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CITY OF ORONO SEPTICSYSTEMPERMITAPPLICATION <br />Box 66 (2750 Kelley Parkway) <br />Crystal Bay, MN 55323 <br />JOB SITE ADDRESS: �� DAY 5 �` F Ro — <br />Occupancy Type: Residential !� Commercial Other <br />Permit Type: New or Replacement System, $100.00 <br />Repair Existing System, $50.00 <br />0.50 Slate surcharge added to above fees <br />"See fee schedule for non-residential permit fees <br />Owner's Name: M;,. Y SL , T%l � Phare Number. `/ P - ?`i b'/ <br />Mailing Address: 5 e',c e tt� y co city: 0"', -r,2- � s zip: 5 5,1z7 <br />Contractor's Name: PhaoeNttmber. yzH 7393 <br />Mailing Address: z3-2,, /0-f ;W /117 ti City: �� La. S 11p SSS, 7y <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 <br />person at the City Offices and work must not begin unless the permit card is on the job <br />site. <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 accowance with the approved septic system design. Design <br />reports are not considered approved unless accompanied by the "City of Orono Septic <br />System Appruvai' 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 Cntificate shall be present during inspections. A 24- <br />hour notice is required for all inspections, <br />I rl Lb, <br />