ST. LOUIS COUNTY, MN
PLANNING AND ZONING DEPARTMENT
(Onsite 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) 471-7103
Phone (218) 749-0625
Toll Free (800) 450-9278
Toll Free (800) 450-9278
Permit Construction Application
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.
Lindsay
Shagla
703 Main St, Ste 200
Rapid City
SD
57701
6059999511
lindsay.shagla@hdrinc.com
Any
402-0010-00380
Enter Applicant Information
Other
No
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Chris M Bailey
703 Main St, Ste 200
Rapid City
SD
57701
(605)791-6104
christopher.bailey@hdrinc.com
Email
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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.
Laura Bellasalma
10518 GAMMA ROAD
KABETOGAMA
MN
56669
(218)283-6600
laura.bellasalma@nps.gov
Email
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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.
Laura Bellasalma
360 Highway 11 East
International Falls
Minnesota
56649
laura.bellasalma@nps.gov
The Property Owner receives all Permit documents.
List any additional recipient emails separated by a semicolon.
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SITE INFORMATION
Enter Site information
No
Yes
Other
Reference the Land Use Permit to list this information, 6 addresses below:
|
US Forest Service
|
US Forest Service
Superior National Forest
8901 Grand Avenue Place
Duluth, MN 55808
|
| MN Power |
Shore Land Traditions
30 West Superior Street
Duluth, MN 55802
|
| MN DNR, Area Hydrologist |
MN DNR, Area Hydrologist
7979 Highway 37
Eveleth, MN 55734
|
| MN DNR Land and Minerals |
MN DNR, Land and Minerals
1201 East Highway 2
Grand Rapids, MN 55744
|
| St Louis County Land & Minerals - Duluth |
320 West 2nd Street Suite 302
Duluth, MN 55802
Phone: (218) 726-2606
|
| St. Louis County Land & Minerals - Virginia |
7820 Highway 135
Virginia, MN 55792
Phone: (218) 742-9898
|
Do you have written authorization from the lease property owner?
Yes
Is this for Residential or Commercial?
Commercial
Is the property used year round or used seasonally?
Seasonal Use
Is this project within 300 feet of a river/stream or 1,000 feet of a lake?
Yes
Namakan Lake/Rainy Lake
Is this property connected to a Common Interest Community?
No
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Is this serving multiple dwellings sharing a SSTS component?
No
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Is this related to a Point of Sale Requirement?
No
Is the SSTS located in a floodplain?
Yes
Replacing the existing SSTS
Component addition replacement cannot be used for a Privy.
The existing system has reached the end of its useful life.
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Select existing SSTS
Select the Septic Permit that is being modified/replaced.
(Just click the Search button, no need to enter in a Permit #)
If unable to be found, click Permit Could Not Be Found.
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WORKSHEET
Select the System Type
Type I System
"Type I System" means an ISTS that follows a standard trench, bed, at-grade, mound, or graywater system design in accordance with MPCA rules, Minnesota Rules, Chapter 7080.2200 through 7080.2240.
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Type II System
"Type II System" means an ISTS with acceptable modifications or sewage containment system that may be permitted for use on a site not meeting the conditions acceptable for a standard Type I system. These include systems on lots with rapidly permeable soils or lots in floodplains and privies or holding tanks.
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Type III System
"Type III System" means a custom designed ISTS having acceptable flow restriction devices to allow its use on a lot that cannot accommodate a standard Type I soil treatment and dispersal system.
Other System
MPCA Type III Systems must be installed by a licensed septic installation contractor.
System starts with septic tanks, lifted to a dosing tank, then dispersed in sand beds. After going through sand bed filter the effluent is treated with chlorine and finally applied to a spray field.
Type IV System
"Type IV System" means an ISTS, having an MPCA registered pretreatment device and incorporating pressure distribution and dosing, that is capable of providing suitable treatment for use where the separation distance to a shallow saturated zone is less than the minimum allowed.
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Type V System
"Type V System" means an ISTS, which is a custom engineered design to accommodate the site taking into account pretreatment effluent quality, loading rates, loading methods, groundwater mounding, and other soil and other relevant soil, site, and wastewater characteristics such that groundwater contamination by viable fecal coliforms is prevented.
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Select the gallons per day (GPD) for the system.
Between 2,500 - 4,999 GPD
WELL INFORMATION
Enter information about the well.
Do you have a proposed water source?
No
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Enter # of existing water sources on the property
2
After completing the following information for the 1st water source, please use the Add Another Water Source button to add the additional water source(s) information.
Well
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Drilled
DESIGNER & INSTALLER INFORMATION
Select the Designer
Christopher M Bailey
Project consists of replacing aged lift station, septic tanks, piping seepage bed media and piping, and sprayfield piping. Septic tank location is being shifted from the existing location and elevated to get above historic flood levels. New septic tanks were sized based on current guidance from MN Rules 7081.0130 and 7080.1920 Subpart 7. The existing seepage bed concrete walls are still in good shape, so only the media and piping are being replaced with the project.
Select the Installer (if known)
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STRUCTURE - RESIDENTIAL
Enter Building Type and Water Uses
Home, mobile home, hunting shack, cabin, RV
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Other information to be considered for this application
OTHER ESTABLISHMENTS - COMMERCIAL
Dwelling Units
Select the Building Type (Refer to 7081.0130 Table I)
See also outdoor recreation
(a) Hotel or luxury hotel
(b) Motel
(c) Rooming house
(d) Daycare (no meals)
(e) Daycare (with meals)
(f) Dormitory
(g) Labor camp
(h) Labor camp, semi-permanent
No
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Commercial/Industrial
(a) Retail store
(b) Shopping center
(c) Office
(d) Medical office
(e) Industrial building
(f) Laundromat
(g) Barber shop
(h) Beauty salon
(i) Flea market
No
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Eating/Drinking Establishment
(a) Restaurant (does not include bar or lounge)
(b) Restaurant (short order)
(c) Restaurant (drive-in)
(d) Restaurant (carry out, including caterers)
(e) Institutional meals
(f) Food outlet
(g) Dining hall
(h) Coffee shop
(i) Cafeteria
(j) Bar or lounge (no meals)
Yes
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Entertaining Establishment
(a) Drive-in theater
(b) Theater/auditorium
(c) Bowling alley
(d) Country club
(e) Fairground and other similar gatherings
(f) Stadium
(g) Dance hall
(h) Health club/gym
No
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Outdoor recreation & related lodging facilities
(a) Campground
(b) Permanent mobile home
(c) Camp, day without meals
(d) Camp, day with meals
(e) Camp, day and night with meals
(f) Resort/lodge hotel
(g) Cabin, resort
(h) Retail resort store
(i) Park or swimming pool
(j) Visitor center
Yes
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Transportation
(a) Gas station/convenience store
(b) Service station*
(c) Car wash* (does not include car wash water)
(d) Airport, bus station, rail depot
No
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Miscellaneous
(a) Public lavatory
(b) Public shower
No
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Institutional
(a) Hospital
(b) Mental health hospital
(c) Prison or jail
(d) Nursing home, other adult congregate living
(e) Other public institution
(f) School (no gym, no cafeteria, and no showers)
(g) School (with cafeteria, no gym and no showers)
(h) School (with cafeteria, gym, and showers)
(i) School (boarding)
(j) Church
(k) Assembly hall
(l) Other Unlisted
No
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No
Other information to be considered for this application
Will this project require a Septic Variance?
No
VARIANCE WORKSHEET
Enter Variance information.
About SSTS Variances Pursuant to Ordinance 61, Article V, Section 3.0
A property owner may request a variance from the standards specified in the Ordinance pursuant to county policies and procedures. Variances shall only be permitted when they are in harmony with the general purposes and intent of this Ordinance where there are practical difficulties or particular hardship in meeting the strict letter of this Ordinance, excluding the technical standards. Certain deviations may require the approval of the MPCA or the MN Department of Health.
Describe the specific provision(s) in the ordinance from which the variance is requested.
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Describe the practical difficulty that prevents compliance with the rule.
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Describe the alternative measures that will be taken to achieve a comparable degree of compliance with the purposes and intent of the applicable provisions.
Identify cost considerations preventing reasonable use of the property under the terms of this ordinance
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ATTACHMENTS
After submitting this form, please attach the following in the attachments screen:
Design Report
Site Sketch
Written Auth. From Leased Property Owner
Sanitary District Approvals
Abandonment Form
Misc./Other
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.
Lindsay M Shagla
703 Main St, Ste 200
lindsay.shagla@hdrinc.com
I have read and agree to the statement above.
