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��,y,,� ��- y- a Z_ <br /> % , " -�� �, ��� � <br /> �-� /OC� . Sv <br /> CTTY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Boz 66 (2750 Kelley Pazkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS ���S �,�r2,S�T �� <br /> Occupancy Type: Residential___�k__ Commercial Other <br /> _._..._.__--, <br /> Permit Type: New or Replace�� nt System $100.00 <br /> epair Eaisting 'ys em $ 50.00 <br /> (Tanks or Drainfield) <br /> $0.50 State surcharge added to above fees <br /> * See fee schedule for non-residential permit fees <br /> Owner's Name: CflOE�TbNE ���i�.i��� Phon Number: ?�3���7Z-O�g4 <br /> Mailing Address: �I C�� F_U��-r- �V� City:�� Zip: <br /> Contractor's Name: -5c' Phone Number:7�3 �S19`� 7�8�, <br /> Mailing Address: � City: pF Zip:��('�7 <br /> *** DO NOT MAII�PAYMENT`VITH THIS APPLICATION*** <br /> GENERAL 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 person <br /> at the City Offices and work must not begin unless the permit cazd 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. All work must be done in accordance with the approved septic system design. Design 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 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 after <br /> rough up but prior to sand placement(sand will be jaz tested for silt content), and again <br /> 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 stations <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holding 1�IPCAInstallers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />