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« <br /> • . <br /> � � .����� ,. t <br /> ���� .; � � , . , . - �,. � � '�'�. �.� �: <br /> �,� � Po�� �} �; <br /> � <br /> New or Replacement System $400.00 '�f�� <br /> Repair Existing System 100.OQ <br /> (Tanks or Drainfield) <br /> � <br /> Tot�l $ '��� <br /> The undersigned hereby appiies to the City of Orono for issuance of a septic system <br /> installation permit, agrees to do all the work in strict accordance with ordinances of #he City <br /> and regulations of the State of Minnesota and certfies that a!t statements made on this <br /> application are complete, true and correct. <br /> ___-----� <br /> Signature of Applicant �`�--� �%�� Date: � ^Z Z-- -j � <br /> MPCA License No.: 1--���v�' <br /> Staff Review: cept ❑ Denied <br /> Reviewer: Date: � � <br /> Reason for Denial: <br /> Comments (to be printed on inspection card): <br /> ti�� <br /> �� <br /> 1. Applications far 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 1MTH THIS APPLICATION �'`* <br /> 2. Permits will be only issued to contractors holding a Minnesota Pollution Control Agency <br /> (MPCA)Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system design. <br /> 4. The following inspections will be required for all septic systems: <br /> A. Tank installation prior to covering. <br /> B. Drainfield trench installatian priar to covering. For mounds, inspe�tion is required after <br /> rough up, but prior to sand placement (sand must be jar tested for siit content) and <br /> again during pressure distribution piping installation in the rock bed. <br /> C. Final inspection to verify final caver depths and to venfy that all pump station (where <br /> required)camponents 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 2 <br /> _ <br /> _ _. _ __ _ _. _. <br /> � _ _._ , <br />