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i � � <br /> CITY OF ORONO SEPTTC SYSTENI PERMTT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 _ <br /> JOB SITE ADDRESS �� � / � `J� l-"L'"2ti/D,��C ���"� <br /> Occupancy Type: Residential /� Commercial Other <br /> Permit Type: New or Replacement System $100.00 <br /> Repair Existing System $ 50.00 SQ °—' <br /> (Tanks or Drainfield) <br /> $0.50 State surchai•ge added to above fees <br /> * See fee schedule for non-residential permit fees <br /> � -- <br /> Owner's Name:���2� � o:��2v M Phone Number: � `7S a �8a 7- ��j`� <br /> Mailing Address: �9 /�• F%��.�4��= G�. City: �r.Q� Zip: s3 3g/ <br /> Contractor's Name: GQ ,' � , Sen�r c� Phone Number: is�- Y'7�- ��y� <br /> Nlailing Address: .�G�<J ��� � • /o/ S. City: �''�r/s�- Zip: �.3F3�/ <br /> *** DO NOT MAIL 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; howe�-er, 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«�ork must be done in accordance with the approved septic system design. Design reports <br /> ar� not considered approved unless accompanied by the "City of Orono Septic System <br /> Ap�roval" 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 /> rough up but prior to sand placement(sand will be jar tested for silt content), and again <br /> during pressure distribution piping 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 holding��CAInstallers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />