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, c� ��� <br /> ` ' ' '��? � �1:� ' _.� a^������ <br /> , � � (0� I`1 <br /> CITY OF ORONO SEPTIC SYSTE�I PER.i'��IIT APPLICATION� <br /> Bos 66 (2750 Kelley Park�vay) <br /> Crystal Bay, I�In 5�323 <br /> E ADDRESS �/ �•) ��/� ���� ��v" <br /> JOB SIT � <br /> Occupancy Type: Residential �� Commercial Other <br /> Permit Type: New or Replacement System �100.00 i� <br /> Repair Esisting System $ 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 /> Otiti-ner's Name: fl���. 70 � G�_SfifJ Phone I\Tumber: �/�— � 3�^ ���/U <br /> Mailing Address: Cr�r,�.,� V �- City:���£'�' U,��� ip: _S S�l� 7 <br /> �- <br /> Contractor's Name:�,��/��2 �'j/�'ss �;�,r' Phone I�Tumber: 7�3--y9�-7y�CC� <br /> NlailingAddress: �f�,�s �,�� /� City: �0.�£-7`f'o Zip: SS 357 <br /> *** DO NOT NI�IL PAYI�IENT`ti'ITH T�IIS APPLICATION*** <br /> GENERAL INSTRUCTIONS <br /> l. Applications for septic system permits may be mailed or submitted in person at the City <br /> Off`ices; ho�vever, permits will not be mailed out. The permit must be picked up in person <br /> at the City Off'ices and work must not be�in unless the permit card is on the job site. <br /> 2. Permits will be issued only to contractors holdinj a Minnesota Pollution Control <br /> A�ency(l�IPCA) Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system desi�n. Desijn reports <br /> are not considered approved unless accompanied by the "City of Orono Septic System <br /> Approval" cover sheet si�ned by the City Inspector. <br /> 4. The follo�vin� inspections �vill 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 coverin�. <br /> C. Drainfield trench installation prior to coverin�. 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 /> (where required) components are functional and comply with codes. <br /> 5. Individual holding�fPCAlnstallers License shall be present durin�all inspections. A24-hour <br /> notice is required for all inspections. <br />