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CITY OF ORONO SEPTIC SYSTE�I�I PERi'��IIT APPLICATIO� <br /> Bos 66 (2750 Kelley Pazkway) , :��; <br /> Cr�stal Bay, I�In 5�323 nv ` \(n <br /> � v`� <br /> JOB SITE ADDRESS � � ,� `- ;_� <' � ✓"v r �:��� � �� . <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 Name:�J �,l� �� �) �S ��- Phone Number: <br /> 1Vlailing Address: City: Zip: <br /> Contractor's Name: �-��..-, �� > .� S�-�,� �-;� _ PhoneNumber: �,iL ��� -<;S�Z� <br /> J <br /> Nlailing Address:b��, 3 � Z— S f_ s•c= ___City: �-�=� Zip: 5 53k�� <br /> *** DO NOT �IIAIL PAYiYIEi�'T`ti'ITH THIS APPLICATION*** <br /> GEI�'ERAL INSTRUCTIONS <br /> 1. Applications for septic system permits may be mailed or submitted in person at the City <br /> Offices; ho�vever, permits �vill 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 holdinj a Minnesota Pollution Control <br /> Agency(I��CA) Septic System Installers License. <br /> 3. All�vork must be done in accordance�vith the approved septic system desi�n. 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 followin� 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 a�ain <br /> durin� 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 /> (w•here required) components are functional and comply with codes. <br /> 5. Individual holding�IPCAInstallers License shall be present durin�all inspections. A 24-hour <br /> notice is required for all inspections. <br />