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M � <br /> CITY OF ORONO SEPT'IC SYSTEi�I PERi'��ITT APPLIC�iTION <br /> Bos 66 (2750 Kelley Park�vay) <br /> Crystal Bay, I1-Zn 5�323 <br /> JOB SITE ADDRESS � I `i � �� -�� � ���5 � �N " <br /> Occupancy Type: Residential � Commercial Other <br /> Permit Type: Ne�v or Replacement System 5100.00 /Op `� <br /> Repair Esisting 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 /> O�vner's Name: ��t� �.c�i,+�fio.� �i3���-�- t3�:►�P��,1 Phone 1\'umber: <br /> 1Vlailing Address: � City: Zip: <br /> Contractor's Name: ��; � 5�,,.s ��� . �.k�, . Phone Number: J(,3•-Y7f- /76Z�(v�x�6�S�g33z <br /> NlailingAddress: Z�s 5�'2� s�+_ S � . _City:/yt��s;, Zip: s�3G�3 <br /> *** D O NOT l•IAII.,PAYNIE�'T`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; ho�vever, 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 will be issued only to contractors holding a Minnesota Pollution Control <br /> A�ency(1�IPCA) 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 sijned by the City Inspector. <br /> 4. The follo�vin� inspections �vill be required for all septic systems: <br /> A. Pre-installation site inspection to include inspector, installer, an�l general contractor. <br /> B. Tank installation prior to coverin�. � <br /> C. Drainfield trench installation prior to coverin�. For mounds, inspection is required after <br /> rou�h up but prior to sand placement(sand will be jar tested for silt content), and ajain <br /> during pressure distribution pipin� 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 holdin��fPCAlnstallers License shall be present durin�all inspections. A 24-hour <br /> notice is required for all inspections. <br />