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CITY OF ORONO SEPTTC SYSTEI�I PERI�IIT APPLICATION <br /> Bos 66 (2750 Kelley Parkway) <br /> Crystal Bay, 1�1n 55323 <br /> , <br /> JOB SITE ADDRESS � � 7J � -P"U l � �� �- <br /> Occupancy Type: Residential� Commercial Other <br /> Permit Type: Ne�v or Replacement System $100.00 <br /> � �G �x� <br /> Repair Esisting 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 /> O�vner's I�'ame: ��1¢/�1�5 ( _��t�3d(��,lC/�U Phone Number: ��� � Ol.� -�7 <br /> Mailing Address: �,3� 5 i�.��,�,:.� City: /L�=..� , Zip: <br /> Contractor's l�Tame: l�� �o�,� Phone Numb � �/��j-i 5 t-{� <br /> Nlailing Address: �D '30 �� ��f �� Cit3':/�a � / „�Zip: ,S � ��,' <br /> *** DO NOT MAII.PAYI�TENT«'ITH THIS APPLICATION*** <br /> GENERAL Il'STRUCTIONS <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 /> A;ency(MPCA) Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system desijn. Design reports <br /> are not considered approved unless accompanied by the "City of Orono Septic System <br /> Approval" co��er sheet signed by the City Inspector. <br /> 4. The follo��ing 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 coverin�. For mounds, inspection is required after <br /> rou�h up but prior to sand placement (sand �vill be jar tested for silt content), and again <br /> durin� 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��tPCAInstallers License shall be present durin�all inspections. A 24-houi• <br /> notice is required for all inspections. <br />