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� � ����-�l���z� ,� ,� � ��� { ., <br /> . <br /> � <br /> �.��� ,�,, ��}�-� � <br /> A, <br /> �'�34 � CITY OF ORONO SEPTIC SYSTEM PER�`-IIT APPLICATIO�,' <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, NN �5323 <br /> JOB SITE ADDRESS: ;,,) � � U �0�4 �'�1��� �-I� �L ��� �� <br /> Occupanc�• Type: Residential V Commercial Other <br /> Permit Tr�pe: Netiv or Replacement Sy'stem, �100.00 � <br /> Repair Existing System, $ 50.00 <br /> (Tanitis or Drainfield) <br /> 0.50 State surcharge added to above fees <br /> , �`See fee schedule for non-residential permit fees <br /> Owner's Na.me: �t� i1 I� �L� tiL�l�'1 c'S PhoneNumber: �5� ' � ��" �`�Y <br /> I1�Iailing Address: 1 Sc� l�:. ''�' City:f�/1,';✓,,/c%o,v(T�� Z i p: :5.5 3 <br /> C o n t r a c t o r's I`T a me: �( n 1��'>�-� o S Phonei�'k mber: 7(�a � �f�.g - 73 � 3 <br /> Nlailing Address: ,"��3.co �j p � � �v�'' City: j'��(}.�-2S Zip: 55;3 <br /> DO \TOT I�IAII� PAI'��IENT WTTH THIS APPLICATIOi�T <br /> GEYER.AL INSTRUCTIO\TS <br /> 1. Applications for septic system permits may be mailed or submitted in person at the Ciry <br /> Offices; however, permits will not be mailed out. The permit must be picked up in <br /> person at the Ciry Offices and work must not be�in unless the permit card is on the job <br /> site. <br /> 2, Permits will be issued only to con[ractors holdin� a City of Orono Septic System <br /> Installers License. <br /> 3. Ail work must be done in accordance with the approved septic system desi�n. Desi?n <br /> repores are not considered approved unless accompanied by the "City of Orono Septic <br /> System Approval" cover sheet si�ned by the City Inspector. <br /> 4. The followi.n� inspec[ions will be required for all septic systems: <br /> A. Pre-inscallation site inspection to include inspector, installer, and general contractor. <br /> B. Tank installation prior to coverin�. <br /> C. Drainfield trench installation prior to coverin�. For mounds, inspection is required <br /> after rough-up but prior to sand placemenc (sand will be jar tested for silt content), <br /> and a�ain durin� pressure distribution pipin� installation in the rock bed. <br /> D. Fi.nal i.nspection to verify proper final cover depths and to verify that all pump station <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holdin�NIPCA Installer Certificate shall be present durin� inspections: A 2¢- <br /> hour notice is required for all inspections. <br />