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CITY OF ORONO SEPT'IC SYSTEM PERNIIT APPLICATION <br /> Box 66 (2750 Kelley Pazkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS � �S �6 l � n �r 170 �)� <br /> Occupancy Type: Residential Commercial Other <br /> Pei•mit Type: New or Replacement System $100.00 <br /> Repair Existing System $ 50.00 <br /> (Tanks or Drainfield) <br /> $0.50 State sui•chai•ge added to above fees �� �p. SO <br /> * See fee schedule for non-residential permit fees �-r,A, \ <br /> Owner's Name: L��` S CY �r� � C � � � Phone Number: <br /> Mailing Add�•ess: ��S t--}v� ►f►/`�� '� �City: �)�C�f a Zip: SS 3�l � <br /> Conti•actor's Name: h1 A--le S la�c'► So n S Phone Number: <br /> Mailing Address: City: Zip: <br /> *** DO NOT NIAIL PAYMENT`VITH THIS APPLICATION*** <br /> GENERA.L INSTRUCTIONS <br /> 1. Applications for septic system permits may be mailed or submitted in person at the City <br /> Off'ices; 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 /> A?ency(MPCA) Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system desi?n. Desijn reports <br /> are not considered approved unless accompanied by the "City of Orono 5eptic 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 covering. <br /> C. Drainfield trench installation prior to covering. For mounds, inspection is required after <br /> roujh up but prior to sand placement (sand will be jar tested for silt content), and again <br /> during 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 functional and comply with codes. <br /> 5. Individual holding�IPCAInstallers License sha11 be present durin�all inspections. :�24-houa• <br /> notice is i�equii•ed for all inspections. <br />