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�/o�a�7 <br /> • /o_S_D,f-- <br /> CITY OF ORONO SEPTIC SYSTEM PERNIIT APPLIC�TION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS � ��� �-�l"�� j��L-� ��� P��� �� <br /> Occupancy Type: Residentiat_�� Commercial Other <br /> r��� <br /> Permit Type: New or Replacement System $100.00 /��1 <br /> Repair Existing System $ 50.00 <br /> (Tanks or Drainfield) <br /> �0.50 State su►�chai•ge added to above fees <br /> * See fee schedule for non-residential permit fees <br /> O�vnei's Name: ` ;-,�,s �} S i:��� i�aC�" Phone Number: <br /> Nlailing Address:_�c /;-�;t t��4�' ;1':C�i 1�' City: Zi�: <br /> Contrnctor's Name: % � �v Phone Numbet: � S z- y�/- Z%�''�� <br /> Mailing Address: �y 2 �{ S' ��� ��-z City: < s�f'e�// Zip: � )—c�'yy <br /> *** DO NO'T l�IA� PAl'1�I�N'I'ZZ'I'i'gI T�-IIS AP��,I��TI01�1**` <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 be�in unless the 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 desi�n. Design reports <br /> are not considered approved unless accompanied by the "City of Orono Septic System <br /> Approval" cover sheet si�ned 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 covering. <br /> C. Drainfield trench installation prior to covering. 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 verif�� proper final cover depths and to verify that all pump stations <br /> (wnere requiredj components are functional and compiy with codes. <br /> 5. Individual holding i�IPCA Installers License shall be present durin�all inspections. :�24-ho�aa• <br /> notice is reguired for all inspections. <br />