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. � ��.oe �o��� � <br /> �,,i� ,� ii-o� <br /> �/DD So <br /> CITY OF ORONO SEPTIC SYSTEM PERNIIT APPLICATION <br /> Box 66(2750 Kelley Parkway) <br /> CrystaI Bay,Mn 55323 <br /> JOB SITE ADDRESS 400 Big Island <br /> Occupancy Type: Residential ✓ Commer �`�k _ <br /> V1(�SA�C�--� <br /> Permit Type: New or Replacement System _ <br /> Repair Existing System �3�� _ <br /> (Tanks or Drainfield) (�� l�.- ���� <br /> L�--'�-Q <br /> $0.50 State sureharge added to� 3 � <br /> * See fee schedule for non-reside �' � ����� ����yv� <br /> Owner's Name: Nancy Granrud Phone Number: (651) 698-7621 <br /> Mailing Address: 2700 Hilldale Ave NE City: St. Anthorn Zip: 55418 <br /> Contractor'sName: q.�/N`� �Si:E Exca.vA�%rNci PhoneNumber: �jS2-��ls'-7�Z ���l��� <br /> Mailing Address: 1 S(������`� r�l i3�� t ��(s�� City:������� Zip: �S 3�7�i <br /> 1�G/t G) <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 Instaliers 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 fol(owing 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 24-6our <br /> notice is required for all inspections. <br /> NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate <br />