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� <br /> I <br /> CITY OF ORONO SEP'TIC SYS7['ENI PERMIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, Mn 55323 <br /> JOBSITEADDRESS \�G�� �{e����-. C tee�� '���.J � — Du��ua � <br /> Occupancy Type: Residential� Commercia�l Other � <br /> Permit Type: New or Replacement System $100.00 � G'�' -<'�� <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-residentiial permit fees <br /> Owner's Name: Phone l�umber: 7�;� -;la-��'�7� <br /> NlailingAddress: i,;��s{.� -�r.�,��,�/ '�,���E �r_, City: n�'y�.�z� Zip: �s35'� <br /> Contractor'sName: ,��-r�-� (.�Z,�.�-�� �r-�«:Gs PhoneNumber: �;��-N�3-�µy� <br /> Mailing Address: ,���� <t,. ,��9? i0/ ,5, City: ��1TK,G Z�p: 5,5�3;/ <br /> *** DO NOT MAIL 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 /> Offices; however, permits will not be mailed out. The per�mit 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(NIPCA) Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system desijn. 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 covering. For mounds, inspection is required after <br /> rough up but prior to sand placement(sand will be jar t�ested 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��IPCAInstallers License shall be present durin�all inspections. A 24-houi• <br /> notice is required for all inspections. <br />