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i ' <br /> � <br /> � ) � � ��,�EiV�D <br /> CITY OF ORONO .�UN <br /> � � ���PTIC SYSTEM PERNIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) , �]k �pip�'::; <br /> Crystal Bay, l�I'�i 1 55323 `�t', � <br /> JOB SITE ADDRESS: 9S� SAz..��G- I-��'LL ✓:��� <br /> Occupancy Type: Residential �--� Commercial Other <br /> Permit Type: New or Replacement System, $100.00 v� <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 /> Owner's Name: (,v,'�(�',�,.�. ��o J'S /.�.�.�•��-�° PhoneNumber: �76 � f 130 <br /> N l a i l i n g A d d r e s s: , ��,..L- : ���L � City: Q2�tiJ �p: SS�/f <br /> Contractor's Name: �o�",�,,�, � y3�s PhoneNumber: �/Zs� - 739;3 <br /> Mailing Address: �Z�2�� 1�`1 � /�s �- City: �'10(��.-.�S 7-�p� ,55�� <br /> DO NOT MAII. PAYMENT WITH 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 <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 rnust ne d��ie i�� acc�rda.�cc `.�i.:: �:e ap�r�ved segtic system design. Design <br /> reports are not considered approved unless accompanied by the "City of Orono Septic <br /> System 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 <br /> after rough-up but prior to sand placement (sand will be jar tested for silt content), <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) components are functional and comply with codes. <br /> 5. Individual holding MPCA Installer Certificate shall be present during inspections: A 24 <br /> hour notice is required for all inspections. <br />