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. ' <br /> CITY OF ORONO SEPTIC SYSTEM PERNIIT APPLICATION <br /> Boz 66(2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS � �� �`��!� <br /> Occupancy Type: Residential Commercial Other <br /> Permit Type: New ,r Replacement System $100.00 <br /> epair Eaisting System $ 50.00 <br /> (Tanks or Drainfield) <br /> $0.50 State surcharge added to above fees <br /> * See fee sohedule for non-residential permit fees <br /> Owner's Name: D`7 �lE�—o1/ Phone Number: �� �9$ �?!� <br /> Mailing Address: �S'C� City: � Zip: �'� <br /> Contractor's Name: Phone Number: p,s-a a33 �5� <br /> Mailing Address: ,�/��l' �.�nJ� City_���c!� Zip:`s�3�—a?9 T <br /> *** DO NOT MAII,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 cazd 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 /> �, rough 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 sta.tions <br /> (where required) components aze functional and comply with codes. <br /> 5. Individual holding MPCA Installers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />