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CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS 3 8 Ss W A '} +a%_j/J 'ROA 6 <br /> Occupancy Type: Residential Commercial Other <br /> Permit Type: New or Replacement System $100.00 `P/00• sa <br /> Repair Existing System $ 50.00 <br /> (Tanks or Drainfield) <br /> $0.50 State surcharge added to above fees <br /> * See fee schedule for non-residential permit fees <br /> Owner's Name: 'TOPO &_ M: CHe Ile Ki^g Phone Number: 743- y 7$ -3 (GS <br /> Mailing Address: is 7o a 3-O i_ Auc City: S5 Lk AA (0 <br /> Contractor's Name: n p;) AAC Q E-AC AJAiCotS Phone Number: `(Sa)—S <br /> Mailing Address: :111 13FSri et.) Pr K -4 City: f3r i(e�(&,AV-Zip: <br /> *** DO NOT MAIL PAYMENT WITH THIS APPLICATION"* <br /> * <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 /> 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%1PCAInstallers License shall be present during all inspections. A 24-lao�au <br /> notice is required for all inspections. <br />