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QITY OF ORONO 6122494616 01/07/00 16:53 5 :02/03 N0:604 <br /> CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Box 66 (2750 Valley Parkway) <br /> Crystal Bay, MN 55323 <br /> JOB SITE ADDRESS:_ LtJC, /q!V . A)O • <br /> Occupancy Type: Residential X Commercial _ Other <br /> Permit Type: New or Replacement System, $100.00 <br /> Repair Existing System, $ 50.00 .5D.d0 <br /> (Tanks or Drainfleld) <br /> 0.50 State surcharge added to above fees <br /> "'See fee schedule for non-residential permit fees <br /> Owner's Name:r'11 jk Si EVER 7— . ..___ Phone Number:, <br /> Mailing Address: City: Z p; __ <br /> Contractor's Name: SW EDL.u111 p ScP:�c . Phone Number:_ -S8 <br /> Mailing Address: g5---4o_-_-Lf}gE-7-1, n1 P.D. City: L/A-SKI- Zip: g• -•:-4L8 <br /> DO NOT MAIL PAYMENT WITH THISS APPLICATION <br /> GENERAL INSTRiL .TION'S <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, Preinstallation 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 MPCA Installer Certificate shall be present during inspections. A 24- <br /> hour notice is required for all inspections. <br />