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Aar-27y2�01 OZ:1opm From-CITY OF ORONO +95214646I6 T-e6a P.aoz/r03 f-6�3 <br /> 9�p�C c�yg�M PERMTT A�PLICATION <br /> Cl'i'y OF OAONO <br /> Hox 66(275dM t1553 3k�Y� <br /> Cryatal 8*y, <br /> Joa srrE wti� <br /> x�ss �-/ i Cl e � � <br /> Commercial� D�er�� <br /> Octttpaucy TYpc' Reaident�gl � <br /> New or Repl�cement 9yatem 5100.00 <br /> pern�`t Type' S etem S 50.08 _ <br /> Repai�E�9tin� Y <br /> � (Tanlcs or Dr�inf'ield) <br /> SO.SO 3tate surcbar�t added tv above ieas <br /> * 9ec fe�erhedvl�for no�e-reaiiden6al permit fe�s <br /> P6one Number: — '1'� <br /> Ownar'a Name: Cit9a�,� Z�p� _�'7� <br /> Mailine Add�e,�s: Phone N ber: - , _ <br /> Contrattar's Nan1t: C��,������ Zip'��C� <br /> M.ar�►e Aaa�s: <br /> *N R DO NOT M��pAXMENT W1TA TEQS APPLYCATION""" <br /> 1. APplications for saptic sy <br /> 9����� �y be ma�led ur submitted in perao� at the Ciry <br /> Offices; howevec, pesm.►r� wiU aot�e mailed out. Thg P�t must be picked uP in Pesson <br /> dt tbe City Offices aad work must flot be�in unlcas tha Pa�t card is un tlae j ob sita. <br /> 2 peuuiitg vaill be issued oaly�C0 e�lers L,iaea�e a M����Pollutiori Conttol <br /> A¢ency(MPCA)S�P�c System In <br /> 3, �411 work must be doae in accvrdanca withtl�e$PP�o���uc sy�°°a d°Sign• Design reports <br /> �e not oonsiderad approved ua�leas accwaPan1Od by 'the ��City ef Orono 5epuc Systet:� <br /> A�proval" cover sheet si�ned by the Ciry�p�r. <br /> �. -�„fol��.N�r;nspectioas will ba re�uired for all septic sys�ems: <br /> A. Pre-inarallation stite�n9pection to iacluae insp�����.���eC,s�d��^�rAl GOl1Lr�CtA� <br /> B_ T�1c iastallation prioi to coveristg. ectien is rcqui�ed aRer <br /> C. Drau►field uench installezion prior to cover�n�• Foc mounds, in9P <br /> rough up but prier to send plar,emcnt(sand wiU be jar t6stod for silc conta�t), and a►Ca�n <br /> dur;ag ptrsure disuibution piping install,acion in theBr�oc�bed.l�� �1 ��p S�tioas <br /> D: Fina1 iztspectiun to ver►fy PlaPer final aoyer deP� <br /> (whece requircd) components ace funational ar►d eornply w�ith codes. <br /> g IndiViduslhaldingMPCATnstallecsi-icecfsashe]1bCpcesWLdutinBP►I�a�sP�W�ps. A�-h°ur <br /> notice is roqu+rod for All inapections. <br />