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��- Sd <br /> � o7��fo <br /> `�� r, �`/� �� <br /> � - ZITY OF ORONO SEPTIC SYSTEM PERNIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> � <br /> JOB SITE ADDRESS < � , �' '�-z C n �� �-� " ' �-� <br /> Occupancy Type: Residential � Commercial Other <br /> Permit Type: New or Replacement System $100.00 <br /> Repair Ezisting 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 /> �/ <br /> Owner's Name: /�""' � �'�' �` �� � ��< . C� ���ti. Phone Number: � � �J �f � � '� � �� <br /> 11�Iailing Address: City: Zip: <br /> Contractor's Name: %. J. � z 7= �5�•1 ��. Phone Number: `7��) �7 2-2��d <br /> Mailing Address: �1 ��5�f O��y��4 ,��/< �_r� _ City:D�/�:�o Zip: SS3�8 <br /> *** DO NOT NIAIL PAYI�IENT`VITH THIS APPLICATION*** <br /> GENERAL INSTRUCTIONS <br /> 1. Applications for septic sy�stem 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 ihe permit card is on the job site. <br /> 2. Permits will be issued only to contractors holdinj 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 coverin�. For mounds, inspection is required after <br /> rough up but prior to sand placement(sand �vill be jar tested for silt content), and again <br /> durinj 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�ti1PCAInstallers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />