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CITY OF ORONO SEP'TIC SYSTENI PERI�IIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, Mn 55323 <br /> JOB SITE ADDRESS 7 � S �l S�� ��` <br /> � <br /> Occupancy Type: Residential ( r 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 a6ove fees <br /> * See fee schedule for non-residential permit fees <br /> Owner's Name: f=�''�� ✓�'�-�� "� Phone Number: <br /> Mailing Address: ti"�7S� � s�� /?.:� City• G'r��� Zip- <br /> Contractor's Name:J_�> f- S��-..5 Phone Number: �=�iz-�:>>5"-iS����! �'`'., � <br /> Y75�/7GG <br /> Nlailing Address: 2G� .�lz � >f s t City��i����e Zip; S�.5�� <br /> *** DO NOT MAII, PAYMENT`VTTH THIS APPLICATION*** <br /> GENERAL INSTRUCTIONS <br /> 1. Applications for septic system permits may be mailed 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 Off'ices 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 /> Agency(MPCA) Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system design. Desi�reports <br /> are not considered approved unless accompanied by the "City of Orono Septic System <br /> Approval" cover sheet signed by the City Inspector. <br /> 4. The following inspections will be required for all septic systems: <br /> A Pre-installation site inspection to include inspector, installer, and general contractor. <br /> B. Tank installation prior to covering. <br /> C. Drainfield trench installation prior to covering. For mounds, inspection is required after <br /> rough up but prior to sand placement(sand will be jar tested for silt content), and again <br /> during pressure distribution piping 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 holding NIPCAInstallers License shall be present during all inspections. A 2-�-hour <br /> notice is required for all inspections. <br />