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. ,,.,r <br /> CITY OF ORONO SEPTIC SYSTEM PERNIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway} <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS ��PO �j�� TSLA►Ji� O�'O iv0 <br /> Occupancy Type: Residential X Commercial Other <br /> Pei•mit Type: New or Replacement System $100.�0 � <br /> Repair Existing System $ 50.00 <br /> (Tanks oc•Drainfieid) <br /> $0.50 State sui�charge ldded to above fees <br /> * See fee schedule for non-i�esidenti�l permit fees <br /> Owne►'s 1Vame: � I YVl �t�T�250 i�1 Phone Number: (c-�f Z.-3 o�t- 5�8� C��- <br /> Nl�iling Address:��y►S Lit�C_� �t . City: l.�+F.�vtu� Zip: 5��y(� <br /> Conti�actor's Name: �-��-� 1,.� c�.� C� �:�c Phone Numbet•: `7�3 ZS`3-?�� <br /> Mailing Address:��3�� i`'�S�'� f�� . �W • Cit3': �-'��-+� Zip:_ �5��,� <br /> *** DO NOT IVIA� PAY"Ii'I�I+1�['Zi�'I�'H THiS t��Li��TI�Ny�* <br /> GEI�'ER.AL INSTKUCTIONS <br /> 1. Applications for septic system permits may be mailed or submitted in person at the City <br /> Off'ices; 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 /> A�ency(MPCA) Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system desijn. Desijn 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 �vill 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 /> roujh up but prior to sand placement (sand wi11 be jar tested for silt content), and a�ain <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 /> (where required) components are iunctional and compiy �vith codes. <br /> �. Individuai holdin�tiIl'CAlnstallers License sha11 be present durin�all inspections. :�2�-�ios.��• <br /> raotice is i•equi►•ed for• all inspections. <br />