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Lin 7-3 I --010 A/o/63 <br /> 7-3/-D�o <br /> CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS r 70C &J e gv `, G-1, Rd <br /> Occupancy Type: Residential Commercial Other <br /> Permit Type: New or Replacement System $100.00 <br /> Repair Existing System $ 50.00 <br /> (Tanks or Drainfield) <br /> $0.50 State surcharge added to above fees <br /> * See fee schedule for non-residential permit fees <br /> Owner's Name: c h P-l' kV$C In Phone Number: 5-2 47Z "l ? y/ <br /> Mailing Address: 000 L.,;ts+ 'yrkt.xie City:Oreo Zip: <br /> Contractor's Name: 14,.4‘-s� SFr►•S Phone Number: 76,„ 3 Y)4 -,'7b z__ <br /> MailingAddress: 7 6 3 L=- s C City:M: taw Zip: <br /> *** DO NOT MAIL PAYMENT WITH TIES 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 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 /> ti. Individual holding MPCAInstallers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />