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�. � ��� /-f�o��� <br /> . fp''",�A� �—/—D� <br /> � <br /> ' �`/Do � <br /> CITY OF ORONO SEPTIC SYSTEM PERMTT APPLICATION <br /> Box 66 (2750 Kelley Parkway} <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS Z�d (3<< ���u^� <br /> Occupancy Type: Residential_�_ Commercial Other <br /> Permit Type: New or Replacement System $100.00 �' <br /> Repair Existing System $ 50.00 <br /> (Tanks or Dz•ainfieid) <br /> $0.50 State sui�chai�ge added to above fees <br /> * See fee schedule for non-i�esidentill permit fees <br /> O�mer's l�Tame: ���,� c�rs o� _ Phone Number: <br /> Nlailing Address: —���5 �s�cr.ca City: o2,d,,,� Zip: M�v <br /> Conti•letor's Name: f�s.Gerc �,�E. Phone Number: ��3- ?g c, �/o i� <br /> Mailing Address: 3�i�iS � ivGc..e s-}- City: ,•n �dn Zip: �S 3 � / <br /> *** DO NOT I�IA�,I'A-YiVl�I+1'I'Zi�'Y�'H THIS AI'PLi��TIal>1*"��" <br /> GENER.A.L INSTKUCTIONS <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 begin 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(NIPCA) Septic System Installers License. <br /> 3, All work must be done in accordance with the approved septic system desi�n. Design 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 followin� inspections will be required for all septic systems: <br /> A. Pre-installation site inspection to include inspector, installer, and jeneral contractor. <br /> B. Tank installation prior to coverinj. <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 /> durin� 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 /> (�vhere required) components are iunctional and coinpiy with codes. <br /> �. Individual holdin��IPCAInstallers License sha11 be present during all inspections. :'�24-hoe�y� <br /> �aotice is reguii�ed fo�• a�l inspections. <br />