
RICHARD DOBAK
3068 SPRING LAKE ROAD
DULUTH
MN
55803
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shuggiemoe4@gmail.com
Any
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Mailing Address Information
This address can default from the address you selected. If the values defaulted are not correct, please enter the correct information.
RICHARD DOBAK
3068 SPRING LAKE RD
DULUTH
MN
55811
deena@vhra.org
The Property Owner receives all Permit documents.
List any additional recipient emails separated by a semicolon.
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S-11213
Point of Sale
II
MPCA II - Holding Tank
Compliant
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9/2/2022
ATTACHMENTS
After submitting this form, please attach the following in the attachments screen:
COMPLIANCE INSPECTION WORKSHEET
Site Drawing
MPCA Compliance Inspection form
Soil Boring Logs
Tank Certification Worksheet
VARIANCE AGREEMENT
By submitting this request for variance from the Ordinance and the Construction Standards, I certify and agree that no substantial health hazard is likely to occur therefrom and an unnecessary hardship might result in strict compliance with the Ordinance and Standards.
I further agree to install a sewage treatment system in accordance with the permit application, plans, and specification that are made as part of this variance request, in addition to paying the Variance Fee associated with this request.
By submitting this application, I certify and agree that I am the owner or the authorized agent of the owner of the above property, and that all uses will conform to the provisions of St. Louis County. I further certify and agree that I will comply with all conditions imposed in connection with the approval of the application. Applicants may be required to submit additional property descriptions, property surveys, site plans, building plans, and other information before the application is accepted or approved. Intentional or unintentional falsification of this application or any attachments thereto will make the application, any approval of the application and any result invalid. I authorize St. Louis County staff to inspect the property to review the application and for compliance inspections. Furthermore, by submitting this application, I release St. Louis County and its employees from any and all liability and claims for damages to person or property in any manner or form that may arise from the approval of the application or any related plans, the issuance of any resulting permit or the subsequent location, construction, alteration, repair, extension, operation or maintenance of the subject matter of the application.
If your name, contact information or email address have changed, you should update your contact information in the portal by selecting 'Maintain Contact Information' at the top of this page.
I have read and agree to the statement above.
