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( � <br /> CITY OF ORONO SEPTIC SYSTENI PERNII'T APPLIC�TION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, Mn 55323 _ <br /> JOB SITE ADDRESS �S ,3�.i �b j< S'�� <br /> Occupancy Type: Residential � Commercial Other <br /> Permit Type: New or Replacement System $100.00 ✓ <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 /> Owner's l�'ame: �v l, �.�r-e So l,.r.s�� �-� l�' <br /> C `�` Phone Number: <br /> Mailing Address: City: Zip: <br /> Contractor's Name: �.,-��s �- S�v.S Phone Number: -)�"3- 7 -/�6 �- <br /> Nlailing Address: °�, 3 �`-� S•� .5 •E= City�'t�,..E-�=-�- Zip: S5 3�3 <br /> *** DO NOT MAII.,PAYMENT"'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; 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 cazd 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 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 follo�ving 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 pipinD 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�Il'CA Installers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />