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�6�`26/20�2 09:29 952—�71-9�55 LANDMARK M�+I�GEMENT Pr�E 01 <br /> ' � ' � , <br /> � <br /> CITYOFOROlY4 SEPTYCSYSCEM PIItNIIT ApPLICATION <br /> Boz 66(2750 Kelley Parkv�aY) <br /> Crystal Bay,Mn 5�323 <br /> aoa srrE a,�Dx�ss I 3�l� g�-1 cl��e. -���� ,�� <br /> ��P��TY�: R�id�� Commercial� Ot�er <br /> Permit'1'�►pe: New ar Replaeement System $1QO.Q0 � <br /> Bepa�'Eaoi�arg Syskew $ 50.00 <br /> (Tan&s or Drainfeld) <br /> 50.50 State sur�rgc added to abave f� <br /> *S�fe�schednle for non-r�identiai permft fces <br /> � Owae�s lvame: �. /V o �u��-I� Phaae Aiamber. ���.—y 7/ — ���.9 <br /> Mailitng Address: � S� i �ii�: �i /I� Zip: �� 3 � �/ <br /> Contraetor*sName: �de�� „Dees� o.vs .u�t PhoneNnmb�: �1,� - �yc?-��a/ <br /> Mailfa$Address: .�.��x S�� City: v o Zip: ��"�.��3 <br /> �*�*DO NQT MAII�PAXMENT WITH'I'ffi9 APPLICATION*** ' <br /> S�NERAL INSTRU IONS <br /> I. Applic�tions for septic syst�n permits u�ay be mailed or su6mitte.d in person at the City <br /> Ot�.ces; how�ver,permits wiU not be maited onk The penmit must be picked up�n <br /> at the City Offic��ad work must not begin unles,s the pennit card i�on tha job site. <br /> o W n►e� �,�� p�, pe���f �e.,�,, <br /> 2. Peimits will be issue�d vnlp to contractors holding a Minnesota Pollution Contral <br /> Ag�c��(MPCA}Septic Sqsxem�nstallers License. <br /> 3. A[I work must be done in accacdance with the approve�d septic system desiga Design reports <br /> are not considered approved unless accomganie� by the "City of Qrono Septic Systena <br /> Approval" cover sheet signed by the City Insp+actar. � <br /> 4. The following inspe�tians will be required for stl septic systems; <br /> A Pre-installatian site inspection to iflclude inspector.install�r,and generat ca►nt�.ctor. <br /> B. Tank installatioa prior to covering. <br /> C. Drainfield trench i�stallation pcior to covering. For mamds,inspection is required after <br /> cvugh up but prior to saud piac�nent(sand will be jaz test�d for silt cont�t),and again <br /> during pre.ssure distribution piping ias�allation in the rock bed. <br /> D. Fiaal insper.tion to v�fy Prop�fiaal covet depths�nd to v�rifiy that all pump stations <br /> (where re�nire�c��mponents are fnndiona�and campiy with cod�. <br /> 5. Individual holding M1�A Instatlers Lic.ense shall be pre.sent ducing all inspectioas.A Z4hanr <br /> netice is nquired for aR inspeetions. <br /> JUN-25-200�C I�D 09:�3AM ID: PAtaE:1 <br />