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��,,�,«a� 7-5-oS �/O�i <br /> , µ ����(v <br /> CITY OF ORONO SEP'TICSYST'Et1riPFRiI�IITAPPLICATION <br /> Box 66 (2750 Kelley Parkway) - - <br /> Crystal Bay, NI�Y 55323 . � <br /> -�.JOB STTE ADDRESS: �S S /Z,�v C�- �-{; LL r,�- _ <br /> Occupanc�• Type: Residential � Commercial Other _ <br /> Permit T��pe: Ne�v or Replacement System, �100.00 �r <br /> Repair Existing System, $ 50.00 <br /> (Tanks or DrainfieId) <br /> 0.50 State surcharae added to above fees <br /> , '"See fee schedule for non-residential permit fees <br /> Owner's 1�'ame: �c v� (/V��vs �o .•✓ PhoneNumber: �-SZ - S`f�f- Z`f`�"� <br /> I1�Iailing Address: S R.".�.t;- � ✓�._ City: (,U,a�z��- Tp: .�53�11 <br /> Contractor's I\'ame: ,�j,�,o,o � �?,e oS, Phone umher: 7�3-- �f Z�S— � 343 <br /> lYlailil�a AddteSS: 2'�Zo o ( o �{T� �cJ�'_/(�� City: o� � Z�p: SS3'7� <br /> DO \TOT I�IAII.. PAYI��IENT WITH THIS APPLICATION C� �'(Z —��`F— g�C� <br /> GEYERAL INSTRUCTIO�TS <br /> 1. Applications for septic system permits may be mailed or submitted in person at the Ciry <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 no[be;in unless the pernut card is on the job <br /> site. <br /> 2. Permits will be issued only to concractors holding a City of Orono Septic System <br /> Installers License. <br /> 3. Ali work must be done in accordance �vith the approved septic system desi�n. Desi�n <br /> reports are not considered approved unless accompanied by the "Ciry 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-installation site inspection to include i.nspector, i.nstaller, and general contractor. <br /> B. Tank installation prior to coverin�. <br /> C. Drainfield trench installation prior to coverin;. For mounds, inspection is required <br /> afrer rouQh-up but prior to sand placement (sand will be jar tested for silt content), <br /> and again durin� pressure distribution pipin� installation in the rock bed. <br /> D. Final i.nspection to verify proper fmal cover depths and to verify that all pump stauon <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holding MPCA Installer Certificate shall be present durin� inspec[ions: A 24- <br /> hour notice is required for all inspections. <br />