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q3 <br /> CITY OF ORONO SEPTIC SYSTEM PEMM[IT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MNL 55323 <br /> �p %'apnstAAc 04 ter <br /> JOB.SITE ADDRESS: <br /> �L� lyC� 1 �u - f��d �nJ�i►�/l/L n'CcrC / <br /> Occupancy Type: Residential Commercial L 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 /> I'See fee schedule for non-residential permit fees <br /> Owner's Name: Zr c.. PhonetiTumber: Z 3 — /000 <br /> Mailing Address: S,. e_. City: 2.1, zip:SS <br /> Contractor's Name: p,T,.o,o g- 16ko_ . PhoneNumber: g 2 8' - ? 3q3 <br /> Mailing Address: 2 3 2-oo 10 q <br /> DO NOT NUM PAYMENT WITH 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 <br /> person at the City Offices and work must not begin unless the permit card is on the job <br /> site. <br /> 2. Permits will be issued only to contractors holding a City of Orono Septic System <br /> Installers License. <br /> 3. All work must be done in accordance with the approved septic system design. Design <br /> reports are not considered approved unless accompanied by the "City of Orono Septic <br /> System 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 <br /> after rough-up but prior to sand placement (sand will be jar tested for silt content), <br /> and again 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 station <br /> (where required) components are functionarand comply with codes. <br /> 5. Individual holding MPCA Installer Certificate shall be present during inspections: A 24- <br /> hour notice is required for all inspections. <br />