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�, ��ITY OF ORONO ��' SEPTIC SYSTEM PERMIT APPLICATION <br /> ' Box 66 (2750 Kelley Parkway) � <br /> Crystal Bay, Mn 55323 �1 _ <br /> r � <br /> � ,I <br /> JOB STTE ADDRESS �p =S ���1�L��c-C� �''u� /� f <br /> � <br /> Occupancy Type: Residential � Commercial Other <br /> Permit Type: New or Replacement System $100.00 � ! ��U ��C� <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 /> J <br /> Owner's Name: y� � Phone Number: �/�5"�-�/�3/�.f J <br /> Mailing Address: L' , ,� City: � Zip: �S�f'.,3 y' / <br /> Contractor's Name: i%� �v �C�z ' �'�'(s Phone mber: 7G.j�J�- �=,j"�j <br /> Mailing Address: �S� �� � ,�` ,S'. City: /'12�v�/'�.re�Zip: �"_�j <br /> *** DO NOT NIAII,PAYMENT"TTH THIS APPLICATION*** <br /> GENERAL INSTRUCTIONS <br /> 1. Applications for septic system permits may be mailed or submitted in person at the City <br /> O�ces; 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 coverinj. <br /> C. Drainfield trench installation prior to covering. For mounds, inspection is required after <br /> roujh 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 holdin�1�LPCAInstallers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />