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� � <br /> CITY OF OROi�'O SEPTIC SYSTEM PERI�iIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, l�in 55323 <br /> JOB STTE ADDRESS '�,l`� g,� L�ju,., � <br /> Occupancy Type: Residential_�� 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 above fees <br /> * See fee schedule for non-residential permit fees <br /> Owner's Name: � - . L�.� Phone Num er: �/7- 3 9�- /D�(� <br /> Mailing Address: �Q ,r �� City:�� Zip: 5 S"3 y`G <br /> Contractor's Name: _ _. Phone Number: '�r;t �P� y�// <br /> Mailing Address:�ti-� �oC;,��,i..�. ��- Nw City: G/n�� Zip: S�'3 c'�3 <br /> *** DO NOT 1VIAIL PAYNIENT`VITH THIS APPLICATION*** <br /> GENERAL INSTRUCTIONS <br /> l. 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 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. Design reports <br /> are not considered approved unless accompanied by the "City of Orono Septic System <br /> Appro�-al" 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 /> rou�h 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 /> (w-here required) components are functional and comply with codes. " <br /> 5. Individual holding�IPCA Installers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />