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4 <br />1 <br />CITY OF ORONO <br />Box 66 (2750 Kelley Parkway) <br />Crystal Bay, MIN 55323 <br />JOB SITE ADDRESS: 2 y <br />SEPTIC SYSTEM PERitiIIT APPLICATION <br />104fen <br />uAv <br />Occupancy Type: Residential lol� Commercial Other <br />Permit Type: New or Replacement System, $100.00 <br />Repair Existing 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 />Owner's Name: (V4 (;,rL _�_JAt e- j� ; S Phone Number: '3c? `i - - 7570 <br />Mailing Address: Z : w City: T1p:.SS 3�7 <br />Contractor's Name: AT- Z,* 4e- toS Phone tunber: 4/7[r- 73 93 <br />Mailing Address: 23 20 o (O Cl IV -Au - &l. City: oCft-1 S Tip: SS37 <br />DO NOT MAEL 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 'y 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 "City of Orono Septic <br />System 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 covering. For —ands inspection is required <br />after rough -up but prior to sand placement (sand i r tested for silt content), <br />and again during pressure distribution piping instaij the rock bed. <br />D. Final inspection to verify proper final cover depL!--q an, y that all pump station <br />(where required) components are functional and comp =odes. <br />5. Individual holding MPCA Installer Certificate shall be present ring inspections. A 24- <br />hour notice is required for all inspections. <br />