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� <br /> �� ���s <br /> CTTY OF ORONO SEPTTC SYSTEM PERIVIIT APPLICATION <br /> Box 66(2750 Kelley Parkway) <br /> Crystal Bay,1�1n 55323 <br /> JOB STTE ADDRESS � � �4 r�h s ��' b �-s �`a' ��. <br /> Occupancy Type: Residential l� Commercial Other <br /> Permit Type: New 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 /> Owner's Name: 0��R :S ��c �' ^'P Phone Number: ��-g-�S3 �. <br /> Mailing Address: City:a r��° Zip: <br /> Contractor's Name: r�J �. 2 ��5� ��- Phone Number: �( �/-S 1 S(. <br /> Mailing Address: '�5 2 1 49�� u� City; Q{(a�o Zip: SS,3 2�, <br /> *** DO NOT MAIL 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 card 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 /> rou�h up but prior to sand placement(sand will be jar 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 vIPCAInsta.11ers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />