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s , <br /> CTTY OF ORONO SE C SYSTENI PERi'�IIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS �� � 5/�� � <br /> Occupancy Type: Residential � C mmercial Other <br /> Permit Type: New or Replacement Syst m $100.00 /�C�, �D <br /> Repair Existing System $ 50.00 <br /> (Tanks or Drainfi d) <br /> $0.50 State surcharge ad ed to above fees <br /> * See fee schedule for non residential permit fees <br /> Owner's Name: ��f}'U i�D I"7�D/lI7�C�"L1/� Phone Number: <br /> Mailing Address: City: Zip: <br /> Contractor'sName: " t S ��- PhoneNumber: ��'��-��3—�7{/ <br /> Mailing Address: �' r' ��_ `��_ �) City:,��'ZL� Zip: ���� <br /> �L.A�I��' <br /> *** DO NOT NIAIL PAYMENT"'ITH HIS APPLICATION*** <br /> GENERAL INSTRU TIONS <br /> l. Applications for septic system permits may be ailed 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 unles the permit card is on the job site. <br /> 2. Permits will be issued only to contractors holdin a Minnesota Pollution Control <br /> Agency(MPCA) Septic System Installers License <br /> 3. All work must be done in accordance with the app oved septic system desijn. Desijn reports <br /> are not considered approved unless accompani d by the "Ciry of Orono Septic System <br /> Approval" cover sheet signed by the City Inspect r. <br /> 4. The following inspections will be required for al 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 coverin . For mounds, inspection is required after <br /> rough up but prior to sand placement(sand ill be jar tested for silt content), and again <br /> during pressure distribution piping installatio in the rock bed. <br /> D. Final inspection to verify proper final cover epths and to verify that all pump stations <br /> (where required) components are functional d comply with codes. " <br /> 5. Individual holding tiLPCA Installers License shall e present durin�all inspections. A 24-hour <br /> notice is required for all inspections. <br />