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CITY OF ORONO SEPTIC SYSTEMPEMMITAPPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, N N 55323 J <br /> - R24 ?100 <br /> JOB SITE ADDRESS: oz W q fol K. u..✓ <br /> Occupancy Type: ResidentialL'o, 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 /> '"Seen fee schedule for non-residential permit fees <br /> Owner's Name: Si�i�rc� .� FC,5a�e --.� Phonel`Tumber: <br /> Mailing Address: o u• /0City: f,✓�z�•4 �p:_S�'9` <br /> Contractor's Name• a 1__,4 PhoneNumber: &/ Z/Z$— 73 -3 <br /> Mailing Address: 2926o City: zip: <br /> DO NOT MAIL PAYMENT NVITH THIS APPLICATION <br /> GEN ERA.LINSTRUCTIONS <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 functional and comply with codes. <br /> 5. Individual holding NTCA Installer Certificate shall be present during inspections: A 24- <br /> hour notice is required for all inspections. <br />