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f <br /> CITY OF ORONO SEPTIC SYSTEI�I PERiZ�IIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, IVI�T jj323 <br /> � - 1 <br /> JOB s1-rE aDn�ss: � �'�-� ��-��? .i-�%� /.�;,�� <br /> Occupanc�� Type: Residential � Commercial Other <br /> . ,��� <br /> Permit Tr�pe: Netiv or Replacement System, �$100��0,�/0 ' <br /> Repair E�cisting System, �8��� <br /> (Tanks or Drainfield) <br /> 0.50 State surcharge added to above fees <br /> , *See fee schedule for non-residential permit fees <br /> Otivner's Name: ,C"���/ � r� ��F �% PhoneNumber: <br /> I1�IailinQ Address: City: �p� <br /> Contractor's I�'ame: � � �" 1�,� ���' �`��- Phonei�'umber: �.��=r� '�� <br /> c� � r�t Cit C��r�.;��-� Zip:t$:-.:�.�� <br /> a � <br /> Nlailing Address: g ��c .L;»� �'��-�--- {�" y' <br /> DO \TOT 1�IAIL PAY�IENT tiiTTH THIS APPLICATION <br /> GENERAL �TSTRUCTI0ITS <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 no[begin unless the permit card is on the job <br /> site. <br /> 2. Permits ��ill 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 si�ned by the City Inspector. <br /> 4. The followin; 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 <br /> after rouah-up but prior to sand placement (sand will be jar tested for silt content), <br /> and a�ai.n during pressure distribution pipinJ 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 holdin� MPCA Installer Cercificate shall be present durin? inspections: A 24- <br /> hour notice is required for all inspections. <br /> a�� <br /> �� <br />