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� '" . . +� �� c�� <br /> CITY OF ORONO SEP'TICSYSTEMPERM�rAPPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, I1�IN 55323 <br /> , .. �, - . <br /> ,�., �� �v 2 a ���5 <br /> JOB SITE ADDRFSS: y I g S ��- �v� <br /> Occupancy Type: Residential � Cominercial Other <br /> Permit Type: New or Replacement System, $100.00 � <br /> Repair Existing System, $ 50.00 <br /> 0.50 State surcharge added to above fees <br /> *See f�e schedule f�r non-residential permit fees <br /> Owner's Name: �f��l.z. �I�od.sor� PhoneNuruber: <br /> Mailing Address: / .� '``�✓�- City:�� ,Cr;, � 7ip: <br /> Contractor's Name: ' �,• ' v�r. PhoneN ber: �/(p� -� ��7 <br /> Mailing Address• �IS�Sr //0'``'�� -s City: t. tiP� SS"���:� <br /> DO NOT MA,IL PAI'I�iENT WITH THIS APPLICATION <br /> GEIV�RAI, 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 in <br /> person at the Ciry 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 "City of Orono Septic <br /> Sy'stem AoDT_'Oval" 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 c,overing. For mounds, inspection is required <br /> after rough-up but prior to sand placement (sand will be jar tested for silt coritent), <br /> and again during pressure distribution piping installation in the rock bed. <br /> D. Final inspection to verify proper final cover depths and to verify that all pump station <br /> (where required) cornponents are functional and comply with codes. <br /> 5. Individual holding MPCA Installer Certificate shall be present during inspections. A 24- <br /> hour ❑otice is required for all inspections. <br />