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q-0 A :1 <br /> 0016., <br /> • <br /> CITY OF ORONO SEPTIC SYSTEM PERr%LLT APPLICATION • _. <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS r 7 O (/ )CST 13e/iv/cif'fioA J 55351 <br /> Occupancy Type: Residential Commercial Other <br /> Permit Type: New or Replacement System $100.00 1� <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: rnI e EDL7e W4L1UCll` Phone Number: `5 r 7 3 7 ` — <br /> Mailin Address: ( WAS 3 /l 6/��� City:0 0We, Zip: 5 <br /> Contractor's Name: GL'.A-5-(7A/Se, i'c Phone Number: <br /> Mailing Address:/7- 00 A V,IVL-2 i City:// 7fti eL Zip: 563 <br /> yC <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(lvIPCA) 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 MPCA Installers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />