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CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> JOB SITE ADDRESS: .7704114-e, (b1. ", <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 scheduleL <br /> for non-residential permit fees L <br /> Owner's Name: / PhoneNumber: 417 -- To <br /> Mailing Address: c3 fi Q�K. Or' City: Orono Zip: _S-Sas. <br /> Contractor's Name: n e �, PhoneNumber: 1-1- 0---,w3 <br /> Mailing Address: ,BOE /DI44,./U0 City: ZIP: Ss�7L <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 <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. 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 <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 /> 1 <br /> i6 <br />