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, �,�;x � ,��G . ���" �� � � <br /> � �rc� � � � .,,� <br /> 'll` ��Y� ���✓ ^� <br /> ���)� ,� � ��� �,, <br /> � CITY OF OROia10 SEP�'IC SYS'�CEN1 PEI�,VIIT A.PPLICATION i�� J ` <br /> Box 66 (2750 Kelley Parkway} � .�� � , <br /> Crystal Bay,Mn 5�323 ' � <br /> 2fl <br /> JOB SITE ADDRESS <br /> —����� ��'Y��a�P �<rr�( Ul/ , <br /> Occupancy Type: Residential � Commercial Othe�• <br /> Permit Type: Ne�v or Replacement System $100.00 �O <br /> Repair Existing System $ 50.00 <br /> (T1nl:s or Drainfield) <br /> �0.50 State surcharge zdded to above fees <br /> * See fee schedule for non-residenti�l permit fees <br /> O�vnec's Name: �� � �}�`�"� S -'� Tc� .tiJ Phone Numbei: <br /> Nlailing Address: �i0`/ ���'/1da��N _ City: (.�r^c�.1� �ip: `1' �-i 3 y� <br /> Conti�actoc's Name: r�c��N�P�# G�Ca�'�r��`�° .�. • Phone Nu�nbei:�/l�3��' 3T�^7 <br /> ls'Iailing Add►�ess:_���G� (�� �''� C` p �u-�-- C��'� � 1u,:�_ �ip: ��GJ� <br /> "�"�* DO NO i b1A�, PA�ii�1�;N'i'�Z'IT�a Ti�S A]PPL�C�TI�1�1*** <br /> GENEItAL �TSTRUCTIONS <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 �vill be issued only to contractors holdin� a Minnesota Pollution Control <br /> A�ency(N1PCA) Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system desiQn. Desi�n reports <br /> are not considered approved unless accompanied by the "City of Orono Septic System <br /> Approval" cover sheet si�ned by the City Inspector. <br /> 4. The follo�vin� inspections will be required for all septic systems: <br /> A. Pre-installation site inspection to include inspector, installer, and �eneral contractor. <br /> R. Tank installation prior to covering. <br /> C. Drainfield trench installation prior to coverintr. For mounds, inspection is required after <br /> rou�h up but prior to sand placement (sand �vi11 be jar tested for silt content), and aoain <br /> durin� pressure distribution piping installation in the rock bed. v <br /> D. Final inspection to verify proper final cover depths and to verify that all pump stations <br /> (�vnere required j components are iunctional anu conipiy �`'ith codes. <br /> �. Tndividual holdin���CATnstallers Licen�e shall be present durinQ a11 inspections. :=�?�-�oa.�.� <br /> �ota�e �s a�equ�1'e� ioa� a�l �a�sQections. <br />