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� a <br /> �����1 <br /> CITY OF ORONO S�PTIC SYSTEM PERMIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, NI�1 5�323 <br /> JOB STI`E ADDRESS: 2-� 3`� �-�/t.c-'LS S�-r�-�- ��`` <br /> Occupancy Type: Residential �_ Commercial Other <br /> Permit Type: ew r Replacement System, $100.00 <br /> epair 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 �1ame: �� ���a-��- _ PhoneNumber: <br /> Mailing Address: —� City: �� <br /> Contractor's Name•�- % �,J G+` '� � (� �� � PhoneNumber: <br /> Mailing Address: 3!y SL � (<«��c �u � _ City: �� -�-Y �p� 5 s-37 4 <br /> DO NOT MAIL PAYMENT WITH 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 <br /> person at the City Offices and work must not begin unless the permit card is on the job <br /> site. <br /> 2. Permits will be issued only to contractors holding a City of Orono Septic System <br /> Installers License. <br /> 3. All work must be done in accordance with the approved septic system design. Design <br /> reports are not considered approved unless accompanied by the "City of Orono Septic <br /> System 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 covering. <br /> C. Drainfield trench installation prior to covering. For mounds, inspection is required <br /> after rough-up but prior to sand placement (sand will be jar tested for silt content), <br /> and again during pressure distribution piping installation in the rock bed. <br /> D. Final inspection to verify proper final cover depths and tc verify that all pump station <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holding MPCA Installer Certificate shall be present during inspections: A 24- <br /> hour notice is required for all inspections. <br />