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, , t <br /> c�� �� <br /> ���, _ <br /> �yy�j ��,�,� <br /> CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, Mn 55323 <br /> JOB SITE ADDRESS � Cv / � ��-�2✓ Z��.. �R�4+ �- ��S� <br /> Occupancy Type: Residential °� Commercial Other <br /> Pei•mit 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: �v�� 5���• Phone Number: <br /> Mailing Address: City: Zip: <br /> Contractor's Name: H���-s �F 5�.� Phone Number: 7�,s y�5 -r��z��IL-C�`�`S-4SS� <br /> Mailing Address: Lc,s �z=' S; . 5. � . City:i�►�v,..c,-�� Zip: s�3�,3 <br /> *** DO NOT NIAII, PAYMENT"'ITH 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 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 /> Agency(Ml'CA) Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system desi�n. Design 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 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 after <br /> rough up but prior to sand placement(sand will be jar tested for silt content), and again <br /> 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 stations <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holdin�NIPCAInstallers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />