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0 <br /> � (o�S <br /> �o�►s� <br /> CITY OF ORONO SEPTTC SYSTEM PERNIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal B�y,Mn 55323 <br /> JOB SI'TE ADDRESS ��1 L%% �..C.� (,� �C,.%� __ ,��r'�C� <br /> Occupancy Type: Residential l.� Commercial Other <br /> �J�� <br /> Pei•mit Type: New or Replacement System $100.00 �'C?�� <br /> Repair Esisting System $ 50.00 <br /> (Tanks or Dr•ainfield) <br /> $0.50 State su►�cha�•ge added to above fees <br /> * See fee schedule for non-residential permit fees <br /> O�vner's Name: �(w�t � �', �a 0 �� Phone Number: <br /> Mailing Address: �,��j C- f�i.►, r�,J �� g�t�I'L7 City: Zip: <br /> Conti•actor's Name: T �� ,'" �� Phone Number: '7�� �� y 7=� -- a�(,� <br /> Mailing Address: i--j�� r�%i'�'����'i �� City: Zip: <br /> �l� r�''�'�% <br /> %** DO NOT NIAII, PA�1ViEN"Y'ZZ'I�'gi 'i'HIS APt�Li�ATI�1�1*** <br /> GENERAL INSTRUCTIQNS <br /> l. Applications for septic system permits may be mailed or submitted in person at th� 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 /> A�ency(MPCA) Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system design. 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 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 covering. <br /> C. Drainfield trench installation prior to covering. For mounds, inspection is required after <br /> rou�h up but prior to sand placement (sand will be jar tested for silt content), and again <br /> during pressure distribution pipin� 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��IPCA Installers License shall be present during all inspections. A 24-ho�ag• <br /> notice is requii•ed for all inspections. <br />