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r�-`� c'N�F � <br /> � �� C.""'N� � l��� <br /> � . � `ta �r� <br /> , _ <br /> 1. <br /> CITY OF ORONO SEPTIC SYSTEM PERMI'T APPLICATIOl� <br /> Box 66 (2750 Kelley Parkway ' �9� <br /> Crystal Bay, NIN 55323 �JU�" � `� _ -_ <br /> c� � � � <br /> JOB SITE ADDRFSS: /� ;a � C.� ��� ��aa � , <br /> i <br /> Occupancy Type: Residential � Commercial Other <br /> Permit Type: New or Replacement System, $100.00 L/ <br /> Repair Existing System, $ 50.00 <br /> 0.50 State surcharge added to above fees <br /> *See fee schedule for non-residential permit fees <br /> Owner's Name: ��'� ^ s �l�at, c.y�t ..�� PhoneNumber: ��� - �f�s�' <br /> Mailing Address: � (Jn ��- ,�. City#�� /,•z.>.,i/ 7ip: �S <br /> Contractor's Name: �;��.,�.-- .�;.�c S Phone iunber: �Zs�g_ -7 3��, <br /> Mailing Address: ��� �;u t v`9 � �c;� •c� • City: ��C�-�.sv�S 7ip: 5�3�7� <br /> DO NOT MAIL PAYMENT WITH THIS APPLICATION <br /> GEIV�RAL INSTRUCTIONS <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 ir� <br /> person at the City Offices 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 "Ciry of Orono Septic <br /> System Approval" cover sheet signed by the City Inspector. <br /> 4. The following 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 rough-up but prior to sand placement (sand will be jar tested for silt content), <br /> and again during pressure distribution piping installation in the rock bed. <br /> D. Final inspection to verify proper fmal cover depths and to verify that all pump station <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holding MPCA Insta.11er Certificate shall be present during inspections. A 24- <br /> hour notice is required for all inspections. � <br />