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CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br />Box " (2750 Kelley Parkway) <br />Crystal Bay, MN 55323 <br />JOB SITE ADDRESS: .� a F� °�4 Ie li/.; z ic,P M - 15'3' 3 F / <br />Occupancy Type: Residential (/ Commercial Other <br />Permit Type: New or Replacement System, $100.00 r/ <br />Repair Existing System, $50.00 <br />0.50.State surcharge added to above fees <br />*See fee schedule for non-residential permit fees <br />Owner's Name: D,, , PhoaeNunber. <br />Mailing Address: 1"V /c, !SLWP City: wn X a a Ar, 2%X f s3Y / <br />Contractor's Name: ke6r. �,r� �� �.1�— PhoneNumber.. )Ysj <br />Mailing Address: .t! a /4 S f. City: z; 4 7%p: s, s_r p <br />DO NOT MAIL PAYMENT 11 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 />nd 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 />Individual holding MPCA Installer Certificate shall be present during inspections. A 24- <br />hour notice Is required for all Inspections. <br />�15V <br />