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-=f �/�� � <br /> CTTY OF .ORONO SEPTICSYSTEI�IPER���IITAPPLIC�'i'ION <br /> Box 66 (27�0 Kelley Parkway) - <br /> Crystal Bay, I1��T 55323 : <br /> ADDRESS: ���� ��`°� S` `'�� /�� <br /> JOE SITE . <br /> � � Occupaacz• Type: � Residential` � Commercial � . Qther � <br /> Permit Tz�pe: irTe�v or Repiacement System, $100.00 � • <br /> Repair Existina System, � 50.00 ` <br /> (Tan�;s or Drainfield) <br /> 0.50 State surcharge added to abave fees � <br /> *See fee schedule for non-residential permit fees <br /> F`"�- � � r �y� �-//2 � <br /> Osvner's iti'ame•�+ ��,��-�.�w. � � ����s,-c-� _ P�ionei�umber: <br /> NlailinD Address: �c�: t= f��y 7 City:Sri. t o�,� f��r't- �P�_ ����- <br /> Contractor's I�Tame: �-��;,.� s °f S�-►.-� _ FhoneI�Tumb�er: �7 y- i�� ��_ <br /> IYIailing Address: z�s �� '�` Sr S y�=� City: /yr� �•-�� �P� 5���-} <br /> p0 \TOT i1-IA1Z PAXIti'LENT �i�ITH TI�IS APPLICATZO�' . <br /> GEi�rERA-L -INSTRUCTI0IIS � � <br /> 1, Applications for sep[ic system permits may be mailed or submitted in person at the Ciry <br /> Offices; however, permits wi11 not be.mailed out. The permit must be picked up in <br /> person at the Ciry Offices and work must not be�in unless the permit card is on the job <br /> site. - " <br /> 2, perrnits will be issued only to contractors holdin� a City of Orono Septic System <br /> Installers License. <br /> 3, AI1 work must be done in accordance with the approved sep[ic system desi�n. Desian <br /> reports are not considered approved unless accompanied by thz "City of Orono Septic <br /> System Approval" cover sheet si�ned by the City Inspector. <br /> 4, : The foilow�in� inspections will be required for aIl septic systems: _ _ .. . <br /> � A. Pre-ins�.allation site inspection to include inspector, i.nstaller, and general contractor. <br /> B. Tank installation prior to cover'ui�. <br /> C. Dra'Lnfield trench installation prior to coverin�. For mounds, inspection is required <br /> after rouQh-up buc prior to sand placemenc (sand will be jar tested for silt conceac), <br /> � and a�ain durin� pressure distribution pipin� i.nstallaEion in � rock b P• S�tion <br /> D. F i n a.l i n s pection to veri f y pro per fmal cover depths and to veri that all ump <br /> (where required) components are functional and comply with codes. <br /> 5, Iiidividual holdin�MPCA Installer Certifica[e shall be present durin� inspections: A 2`�" <br /> hour notice is required for all inspections. <br />