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V <br /> ✓ J ' <br /> CITY OF ORONO SEPTIC SYSTEM PERIVIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS 14100 VI OVJ <br /> Occupancy Type: Residential )( Commercial Other <br /> Permit Type: New or Replacement System $100.00 X <br /> Repair Existing System S 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 /> 014- 310 • 74,96 cei/ <br /> Owner's Name: K-1M/,JO R rotIxTr Phone Number: c151-.4-hp ` 9390 / • <br /> Mailing Address: 1-110 P WA-TS 1 ) 1J i'Q City:MAfli t1,/ Zip: 55 359 <br /> Contractor's Name: Torts PAT Nc b i1 Phone Number: 703 7...s?.7 3 93 <br /> Mailing Address: 23 a joci711- City: Q06 Zip: 5 5374 <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 ser (fie A corts <br /> are not considered approved unless accompanied by th �� C tem <br /> Approval" cover sheet signed by the City Inspector. <br /> ;O -V/A C 4-e rS <br /> 4. The following inspections will be required for all septic s1 tv <br /> A. Pre-installation site inspection to include inspector, in <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 NffiCA Installers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />