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� �� <br /> �G� 1 <br /> CITY OF ORONO SEP'TIC SYSTEM PERNII'T APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,1�In 55323 _ <br /> JOB SITE ADDRESS ;U�S �s2�.;� � <br /> Occupancy Type: Residential�_ Commercial Other <br /> Permit Type: New or Replacement System $100.00 � <br /> Repair Existing 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 /> Owner's \ame: �.TZ ��'iL��--S Phone Number: (ol Z 22l Z`=�G3 <br /> Mailing Address: City: �,C, ►� Zip: <br /> Contractor's Name: � -r C��mPA�v�� �- Phone Number: ")�"�-�So� ���'� <br /> Mailing Address: g�,UCQ r�/"`' � /U City:�iv.�Fr��I Zip: ,i��S� <br /> *** DO NOT NIAIL PAYMENT`ti'ITH 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 person <br /> at the City Offices and work must not begin unless the permit card is on the job site. <br /> 2. Permits w•ill be issued only to contractors holding a Minnesota Pollution Control <br /> Agency(MPCA) Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system desijn. Design reports <br /> are not considered approved unless accompanied by the "City of Orono Septic System <br /> 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 coverinj. <br /> C. Drainfield trench installation prior to covering. For mounds, inspection is required after <br /> rough up but prior to sand placement(sand will be jar tested for silt content), and again <br /> during pressure distribution pipinj installation in the rock bed. <br /> D. Final inspection to verify proper final cover depths and to verify that all pump stations <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holding i�1PCA Installers License shall be present durin�all inspections. A 24-hour <br /> notice is required for all inspections. <br />