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� i� , 0,.9 <br /> r �1� <br /> � � � <br /> � <br /> CITY OF ORONO SEP1'IC SYSTENI PERIVIIT'APPLICES.TION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS � �� � � ' `—"'' � <br /> Occupancy Type: Residential ✓ Commercill Other <br /> Permit Type: Ne�v or Replacement System $100.00 � <br /> Repair Existing System $ 50.00 <br /> (T1nks or Drlinfield) <br /> $0.50 State sui•ch�i•ge added to lbove fees <br /> * See fee schedule for non-residential permit fees <br /> O�rner's Name: J��3 • �►�� So�v�f-.�S Phone Number:��2— s S�l �09�� <br /> 1Vlailing Address: City: Zip: <br /> Conh�actor's Name• ���cs �S�s Phone Nu4nbei: 76 3-� • `f79^/7�Z <br /> Mailing Address: 263 S�2— Sf • S� Cit3':/h�►.fi�^'`X Zip: S�_37o '3 <br /> *** DO NOT NIAIT�PAYMEI+iT�VITH THIS APPLIC�TION*** <br /> GENERAL INSTRUCTIONS <br /> 1. Applications for septic system permits may be mailed or submitted in person at the City <br /> O£fices; 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 will be issued only to contractors holding a Minnesota Pollution Control <br /> Agency(MPCA) Septic System Installers License. <br /> 3. A11 work must be done in accordance with the approved septic system desi�n. Desijn reports <br /> are not considered approved unless accompanied by the "City of Orono Septic System <br /> Approval" cover sheet signed by the City Inspector. <br /> 4. The followina inspections will be required for all septic systems: <br /> A. Pre-installation site inspection to include inspector, installer, and �eneral contractor. <br /> B. Tank installation prior to covering. <br /> C. Drainfield trench installation prior to covering. 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 /> during 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) components are functional and comply with codes. <br /> 5, Individual holding�tPCAlnstallers License shall be present durin�all inspections. :�24-ho�u• <br /> notice is ►•equired fot•all inspections. <br />