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1995-06-12 Application for Septic System Permit
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1995-06-12 Application for Septic System Permit
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Last modified
4/16/2025 4:20:40 PM
Creation date
4/16/2025 3:51:12 PM
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Template:
x Address Old
House Number
2760
Street Name
Countryside
Street Type
Drive
Street Direction
West
Address
2760 Countryside Drive West
PIN
04-117-23-12-0011
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CITY OF ORONO SEFfIC SYSTEM PERMIT APPLICATION <br />Box 66 (2750 Kehdy Parkway) <br />Crystal Bay, MN 55323 <br />JOB SITE ADDRE&i: Z- / b 0 S ' 4 & - <br />Occupancy Type: Residential_ Commercial Other <br />Permit Type: Cew r Replacement System, $100.00 <br />Repair Existing System. $ 50.00 <br />(Tanks or DrainAeld) <br />0.50 State surcharge added to above fees <br />*See fee schedule for non-residential permit fees <br />Owner's Name: G i ret cv PlaneNumber: <br />Mailing Addt ess• City: ?1p: <br />Contractor's Nam?': �, ,nJ Cr Hill Lu 17P---- PhoneNumber: <br />Mailing Address:l c fe /}w E _ City:�kTL 7� =S 7 <br />� <br />DO NOT MAIL PAYMENT WITH THIS APPLICATION <br />GENERAL INSTRUCTIONS <br />1. Applications for septic system permits may be mailed c'; submitted in person at ►ric City <br />Offwf;-�, however, permits will not be matted out. Tic perrnit must be picked up in <br />perscn at the City Offices and work must not b-egsas ice+ the permit card :s on the job <br />site. <br />2. Permits will be issue I only tc contractors holding a City o: Orono Septic System <br />Installers License. <br />3, , 11. work must be done in accordance with the approve. =:-ptic system design. Design <br />,reports a:e not considered approved unlesq-scnmpanied by the "City of Orono Septic <br />System Approval" cover sheet signed by the Inspector. <br />4 The following inspections will be required for ali r .• is systerr^ <br />A. Pre -installation site inspection to include inspe.tor, installer, asp gen_rai contractor. <br />B. Tank installation prior to cuvering. <br />C. Drainfreld trench installation prior to cover' For mourns, inspection is required <br />after rough -up but prior to sand placement will be jar tested for silt content), <br />and again during pressure distribution piping installation in the rock bed. <br />D. Final inspectir•. w verify rcoper final cover depths arc+ to verify that Al pump station <br />(where required) cotnponeats ^re ` ,nctional and cc with codes. <br />5. Individual holding MPCA Insta..- tificate shall be present during inspections. A 24 <br />Wir notice is ::squired for all inspections. <br />
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