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ir <br /> ��C>lnC.�"7 2 <br /> CTTY OF ORONO SEP'TIC SYST'ENI PERNIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,l�In 5�323 � <br /> � / <br /> JOB SITE ADDRESS �� � � '7��- ` v -'� `^' ( �-- � <br /> Occupancy Type: Residential�_ Commercial Other <br /> Permit Type: New or Replacement System $100.00 `i U C� . U L' <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: � e ��C._ K^'`4� Phone Number: <br /> Mailing Address: 2y�E.3 �-f �;t� ��'� � City: Zip: <br /> Contractor's i�lame: F �.�-�r 7. 1��'��rs�,� Cv , Phone Number: 7G,1� 7�2-�y 2v, <br /> Mailing Address: (� S5 2( 0����c�1� S_T City:Oc/�.1 d Zip: ��3 z z�. <br /> *** DO NOT NIAIL PAYMENT`ti'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(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 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 /> rou�h up but prior to sand placement(sand will be jar tested for silt content), and again <br /> during pressure distribution pipinD 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��II'CAInstallers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />