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CITY'OF ORONO SEPTIC SYSTENI PERNIIT APPLICATION <br /> Ros 66 (2750 Kelley Parkway) <br /> �Crystal Bay, I�1n 55323 <br /> JOB SITE ADDRESS ��� ��� /Sl�t� �1 <br /> Occupancy Type: Residential� Commercial Other <br /> Permit Type: New or Replacement System $100.00 " t;�> . C �) <br /> Repair Esisting System $ 50.00 <br /> (Tanl�s or Drainfield) <br /> $0.50 State surcharge added to above fees <br /> * See fee schedule for non-residential permit fees <br /> Owner's Name: �� i` Phone Number: ��� � �? <br /> Mailing Address: �%/7 _ „�7',�� City: C�ianrr Zip: S`�35� <br /> Contractor's Name: ' _x�•, Phone Number: 7G.� �gG ��G// <br /> Nlailing Address: /� 5 ���.--.,�� ��- /t/� Cit3': G�:�rrh ZiP: J1'1�!/ <br /> *** DO NOT NIAIL PAYIIENT`VTTH THIS APPLICATION*** <br /> GENER4L 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 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(1�iPCA) Septic System Installers License. <br /> 3. All �vork 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 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 coverin�. <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 /> durin? 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�fPCAInstallers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />