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crryoFORONO <br />Box 66 (2750 Kelley Parkway) <br />Crystal Bay, NIN 55323 <br />SEPnCSYSTEMPERMETAPPLlCATION'J11^ <br />JOB STIE ADDRESS:y3 <br />Occupancy Type: * Residential <br />Permit T>*pe: <br />Commercial Other <br />New or Replacement System, <br />Repair Existing System, <br />(Tanks or Brainfield) <br />$100.00 <br />$ 50.00 <br />0.50 State surcharge added to abore fees <br />^See fee schedule for non*residential permit fees <br />Owner’s Name: <br />Mailing Address:5 . <br />PhoneNumber : <br />City; <br />Contractor ’s Name: ^ <br />Mailing Address; 9-z^ <*/. <br />PhoneNumber ; <br />City: f>9^ Zto: <br />DO NOT MAIL PAYMENT 'WITH THIS APPLICATION <br />CENERAL INSTRUCTIONS <br />1. Applications for septic system pennits may be mailed or submitted in person at the Ciy <br />Offices; however, pennies will not be mailed out. The pennit 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 accordance with the approved septic system design. Design <br />reports are not considered approved unless accompanied by the "Ciy of Orono Septic <br />System Approval" cover sheet signed by the City Inq>ector. <br />4.The following inspections will be required for ^1 septic ^sterns; <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, infection 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 holdii^ MPCA Installer Certificate shall be present during iniq)ectioiis: A 24- <br />hour notice is required for all inspections. <br />1 <br />'.5