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�ar-02-2006 03:28pm From-CITY OF ORONO +9522494616 T-114 P.001/002 F-359 <br /> � <br /> , <br /> C�T'Y OF Q12QNd SEP7f'IC SYSTEM P�RN�r ��'LYCA'X'I01� <br /> �o�64 (2750 Kelley Parkway) <br /> Crystal Bay,Mn �5323 <br /> s ,� � � l � ��� <br /> JQS SI'x'E AiUDRES ,. <br /> Qccupancy`�'ypE� Re.sidenti�l�, <br /> Comme�•ci�1� Other��� <br /> �?ermit T�pe: �Iew ar Replacement System �1U0.00 <br /> �epair��isti�;Syst�rr� � 50,04 ,��-- <br /> (T�nlcs oa•I]r�infield) <br /> $Q.50 State su�•ch�rge added #o above fees <br /> k S�e fee schedule far nan-s•esidenti�l permit fees <br /> � p <br /> - ;,� C,,,� . C- Phone Nurnber:, ��l 1--���� -y 3 / <br /> Ov�er's Name: - � City: �'ir; • <br /> '� �.' j�tx,h 2 /� <br /> Mailing A.ddress: Phane Number: C���.�- `` -�,1 <br /> COntr�ctnr's Narr�e: ,n �.__. ,... �, =Xcu���,�f J'Ciry•r %/ Zi �'c� / _ �15�-3�3 `� <br /> � �-� P�.,�--� a�f=�� <br /> Mailit�g A.ddt•ess: �' � .�. `r. <br /> y�kk <br /> �30 NQ'�' I�'IA�a PAYM[ENT��'�i�'Y'�S A.�PL�C.Fi'Y'TQN'�'"* <br /> ENE�AX.�INST�UCT�ONS <br /> 1, �4pplicartio�s for septic system per�xaits may be m2iled or submitted ixx person 3t the City <br /> Q£fices; however, perznits will not be mailed out, The perznit xnust be picked up in person <br /> at the City Q�ices and vvork,must not be��n u�less zhe perxn�t card xs on th�job site. <br /> � permits wili be issued an�y to contractors hold�ng a Minnesota P�llutioz�Control <br /> � A�ez�cy{1V1PCA) Septic Syscem Installers License. <br /> 3. A11 wor�C rz�ust be dor�e in accardnnc�s accom aan d bySthe1CCity�of �r no SnepLgc Sy tem <br /> are not considered a�pro ved ��� pector. <br /> .Approval cover sheet si�ned b the Ci�S''�sp <br /> q.. The following inspeccions will be required far a�l scptic s�rstems: <br /> A„ Pre-i�stallation site inspection to �nclude inspector, installer, and general contra�tor, <br /> B, Tank inszallation prior to coverin�. _ , . <br /> C_ Drainfield�rench ir�stailation prior to covering. �'or zz�ouz�ds, 1nspeeCion �s zequired after <br /> ro�gh up but priar tv sand placement(sand will be jar�ested f�r silt �ontent), and a�ain <br /> durino pressure distributiaz�pipin� installation is�the r�ck bed. <br /> U, Final ins�ection to verify proper final cover depths and �o verify tha't all pump stations <br /> (w�ere required) components are functional and coinply witla codes, <br /> 5, I.ndividual ho��l'tng 1�IP�A�st�llers T...icense shall be p�ese�t dunn�sIl i�spections. :°�Z�-�oua' <br /> notice ►S e�equi�•ed foY• a�1 ieaspectio�ns. <br />