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� ���/� � <br /> ' �� ���� �'` �C� p��s f'��� D - �- , .� � � ,� I GC�y�- <br /> ; <br /> � I� C��� s �rc� �3Q v el �- �,� � /� -�- �-�.�.e. � ,�-,� �o <br /> � G ��,� 5;�� C fi,�� � � ��-t �� t�.� � re <br /> �,,,c,�: -}��,� j �•., : �; c A �r,c,•� � <br /> � �ri9-n,� <br /> CITY OF OROIatO SEP�'IC SYSTENI PE �T APPLICfS.TION <br /> Bos 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS �-� _/ ` �f�t0��'2�C % � �`� �/` <br /> Occupancy Type: Residential x Commei•cfal Othea� <br /> Pei�mit Type: New or Replacement System $100.00 x <br /> Repair Esisting System � 50.00 <br /> (Tanlcs o��Drainfield) <br /> $0.50 State sui•chai�ge added to above fees <br /> * See fee schedule for non-residenti�l pera-►it fees <br /> O�vnee's Name: �a�'1. ��/'�r ✓1� Phone Num�bei: L���/ '�! %"77 �� <br /> IVlailing Address: 2C� ��/ S �,a�`el,'� I71�_ City: �K � �ip: 7�ti 3�% <br /> Contractor's Name: ,����� ��a�r,�S��,,��'• Phone I�Turnbea:�f Z���- �J�>'7 <br /> Pv'Iailing Address: �� C��/3r 'P� /�j:,,�:r �_City: P//P ,�,� Zip: �i�Y�!J <br /> *** DO i�1�1 �IA� PA�ii�IEIi1T ZZ'IT�i T�S AP�L���'�'I�liT*y* <br /> GENE�tAL �'i�1S'TRUCTIONS <br /> 1. Applications for septic system permits may be mailed or submitted in person at the Ciry <br /> Offices; however, permits will not be mailed out. The permit must be picked up in person <br /> at the City Offices and work must not begin unless the permit card is on the job site. <br /> 2. Permits �vill be issued only to contractors holdin�a Minnesota Pollution Control <br /> A�eney(NIPCA) Septic System Installers License. <br /> 3. A11 work must be done in accordance with the approved septic system desijn. Design reports <br /> are not considered approved unless accompanied by the "City of Orono Septic System <br /> Approval" cover sheet si�ned by the City Inspector. <br /> 4. The follo�vinQ inspections will be required for all septic systems: <br /> A. Fre-installation site inspection to include inspector, installer, and general contractor. <br /> R. Tank installation prior to covering. <br /> C, Drainfield trench installation prior to coverinQ. For mounds, inspection is required after <br /> rou�h up but prior to sand placement (sand �vill be jar tested for silt content), and again <br /> durinQ pressure distribution pipin� installation in the rock bed. <br /> D. Final inspection to verify proper final cover depths and to verify that all pump stations <br /> (wnere required j componenis are iunctionai dnu cor�iply with cades. <br /> ti. Individual holdin��'�PCATnsiallers�,icen�e sha11 be present durinQ a1:inspections. :=�?=�-�oa.�,• <br /> aaoti�ce as e•equia•ed foi� a9� ir�spectio�s. <br />