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_ 1����rc��' <br /> . -� <br /> , �;� , � <br /> � 4 <br /> CITY OF ORONO SEP"TIC SYSTEM PERNIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway} <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS �G� Z�1 / l% k S� <br /> Occupancy Type: Residential_�_ Commercial Other <br /> Permit Type: New or Replacement System $100.00 �.lL � L'% , <br /> Repair Existing System $ 50.00 <br /> (Tanks or Drainfieid) <br /> $0.50 State surcharge added to above fees <br /> * See fee schedule for non-i•esidenti�l permit fees <br /> Ownei's l�rame: ; , ��"E' Cti/P �1 �� Phone Number: C�� Z-��73 - l`7�7 <br /> Nlailing Address: Z�(1 G' /�T �1`. City: �. %:� �=� Zip: r-� �i�3`1l <br /> Contractor's Name:��r�,���,Nc���� �xF�=�v:--�`: ,� �_Phone N bei: �I� - �USl- 3>�7 <br /> Mailing Address:l '3� / `' Ci %�- 7p: '���a / 1 <br /> �1C� ( ,i�. �'�-� �/��wi/ �': �7�:�� !�l <br /> *** DO NOT 1VIAIL,IPAY"Ii'Ir,NY'Zi�'YT�-i TiyT3S APPI.,i��TIa�*** <br /> GENERAL INSTRUCTIONS <br /> l. 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 will be issued only to contractors holding a Minnesota Pollution Control <br /> Ajency(MPCA) Septic System Installers License. <br /> 3, All work must be done in accordance with the approved septic system desi�n. 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 followin� 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 coverina. For mounds, inspection is required after <br /> rou�h up but prior to sand placement (sand will be jar tested for silt content), and again <br /> durin� pressure distribution pipin� 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 iunctional and coinpiy with codes. <br /> �. Individual holdin�i�IPCAInstallers�,icense shall be present durin�a11 inspections. :�2�-hae��' <br /> notice as requirQd fo�• all inspections. <br />