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ESD <br /> it C I 1C) <br /> CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS Z.550 (J" c / i1G'e-` -'� � ?. <br /> Occupancy Type: Residential v 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 <br /> schedule for non-residential permit fees <br /> t# <br /> Owner's Name: � ti 04,v Phone Number: Co(Z- — 'Z. ?Z. — 1t/ 7Z. <br /> Mailing Address: S q`y/ City: Zip: <br /> Contractor's Name: j},4-r"... oc • Phone Number: 74 3 — 4/.Z7— -7313 <br /> Mailing Address: 2"S loo 10 c rale.. Ac' City: /C. - . Zip: % 7 y <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(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 /> 5. Individual holding MPCA Installers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />