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CITY OF ORONO SEP'TIC SYSTEIVI PERNIlT APPLICATION <br /> Bos 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> r <br /> JOB SITE ADDRESS �i/�/� �i /s/u.� <br /> Occupancy Type: Residential_� Commercial Other <br /> Permit Type: New or Replacement System $100.00 $ 1 �C% , � U <br /> Repair Esisting S�stem $ 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: �� ,e r% v ��%'Z Phone Number: <br /> Mailing Address: D �' City: O�'.�:?v Zip: ����� <br /> Contractor's Name: � r Phone Number: `7G 3 ��'�o �Gi/ <br /> Mailing Address: �� " S� �f� S�tGu City: C��i��,�, Zip: SS�? <br /> *** DO NOT 1VIA.IL PAYMENT�TTH THIS APPLICATION*** <br /> GENERAL Il\STRUCTIONS <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 pernut 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 holdinj 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 coverin�. For mounds, inspection is required after <br /> rou?h up but prior to sand placement(sand �vill 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 holdin�I�IPCA Installers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />