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• CTI'Y OF ORONO SEPTIC SYSTEM PERNlIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, NN 55323 <br /> JOB SITE ADDRESS: 16 .2-0 <br /> Occupancy Type: Residential _ / Commercial Other <br /> Permit Type: New or Replacement System, $100.00 <br /> Repair Existing System, $ 50.00 <br /> (Tanks Zr Drainfield) <br /> 0.50 State surcharge added to above fees <br /> *See fee schedule for non-residential permit fees <br /> Owner's Name: 7_Z1 L 1 ie4l e Y PhoneNumber: <br /> Mailing Address: 14,;? -ef Td 1/2 xr✓I' City: Zip: <br /> Contractor's NameZ :W✓y.,Afh oneNurnber: 41�}-1C � 7p-_Ey�7�7�� <br /> Jf � nMailing Address: <br /> DO NOT MAIL PAYMENT WITH THIS APPLICATION <br /> it <br /> GENERAL INSTRUCTIONS <br /> 1. pp se <br /> Applications for septic stem permits may be mailed or submitted in person at the City <br /> P <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 /> Drainfield trench installation prior to covering. For mounds, inspection is required <br /> C. <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 final cover depths and to verify that all pump station <br /> nfy p ro er p P <br /> (where required) components are functional and 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 />