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�} -f� . � �i�4 `�^ S�1� ;."��;ii'P�^ .��q� .����,.,�� .�...;Y '€SS,*` _,.�.�* ',.t.��. � .r�. <br /> New or Replacernent System $400.00 <br /> .l�.-- <br /> R isting System 100.00 ��� <br /> ,{ anks r Drainfield) <br /> Total $ <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system <br /> installation pen�nit, agrees to do all the work in strict accordance with ordinances of the City <br /> and regulations of the State of Minnesota and certifies that all statements made on this <br /> application are complete, frue and correct. <br /> Signature of Applicant /�-:.. �� Date: //`ly -!Cc <br /> MPCA License�No.: L.���/�u' <br /> Staff Review: � ept ❑ enied <br /> Reviewer: .,`� Date: l� l <br /> Reason for D�nial: <br /> Comments (ta be printed on inspection card): <br /> �.��� `E��. �6E. l�t�;: �G'�IOM�$ �} � �E ,� �: t <br /> 1. Applications for septic system permits may be mailed or submitted in person at the City <br /> o�ces; however, permits will not be mailed out. The permit must be picked up in person at <br /> the City offices and work must not begin unless the permit card is on the job site. <br /> *** DO NOT MAIL PAYMENT WITH TH(S APPLICATION *** <br /> 2. Permits will be only issued to contractors holding a Minnesota Pollution Contro! Agency <br /> (MPCA) Ssptic System Installers License. <br /> 3. AI(work must be done in accordance with the approved septic system design. <br /> 4. The following inspections will be reguired for all septic systems: <br /> A. Tank installation prior to covering. <br /> B. Drainfield trench installation prior to cavering. For mounds, inspection is required after <br /> rough up, but prior to sand placement (sand must be jar tested for silt content) and <br /> again during pressure distribution piping installation in the rock bed. <br /> C. Final ir�spection to verify final cover depths and to verify that all pump station (where <br /> requiredj components are functional and comply with codes. <br /> 5. MPCA licensed Installers or their DRP (Designated Responsible Person) shall be present <br /> during all inspections. <br /> Page s <br /> r.._..._ <br /> . __ _ __ <br /> _ _ _ <br />