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Ju1-06-2001 0�:41pm From—CITY OF ORONO +0622404616 T-378 P.001/002 F-628 <br /> _ . � 1 ��� �-_ , . <br /> . � � ( ;���.::��:5.:��.� <br /> � <br /> crrY a�a�,o�ro SEPTI�SYSTEM PERM�I'APPLICATION . <br /> �uz 6�(275a Kelley ParkwaY) ,�A,{�, � �I ��u 3 <br /> Cryst�l Bay,Mu 55323 <br /> CITY" (7ir U�Oi�s`(� <br /> JOB S1TE ADDRESS �Z��� ��"�/U� /P17 r - -- <br /> �ccupancy T�*pe: ltesideatial _ ^_— Commercial Other <br /> Pfrmit'Y'ype: New or R�plsc.eRpent System $100.00 <br /> Repair Existiug S�'stem $ 50.00 .Od <br /> ('Y'Anks ar�rseafleld) <br /> �O.SO State aurdtarge added to above fees <br /> " See fee schedu[e for nou-residentiA�l permit fees <br /> � <br /> Orvner'sName: -TuU_E__,L/N/7,a�i..00m phoneNwnbcr: '�7 '' a <br /> Ma�Address: Cii�: Z�p: ,�� � <br /> Cantr�ctor's Nama Phnna Number: i � (p � <br /> bialing Address• _ Ciiy: Zip: � �2 <br /> '"w*DIO NOT MAIL PAYMENT WTi'I'i THIS APPLICATION�** � <br /> GENE�tAI.INSTRi�CTIONS <br /> I. Apglicatioas £ar septic system p�ma.its may be mailed or submittod i.n person at th.e City <br /> Offices; �owever,permit�will not be mailad out, The permit must be picked up in person <br /> at the Cxty Qffices and work rAust uot begin uriless th�periait caxd is on tha j ob sit�. <br /> 2. Permits wil�ba issucd anly to contractars holding a Miunesota Pollution Corm-ol <br /> Agcncy(MPCA)Septic 3ystem Ia�tallers I.icense. <br /> 3. AU work must be done in a�ccprdance witla ihe t�pproved segtic system design. Desiga rspprts <br /> are not co:uide,red approved unless accampaaied by the "City of Orono Septic Spstem <br /> Approvat"ca�ar sheet signed by the City Inspector. <br /> 4. The fatlowing insp�ctions vvill be required fbr alE septic s�►stems: <br /> A. Pre-is�stallat�on site i�spectian to inalude in9poctor,installer,aad ge�eral aaatractor. <br /> �. Tank installa�on prior to covering. <br /> C. Drain.fiald tranch instailatian prior W covering. For inounHs,in�pection is roqt�ired after <br /> rough up but prior ta sand pia,�cment(sand�wil!be jar tested for silt con#ent),and agaia <br /> during prdssura distribution piping installatior►in the rock bed. <br /> D: Final inspoation to verify proper final covcr dcpths and t�verify that al! pump statians <br /> (where re�uised) companents are fiiactional aad comply with codes. <br /> 5. Individual hoXding MPCAInstallers Liceuse s�all be present duiiug aU.inspections. A Z4-hour <br /> Ootice i�reqU�'ed for all inspecttos�s. <br />