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� ? � �'l 5�� <br /> CTTY OF ORONO SEPTIC SYSTEI�i PERivIIT APPLICATION <br /> Box 66 (2750 Kelley Pazkway) <br /> Crystal Bay, N�1 55323 <br /> JOB SITE ADDRESS: ����� 4�'�'`��� " <br /> Occupancy Type: Residential �_ Commercial Other <br /> Permit Type: Nesv or Replacement System, $100.00 ���� ��� <br /> Repair Existing System, $ 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 /> Otivner's Name: ��T�� r4 ���-'.�i4 PhoneNumber: <br /> Nlailing Address: City: �p' <br /> � Contractor's Name: PhoneNumber: <br /> 11�Iailing Address• City: Zip: <br /> DO NOT NiA.II. PAYI��IENT WITH THIS APPLICATION <br /> GEYERAL �TSTRUCTIONS <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 City Offices and work must not be�in ualess the pernut card is on the job <br /> site. <br /> 2. Permits will be issued only to concractors holdin; a City of Orono Septic System <br /> Installers License. <br /> 3. AIl work must be done in accordance �vith the approved septic system design. Desi�n <br /> reports are not considered approved unless accompanied by the "City of Orono Septic <br /> System Approval" cover sheet si�ned by the City Inspector. <br /> 4, The followin� inspections will be required for all septic systems: <br /> A. Pre-inscallation site inspection to include inspector, installer, and general contractor. <br /> B. Tank installation prior to coverin�. <br /> C. Drainfield trench installation prior to covering. For mounds, inspection is required <br /> after rouQh-up but prior to sand placement (sand will be jar tested for silt content), <br /> and a�ain durin� pressure distribution pipin; installation in the rock bed. <br /> D. Fi.nal 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 holdin�NiPCA Installer Certificate shall be present durin� inspections: A 24- <br /> hour notice is required for all inspections. <br />