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• ��( � <br /> .� "�-- <br /> CITY OF ORONO S�PTIC SYSTE�iPERNIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, i�1'i�1 5�323 <br /> , , <br /> I � -� - �C�c �� � �C <br /> � � <br /> JOB SITE �iDDRESS: � t t V � <br /> Occupancy Type: Residential <br /> Commercial Other <br /> Permit Type: Ne�v or Replacement System, $100.00 <br /> Repair E�cisting System, $ 50.00 <br /> ('Tanks or Drainfield) <br /> 0.�0 State surcharge added to above fees <br /> �`See fee schedule for non-residential permit fees <br /> D � �—���. � ►��,s�� � ��s- �Y�l 3 <br /> f✓Y L ,��; �r�(-e r S Phone Number: <br /> Owner's Name: �c c, 5 S3v 6 <br /> �iailing Address: f-�S i 3 � c� a� � �- <br /> City: 1���r+nsv;lir. �P� <br /> Contractor's Name• / 1�'�'e��`� 1� � I � �J i.�-, Phone Number: �l7��- z�-`1 <br /> r7..r �.�� Clty: � J"v��. Z' �'�-- <br /> Mailing Address: ,,�,� <br /> DO NOT MAII. PAYMENT WITH THIS APPLICATION <br /> GEi�tERAI- TivSTRUCTIONS <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 followin� inspections will be required for all septic systems: <br /> �,. 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 coent�sand will be jarste tedefo�s lt cont nt), <br /> after rough-up but prior to sand placem ( <br /> and a�ain during pressure distribution piping installation in the rock bed. <br /> ection to verify ro er final cover depths and to verify that all pump station <br /> D. Final insp P P <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 />