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� � <br /> C�'I'y O�' .ORONO SEPTICSYSTEI�IPER��-IITAPPLICATTON � <br /> Bo?� 66 (2750 Kelley Pazkwav) - <br /> Crystal Bay, I1�1�T 55323 : <br /> � S <br /> J'os sifiE ADDRESS: �2� � rr�w �- . \ . <br /> � Occupancz• Type: � Residential 2%� Commercial � Other � <br /> . � <br /> Permit T�•pe: I�+'esv or Replacement System, �100.00 ` <br /> Repair Existina 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 /> Osvner's I�`ame: �� � � Phone�Tumber:�Z U - E,S US <br /> iYlailina Address: �Z5"� �w� 5 City: ���o �P_— <br /> Contractor's I�'ame: PhoneI�rumber: �-1 7��/?� Z <br /> 31�Iailing Address:,� �c-� '"� �� s •�� City:�gn��x �P�=� <br /> DO 1TOT i�ZA� P��•�NT '�i�ITH THIS APPLICATIO�I - <br /> GE\rERAL �TSTRUCTIO�IS � � <br /> �, Applications for septic�system pennics may be mailed or submired in person ac the Ciry <br /> Offices; however, permits will not be mailed out. The permit must be picked up ia <br /> person at the City Offices and work must noc be?in unless the permit card is on the job <br /> site. � � <br /> 2, permits will be issued only to contractors holdin� a City oi Orono Septic System <br /> Installers License. <br /> 3, Ali work must be done in accordance �vich the approved sep[ic system dzsi�n. Desi�n <br /> reports are not considered approved unless accompan.ied by the "City of Orono Septic <br /> System Approval" cover sheet si�ned by the City Inspector. <br /> 4, : The follow'in� inspections i,vill be required for aIl sep[ic systems: _ : .. . <br /> � A, Pre-installation site inspection to include inspector, installer, and general contractor. <br /> B. �'ank installation prior to coverin�. Q ection is requued <br /> C. Drainfield trench ir�tallation prior to coverin�. For mounds, insp <br /> after rou�h-up buc prior to sand placemenc (sand wiil be jar tested for silt con[enc), <br /> � and a�ain during pressure distribution pipin� installation in � rock b p• S��ion <br /> D, F i.n 3 1 i a s p e c t i o n t o v e ri f y p r o per fmal cover de pths and to veri that alI umP <br /> (where required) components are functional and comply with codes. <br /> 5, Tiidividual holdin�MPCA Installer Certificate shall be presenc durin� inspec[ions: A 2`�" <br /> hour notice is required for all inspections. <br />