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. <br /> CITY OF ORONO SEP�'IC SYS'I'E1V1 PE�2IVITI'APPLICATION <br /> Bos 66 (2754 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS �� � J � �' l�� , i�y�'c-�JA- � ✓�,�C� �� <br /> Occupancy Type: Residenti�l�_ Commercill Other <br /> Permit Type: New or Replacement System �100.00 <br /> Repaii•Esisting System � 50.00 -=�� `-== <br /> (T�nks o►�D�'ainfield) <br /> �;/� � � SG S G <br /> $0.50 State sui•charge added to above fees <br /> * See fee schedule foi- non-a�esidenti�l permit fees <br /> Ownee�'s Name: �;�'. ► t ; ;�,,,, � � '<< !i=� [� ��',��� Phone Number: <br /> 1�Iailing Addc•ess:_(_3.�� /'h� ��j� 1 ;fl�� �t�3'� �����`�� �ip: <br /> Cont►•actor's Name• i�;.: ���c.�� j.�c�•+`�_Phor�e I�TuYnbea: C,;� - ��� 1 '-� �'13 <br /> 1�'Iailing Address: i�v �c�x �� City:�-{ ,,-� , c�._��ZiP: � S 3�� I <br /> Y'�* DO N�1 �'IAI"L PA�i��N3'��'I�'�'i'HIS aPa�L���TI�N*** <br /> GENEhtAI, INS"I"RUCTIOI�'S <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 Offices and work must not be�in unless the permit card is on the job site. <br /> 2. Permits will be issued only to contractors holdinj a Minnesota Pollution Control <br /> A�ency(N�CA) Septic System Instailers License. <br /> 3. All work must be done in accordance with the approved septic system desi�n. Desian reports <br /> are not considered approved unless accompanied by the "City of Orono Septic System <br /> Approval" cover sheet si�ned by the City Inspector. <br /> 4. The followina 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 coverinQ. <br /> C. Drainfield trench installation prior to coverinQ. 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 /> durinQ 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 /> (wnere required j components are iunctional anu coziipiy wi�h codes. <br /> �. Individual holdin���CATnstallers�,icense shall be presen�durina all inspections. :°��=�-�o=.��' <br /> �otice es s�equi�'ed fo�� a1l ir�spections. <br />