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,.�� <br />4.5 's <br />CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br />Box 66 (2750 Kelley Parkway) <br />Crystal Bay, NIN 55323 <br />JOB SITE ADDRESS: r03 A1.1 n Dn[ e / J J ti%to tL. <br />Occupancy Type: Residential_ Commercial Other <br />Permit Type: New or Replacement System, $100.00 X <br />Repair Existing System, $ 50.00 <br />(Tanks or Drainfieid) <br />0.50 State surcharge added to above fees <br />*See fee schedule for non-residential permit fees <br />Owner's Nance: ��) i �L �,�� L, o< Phone Number: <br />Mailing Address: '50-1 City: <br />Contractor's Name: 5_ r r , << f ; -1 s c,-vie so Phone Number: v a c, <br />Mailing Address: City: w4 4 2 `i lg apc •_� <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 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 "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 mounds, inspection is required <br />after rough -up but prior to sand placement (sand will be jar tested for silt content), <br />1W 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 holding MPCA Installer Certificate shall be present during inspections. A 24- <br />hour notice is required for all inspections. <br />