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r 04,16 d lot? <br /> APPLICATION FOR SEPTIC SYSTEM PERMIT <br /> :;' ”1 9 <br /> CITY OF ORONO h/1 <br /> Box 66 (1335 So Brown Rd) -f ' � <br /> Crystal Bay, MN 55323 <br /> *************************************************************************** <br /> General Instructions: <br /> 1. You may apply for septic system permits by mail or in person at the <br /> City offices. However, permits will not be mailed out and must be <br /> picked up in person at the City offices. <br /> 2. Permits are not valid until you receive a permit card. <br /> 3. Work must not begin unless the permit card is available on the job <br /> site. <br /> 4 . Permits will be issued only to contractors holding a City of Orono <br /> Septic System Installer' s License. <br /> 5 . All work must be done in accordance with the approved septic system <br /> design. Design reports are not considered approved unless accompanied <br /> by the "City of Orono Septic System Approval" cover sheet signed by <br /> the City Inspector. <br /> 6. The following inspections will be required for all septic systems: <br /> a) Pre-installation site inspection to include inspector, installer, <br /> and general contractor. <br /> b) Tank installation prior to covering. <br /> c) Drainfield trench installation prior to covering. For mounds, <br /> inspection is required after rough-up but prior to sand placement <br /> (sand will be jar tested for silt content) , and again during <br /> pressure distribution piping installation in the rock bed. <br /> d) Final inspection to verify proper final cover depths and to <br /> verify that all pump station (where required) components are <br /> functional and comply with codes. <br /> 7. Individual holding MPCA Installer Certificate shall be present during <br /> installation. 24-hour notice is required for all inspections. <br /> JOB SITE ADDRESS: 'I 7 01-0 ? 4- <br /> Occupancy Type: Residential Commercial Other <br /> Owner' s Name: � -P-�Q Phone: <br /> Mailing Address: City: Zip: <br /> Septic Contractor' s Name: yS EX-cctvcL4 Bus. Phone: '/?c-,'76 _ <br /> Mailing Address: -f • k (Gri �- City: �►��V �„�,� Zip: ,5 <br /> *************************************************************************** <br /> - over - <br /> �' ' 7 Fel <br /> Mi <br />