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� <br /> ` <br /> CITY OF ORONO SEP'TIC SYSTEM PERMiT.APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS � �ll S I �-1 Q�.j �a ti �� <br /> Occupancy Type: Residential�_ Commerciat Other <br /> Pei•mit Type: New or Replacement System $100.00 <br /> Repair Existing System $ 50.00 <br /> (Tanks or Drainfield) <br /> $0.50 State sui•charge added to above fees <br /> * See fee schedule for non-residenti�l permit fees <br /> Owner's Name: C u S%O� S����%u i tt_ Phone Number: <br /> Mailing Address: City: Zip: <br /> Contractor's Name: u i K� �- Phone Number: y�S� - ��'.f- ��/2-- <br /> Mailing Address:��r G �'� � �� C�t3'�%���' Zip: S 3P�l� <br /> *** DO NOT IVIAIL PAYMEI�IT`ti'ITH THIS APPLICATIOP+i*** <br /> GENERAI�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(NIl'CA) Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system desi?n. 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 /> roujh up but prior to sand placement (sand will be jar tested for silt content), and again <br /> durin� pressure distribution pipin� installation in the rock bed. <br /> D. Final inspection to verify proper final cover depths and to verify that all pump stations <br /> • ' (whete required) components are functional and`comply with codes. <br /> 5. Individual holdin��IPCAInstallers License shall be present durin�all inspections. �24-hout• <br /> notice is required for all inspections. <br />