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� � ��srs������ �/��o� <br /> —����C -� �.,,,BEDROOMS. �INqtEASE f�!NttMBFR �� 2 -b�Z <br /> �f 61EIMQQ�tS MNaLID�S IHt�OESIG� �-!�d_ � <br /> CITY OF ORONO SEI'i'IC SYS']�E1V1 PER1V�T APPLIC�TION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 5�323 <br /> JOB STTE ADDRESS � �'I� %�' � � � � � c� <br /> Occupancy Type: Residentil! Commei•cial Othea• <br /> Pea•mit Type: New or Replacement System �100.00 J ��� �x� <br /> Repair Esisting System � 50.00 <br /> (Tanks or Drainfield) ,� �G <br /> �0.50 State sui�chai�ge �dded to above fees � r U�,. �� <br /> * See fee schedule foi• non-Y•esidenti�l permit fees ��� ( <br /> O�mer's Name: �• C � � �1� S�ti Phone Numbe�: ���- � `t� -� 30��S <br /> I�'Iailing Add►•ess: �t�0 � �' � C;��t City: ��Cc'i5.� Zip: .�"�33 l <br /> Conta�actor's Name:_�"�° �X�` A�'�`}�f� ` Phone Nuanbei�: c',�e?_Z{��,� -��/3,,2 <br /> IVlailing Address: r � (- �',�, �= �lJ �3t <�` [: �/d. City:S�,A�.p,�c'�� �ip: � S 3� `� <br /> Y** D� t�t01 NIAII� PA�IYIEI�1'T Z�'�'T�i 3'HIS �PY.�iC�.TI�N�** <br /> G�NERAI, INSTRUCTIOIV'S <br /> l. 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 �vill be issued only to contractors holdin�a Minnesota Pollution Control <br /> A�ency(NfI'CA) Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system desiQn. Desi�n reports <br /> are not considered approved unless accompanied by the "City of Orono Septic System <br /> Approval" cover sheet siQned by the Ciry Inspector. <br /> 4, The follo�ving 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 coverinj. <br /> C'. Drainfield trench installation prior to coverina. For mounds, inspection is required after <br /> rou�h up but prior to sand placement (sand will be jar tested for silt content), and a�ain <br /> durin� pressure distribution pipin� installation in the rock bed. <br /> D. Final inspection to verify proper final cover depths and to verify that all pump stations <br /> (���nere required j components are iunctional anu conipiy with cod�s. <br /> �. Individuai holdin,��CAInstallers�,icen�e shall be pres�nt durin�a11 inspections. :=��=�-�oA.��� <br /> S30$1�� dS 9'QQil11'�C� ►`o�• a!l i�spectio�►s. <br />