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+ ti f �,� � w <br /> � I f ,. <br /> CITY OF ORONO SIEPTIC SYSTEM PERMIT APPLICATION <br /> BoY 66 (2750 Kelley Parkwav) <br /> Crystal Bay, MN 55323 <br /> JOB SITE ADDRESS: �1��,� CR�S��v�L C�1L �- <br /> Occupancy Type: Residential _� Commercial Other <br /> Permit Type: New or Replacement System, $100.00 <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: G��+�2�5 CvO.rJ �c�m;���:�� PhoneNumber: '3;-3�-3 ��,ozU _ <br /> Mailing Address: Z�� A � �r_,S�,,T� �yS City: �2��J 7�� ,>>yGS <br /> Contractor's Name: `).S 5�c�;��tr2"r Coma�rv ri_� ,�._� Phone Number: ���;,� � i <br /> Mailing Address: )lo�1p0 ��D X,c_,-<.>K;7 t�,n City: ���ra�ou-rFt �P��.�y�(� <br /> DO NOT MAIL PAYMENT WITH THIS APPLICATION -� �f�`���'`'���� <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 to 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 />