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, <br /> CTTY OF ORONO SEPTIC SYSTEM PERNIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, Mn 55323 <br /> JOB SI'TE ADDRESS oC ,j ir ��-F/� <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 /> 50.50 State surcharge added to above fees <br /> * See fee schedule for non-residential permit fees <br /> Owner's Name: � , � i Phone Number: S�—�17a-��(��15� <br /> Mailing Address: t-- � % Z City: � ' 'n �'S�.S� <br /> Contractor's Name: i Phone Number: �5� - �- 5`�s�S� <br /> Maiting Address: C�� �,j�F.-E��,/� �>� City: '� ��K� Zip: 5 5"��/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 /> �uring 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 />