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z <br /> 1 <br /> CITY OF ORONO SEPTIC SYSTEM PERMIT'APPLICATION <br /> Bog 66(2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 r <br /> JOB SITE ADDRESS <br /> Occupancy Type: Residential Commercial 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 /> * See fee schedule for non-residential permit fees <br /> Owner's Name: .i•-, D c n Phone Number: <br /> Mailing Address: t'i S H— �-.., R City:o rC,a.o Zip. <br /> Contractor's Name: F /- r I Ot Phone Number: ?43) 72-2y 20 . <br /> Mailing Address: 59 ? I 4u- 54 City:Ot 1-, Zip: 5'S32S. <br /> *** DO NOT MAIL 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 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(MPCA) Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system design. Design reports <br /> P g g P <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 stations <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holding MPCA Installers License shall be present during all inspections. A24-hour <br /> notice is required for all inspections. <br />