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„ �06-ZOD3 _1_i_:24am From-CITY OF OP,ONO +p622494616 T-433 P•.002/OQ3 ;F-T8Z : <br /> CYT'Y OF 0�20N0 5EPT1C SYSTEM PERMYx AY'1'�,TC�TION <br /> � Sox�15(2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 � <br /> ., . . _ .. . <br /> . <br />: J4B S1T�ADDRESS ' � <br /> Occup�ncy Tppe: Residential � Commerci�I Ocher �- - <br /> . ,. .� :.. .. <br /> Permit Type: New or RepIacement 5ystem 5100.04 � �� =� -w � -” <br /> _ Repair 'ng 5ystem ' S So.00 '�'�; C`�' <br /> (Tan ar Dra'utfield) . , <br /> 50.50 State aurcharge added to above fees <br /> * See fee schedule for aon-resic�ential permlt fees � _� <br /> _ Owner's Name:� �` y , � Phone Number• . <br /> ,__� <br /> Msi�ing Address: . Ciiy�,p�a� Z�p, � _ . . <br /> Cantractor's Name: ` Phone Nu r: <br /> ._ l�Xailing Addres� CiCy:�y,,, Zipc` � . , ., .;wx <br /> ***.DO NOx iV1AIL PAY:��N"x'tiVFTH THr`S APPLICATii��� 'g X ':_ _. �..' `:. <br /> GENERAL INST�rJ'CTYOIVS < : -. <br /> � �, _ .. <br /> I. Apptications for septic system permits may be mailed or submitted in person at the City <br /> Offices; however, peranits will not be mailed out. 'The permit must be picked vp"in person �, . . <br /> at the City Offices and work must not begin unless the perrnit card is au�he job site. <br /> 2. Permits wi11 be issu�d onl�•to contractors holding a Minnesota Pollution Gontrol <br /> . .. . <br /> Agency(MPCA)Septic System Installers License. -� �� <br /> 3. Ail work must be done in accordance�vvith�e appro�ved septic system d��gn. De�igm r�parts ` <br /> . ' ars not considered approved unless accompanied by tlze "Ciry� af Qro�ao�Saptzc�Systern � <br /> Approva!" cover sheet signed by the City Inspector. `' ` '" "' <br /> - - 4. 'The following inspections wil!be required for all septic systems: " ° ' ` <br />�t_� _ <br /> _,_ <br /> --- A Pre-installation site inspaction to include inspector, insta,tler,aud generaS ��,�����r, <br />�'��.�. _ ;��... . ;B�. Tank installatiou prior to covcriag. - - .;�..,,� . .�.N;�. �.:.�.; <br /> - -C. Drainfield ttench installatiaa prior to coveriug. For mounds,.i�spection�� r�quired a�fter �- <br /> _ : <br /> � � :- rough up but prior to sand placement(sand will be jar tested for sxlt cor�.�za�), �d again • � <br /> ��, `_ • during pressure distribution piping installation in the,ra�k b�d. .: . .. :, ., . :,': <br /> D. F�nal inspection to verify proper finat covec depths gnd to v�ri�t��:`t pur�;� �tauons . . _,3� .. ,.,�;,� -: <br /> (where required)compoaents are functianal and comply with Cod�s. , . � - . : <br /> 5. Individualholdingi�ff'CAinstallersLicen�eaha;Ilbgpresanttiuringatiiitlsprt�'�r�}�� �'�4-hour , _ <br /> - notice is required for al1 inspections. � ��. F <br /> .--, ... � k" . �..,':'.-.: <br /> _. <br /> ..,.,�...- . . � � . . <br /> ,k". __ ' '.� . . - . . . . . � .. . . .._., . . ;.. <br />� . �.� . . . . . . . . . " . . . <br /> y .:._ '._�-. .. .-. �� _.. . .. .._ . �. . . . . . . . , . . � . <br />