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� <br /> � <br /> CITY OF ORONO S�PTIC SYSTEM PERMIT APPLICATTON <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, Ni�t 55323 <br /> JOB STI'E ADDRESS: �7 2 S �G`��� �- <br /> Occupancy Type: Residential � Commercial Other <br /> Permit Type: New or Replacement System, $100.00 <br /> Repair Earisting System, $ 50.00 �D, S�� <br /> (Tanks or Drainfield) <br /> 0.50 State surcharge added to above fees <br /> . *See fee schedule for non-residential permit fees <br /> Owner's Name: ;�� r� ��G � �t r PhoneNumber: <br /> Mailing Address: � �2 s' 2�„�,., city: �p� <br /> Contractor's Name: C l�v�.�- G��`l( r�� ��^c— PhoneNumber: � � � �-7�� <br /> Mailing Address: nD �3�c 3-S'`( City: L�� 7ap:�'S3s"7 <br /> DO NOT MAII. PAYMENT WTTH THIS APPLICATION <br /> GEi1TER.AL I�i 1STRUCTIONS <br /> 1. Applications for septic system permits may be mailed or submitted in person at the City <br /> Offices; however, permits will not be mailed out. The permit must be picked up in <br /> person at the City O�ces and work must not begin unless the permit card is on the job <br /> site. <br /> 2. Permits will be issued only to contractors holding a City of Orono Septic System <br /> Installers License. <br /> 3. All work must be done in accordance with the approved septic system design. Design <br /> reports are not considered approved unless accompanied by the "City of Orono Septic <br /> System Approval" cover sheet signed by the Ciry Inspector. <br /> 4. The followin� inspections will be required for all septic systems: <br /> A. Pre-installation site inspection to include inspector, installer, and general contractor. <br /> B. Tank installation prior to covering. <br /> C. Drainfield trench installation prior to covering. For mounds, inspection is required <br /> after rou?h-up but prior to sand placement (sand will be jar tested for silt content), <br /> and a�ain during pressure distr.ibution piping installation in the rock bed. <br /> D. Final inspection to verify proper final cover depths and to verify that all pump station <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holding MPCA Installer Certificate shall be present during inspections: A 24- <br /> hour notice is required for all inspections. <br />