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( tO22 ' <br /> CITY OF ORONO <br /> SEPTIC SYSTEM PERI`-IIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MEN 55323 <br /> JOB S1[E ADDRESS: 315 W XJ% W ) I <br /> RA <br /> Occupancy Type: Residential lC' 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: L f1+(ne_Vl ( 11( ( I PhoneNumber: q9 —O\O 5 <br /> Mailing Address: City: /\c, Ito 60c( Tp: <br /> Contractor's Name: Sow,c0• PhoneNumber: ?g0—3'%o'7 <br /> Mailing Address: /o t/So i eco c S 4-- City: C; /c)e �: 55n e-1 <br /> DO NOT MALL 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 /> • <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 />