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1 /'J � ` � `._._ <br /> � C" <br /> � <br /> CITY OF ORONO SEPTICSYSTEI�IPERil-IITAPPLICA'IT0�1 <br /> Box 66 (2750 Kelley Pazkway) � <br /> Crystal Bay, I1�I�Y 55323 = <br /> ,,�,,,0 �'4�'� /_. <br /> JOB SITE ADDRESS: ci''�� ' <br /> Occupancti• Type: Residential _� Commercial 4ther � <br /> Permit T�•pe: Nesv or Repiacement Sy�stem, �I50.00 X ' <br /> Repair Existing System, � <br /> (Tanks or Drainfield) <br /> 0.50 State surcharge added to above fees � <br /> *See fee schedule for non-residential permit fees <br /> O�mer's i�'ame: ,�, . ' ' �,C�' , �Pi�one\rumber: <br /> lYlailing Address: � , 2 �, City: � r � �P� <br /> r Piione I\Tu�mber. ��--�- .7 - <br /> Contractor's I`Tame: _ �.:J�� : <br /> I�iailina Address: � > � . � City: � � ��=-� `�l <br /> �� �' <br /> DO \TOT 1�IA.II� PAYI�'IENT ��I'TH THIS APPLICATIO\T <br /> GE\'ERA-L 1�STRUCTIONS <br /> 1. Applicacions for sep[ic system permics may be mailed or submitted in person at the City <br /> Offices; however, permics will not be mailed out. The permit must be picked up in <br /> person at the Ciry Offices and work mus[ no[begin unless the permit card is on the job <br /> site. J <br /> 2. pennits will be issued only to con[ractors holdin� a City of Orono Septic System <br /> Installers License. <br /> 3. All 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 Sep[ic <br /> System Approval" cover sheet si�ned by the City Inspector. <br /> 4, The follow�in� inspeccions 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 coverin�. <br /> C. Drainfield trench ir�stallation prior to coverin�. For mounds, insgection is required <br /> afcer rouah-up but prior to sand placement (sand will be jar tested for silt content), <br /> and a�ain durin� pressure distribution pipin� installation in the rock bed. <br /> D. Fi.nal inspection to verify proper final cover depths and to verify that alI pump station <br /> (where required) components are funetional and comply with codes. <br /> 5, Individual holdin�MPCA Installer Certificate shall be present durin� inspections: A 2`�" <br /> hour notice is required for all inspections. <br />