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ioa-id-2002 11:4Tan Fron-CITY OF ORONO +pg72dp4616 T-IOs" ?.OJ�!J�3 F-Z3i <br /> � , <br /> CYTY UF O�.(lN0 <br /> SEP'1'IC SYS"TE��'1 PERM�I'APT'LICA1'�UN <br /> BoY b6(2750 Kelley Parkway} <br /> Crystal Bay,Mn 55323 <br /> 30B SITE ADDRESS <br /> ..�U�� �';✓[G t4J l�–,N, <br /> OccupaneY TYAe: Resido�tial_ �S – <br /> Commercial^,� ��e�'_ � <br /> per�it Type: New or Replac�meat 5ystem $100.00 <br /> Repair ExisCin�System S 50�00 <br /> (Tanks ar Arainfield) <br /> �0.50 State surcharge added#o a6ove fees <br /> * See fee schedule far non-reside�tial permit fees <br /> . pwner's Narae: �'�✓E ��"`�`�'���'' <br /> Phone Number• i S,�-`!'7/�-4/i I <br /> <.,v, City: D,r;��� • Zip: s 1-3;/ ^ <br /> NlsilingAddreSS. c�--r �.�-�'r�'w _ ,s;ti_y�3 '?�y� <br /> ' ��-r� ,er.-«�hone Number: ,��; <br /> Coatractor's Name: � � c, Ci � �- Zip: �s3;/ <br /> Nlailing Address.,. >'lv�a D C^ 4 . /o�,�,� t3'�- utK.— <br /> �*� D U NOT 1V1.4iL PAYMEN'I�`VVTTH THI.5 APPLICATION**'� <br /> GEN�RAL INSTAUGTXONS <br /> 1 Applications fi�r scptic syst0m permits may be mailed or submitted iu person at the �ity <br /> pffices; however, Pcrmits w�.il not be�nailed aut. The pena�it snast bc pirked up in pesson <br /> �t��r�y Officees and work must not begin unless the pa�nit card is�n the job site. <br /> �. pe���,,rili be issued on1Y���lle�s'�L clense a��ot�Pollutian Control <br /> pgen�y(MPCA) Sept�c Sys <br /> 3, A11 wosk must be dane in accordanct with the agproved septic system dzsign. Deaign reports <br /> �re nat considered appr4ved unle�s accompanied bY tbe uCity' of Qrono Sepcic System <br /> �Proval"cnver shee�t signed by the City Insgector. <br /> 4. , The followi��8 insPc�°�'�'�ll be required�Qr alt septic systems. <br /> A Pre-installation sitc insgectioa to include inspector, ins#aller,and ganeral cautractor, <br /> B. Tank installatian prior to co�vering. <br /> C. Drainfield ttench installation prior nt fl�����,az t��5d fo rs�t cant nt), and a�ainr <br /> rough up but prior to sand placem1 ( <br /> during pcessur�distribution pipin�installatian in the rock bed <br /> �; Fina1 inspection to verifY proper final cover depc�s a�d to verify that al! pump statiops <br /> (where required)componenu are functionai and comply with cades• <br /> 5, Yudividuatholdin�MPCAInstallersl.icenseshatlbepresentdus�ngalluispect�°ns' AZ4'honr <br /> not�ce is required for all inspactions. <br />