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4 <br /> � <br /> 'AI W <br /> VI . <br /> CITY OF ORONO ;�,� S� IC SYSTEM PERNIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, MN 55323 <br /> JOB SI'I'E ADDRESS: °�Oc�� �� S%D - D f}'D <br /> Occupancy Type: Residential �_ ommercial Other <br /> Permit Type: New or Replacement S tem, $100.00 <br /> Repair E�usting System, $ 50.00 � � U(1 <br /> (Tanks or Drain eld) <br /> 0.50 State surcharge ad ed to above fees <br /> *See fee schedule for n n-residential permit fees <br /> Owner's Name: /� f/ll�TU Phone Number: �L��—D D ��� <br /> Mailing Address: D (> S/17C 1�- City: . �p: <br /> Contractor's Name: � � � � PhoneNumber: -S�� <br /> Mailing Address: yS�D ,C�/-�-r�TO�.> D� City:(���SXi�' tiP� ' .� <br /> DO NOT MAIL PAYMENT WITH THIS APPLIC TION <br /> GENERAI. INSTRUCTIONS <br /> 1. Applications for septic system permits may be ailed or submitted in person at the City <br /> Offices; however, permits will not be mailed ut. The permit must be picked up in <br /> person at the City Offices and work must not b gin unless the permit card is on the job <br /> site. <br /> 2. Permits will be issued only to contractors h lding a City of Orono Septic System <br /> Installers License. <br /> 3. All work must be done in accordance with the pproved septic system design. Design <br /> reports are not considered approved unless acc mpanied by the "Ciry of Orono Septic <br /> System Approval" cover sheet signed by the Ci Inspector. <br /> 4. The following inspections will be required for 11 septic systems: <br /> A. Pre-installation site inspection to include ins ector, installer, and general contractor. <br /> B. Tank installation prior to covering. <br /> C. Drainfield trench installation prior to cove ' g. For mounds, inspection is required <br /> after rough-up but prior to sand placement ( and will be jar tested for silt content), <br /> and again during pressure distribution pipin installation in the rock bed. <br /> D. Final inspection to verify proper final cover epths and to verify that all pump station <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holding MPCA Installer Certificate sh 11 be present during inspections: A 24- <br /> hour notice is required for all inspections. <br /> I <br />