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ca:2�-�, k'-z�� �/Ob`t� <br /> �oR lo <br /> CITY OF ORONO SEPTIC SYSTEM PERMTI'APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, Mn 55323 <br /> JOB STTE ADDRESS /D �� I �a POC� � <br /> . ..-e r s�;.�,._,1,,�-�. <br /> Occupancy Type: Residential Commercial Other� <br /> Permit Type: . ew Replacement System $100.00 °�%��s�� <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/������9"d��1 )�j�el- �Q�Ac�!���� Phone Number: <br /> Mailing Address: �;/c '� �s ia City: �,�yl,�- Zip: <br /> Contractor's Name:�- �✓� � Phone Number: �Gs 2�f;-��// <br /> MailingAddress: .3yy�'7 /t/�c;c 5f- A•�t/ City: ,;�r � Zip: sS,57� <br /> *** DO NOT MAIL PAYMENT W ITH 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 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(MI'CA) 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 /> 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 coverinj. <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 MPCAInsta.11ers License shall be present during a11 inspections. A 24-hour <br /> notice is required for all inspections. <br />