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May-08-2003 11:15am From-CITY OF ORONO +9522494616 T-423 P.002/003 F-758 <br /> CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Boz 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS <br /> Occupancy Type: Residential L-,' Commercial Other <br /> Permit Type: lepair <br /> w r Replacement System $100.00 <br /> 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: A" v Phone Number: 2 <br /> Mailing Address: /S— TkO/ � X _ City: £SSS Zip: s s i y <br /> Contractor's Name:. &,h yr z),;/i;n� Phone Number: ys z - <br /> Mailing Address:i&s'So tY,.- City: 3 .:,64W Zip: -51-3 2!Z <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 /> arc not considered approved unless accompanied by the "City of Orono Septic System <br /> Approval" cover sheet signed by the City impector. <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. Dra.infield 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 />