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- ��j ���� <br /> CITY OF ORONO SEPT'ICSYSTEitiiPFRitiII'TAPPLICATION <br /> Box 66 (2750 Kelley Parkway) - - <br /> Crystal Bay, I�IY �5323 ;' j y ?��Q <br /> __ �� - .�- / � _ , t � <br /> J�B SITE ADDRESS: Z�v �� S .:•2rk ��. I ,�v�-; 1_. <br /> Occupanc�• Type: Residential � Commercial Other <br /> Permit T�-pe: Netiv or Repiacement System, $100.00 �_ <br /> Repair Existing System, $ 50.00 <br /> (Tanl�s or Drainfield) <br /> 0.50 State surcharDe added to above fees <br /> � *See fee s�hedule for non-residential nermit fees <br /> O�vner's Name: SI�,'N�� �- �i��-1,-�,� Phone\Tumber: �73 -- S�f 3_S <br /> I1�Iailing Address: iY3�o � 'NN�-�'�,-�.¢ 31�.4 City: ��,��— Tp:�_ <br /> Contractor's Name: �„���,�- �R�y Phonel�umber: °�/?� - i 3�_s <br /> lYla.ilina Address: 2. 20o I o�( � �-���` v�. City: �io������ Zip: SS3- <br /> DO \TOT I�IAII.. PA'YI��IENT WITH THIS APPLICATION <br /> GEYERA.I, PTSTRUCTIOVS <br /> 1. Ap�lications for septic system permits may be mailed or submitted in person at the Ciry <br /> Offices; however, permits will not be mailed out. The permit must be picked up in <br /> person at the Ciry Offices and work must no[be;in unless the permit card is on the job <br /> site. <br /> 2. Permits will be issued only to concractors holdin; a City of Orono Septic System <br /> Installers License. <br /> �. All w�rk rn.ust be done in 2ccordance �vith th�� aooroved seotic system desiQn. Desi�n <br /> reports are not considered approved unless accompanied by the "Lity of Orono Septic <br /> System Approval" cover sheet si�ned by the City Inspect�r. <br /> 4. The follow•in� inspections will be required for all sez�eic systems: � <br /> A. Pre-installation site inspection to include inspe��c,��s installer, and general contractor. <br /> B. Tank installation prior to coverin�. <br /> C. Drainfieid trench installation prior to cover�n;. For mounds, inspection is required <br /> afrer rou�h-up but prior to sand placemen[ (sand will be jar tested for silt content), <br /> and a�ain durin� pressure distribution pipin� installation in the rock bed. <br /> D. Final i.nspection to verify proper fmal cover dep[hs 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 />