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City of Orono INDIVIDUAL SEWAGE <br /> P.O. Box 66 TREATMENT SYSTEM <br /> Crystal Bay,MN 55356 "OTHER" SYSTEM .: <br /> (952) 249-4600 AGREEMENT <br /> Name: <br /> Street Address of System: <br /> City/Zip Code: Telephone: <br /> The following are requirements for an "other" septic system at your property. By signing this <br /> agreement you are stating that you understand the type of septic system that is being put in on your <br /> Property and you will follow the monitoring plan stated below and in your septic designed by S-P 1 <br /> Testing on May 17, 2004. 6z or <br /> 1) This is an"other system" so a monitoring plan shall be in place at all times. If the conditions of the <br /> monitoring plan are not met this drainfield will be considered a failing system and action to correct will <br /> be required as written in the mitigation plan. This monitoring plan runs with the property and not with <br /> the homeowner. Any future homeowners must be notified that this is an other system and certain <br /> requirements must be met. The monitoring plan requires a service contract for the multi-flo. The mound <br /> must be monitored for hydraulic overloading when the multi-flo is serviced. If the multi-flo contract is <br /> discontinued than a new monitoring plan will be required. <br /> 2) Fence off both sites prior to fill removal. <br /> 3) Alarm and water meter must be placed inside house. <br /> 4) Keep all water softner and iron filter discharge out of septic system. <br /> I hereby certify with my signature, as the owner of the property where this system is to be <br /> installed, that it is my responsibility to maintain this"other system"permit in accordance with <br /> Orono Ordinance No. 199 and MN Rules Chapter 7080. It is the owners responsibility to inform <br /> new property owners that this is an"other system" and the requirements that must be followed <br /> for an other system. <br /> Signature of Owner Printed name Date <br />