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, � <br /> �d� —oo��s <br /> ' ' �_j�, t��J<-J-�f �7 C�,o� �- <br /> � <br /> � <br /> CTI'Y OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) �' ��,�-- <br /> Crystal Bay,Mn 55323 <br /> 13 �53 <br /> JOB SITE ADDRESS p� � � ��U ��C�Gt Cx-C v /�-C% . . <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 Name: ���e � ;erC 2 Phone Number: �'S Z � �� �- ��`�y <br /> Mailing Address: Z,-� f-�,jlc,K�C�- /"� City: Q�cz1v Zip: <br /> Contractor's Name: (-��,,�5 �-S�S Phone Number:_1�f-y7y-/�6z- <br /> Mailing Address: Z�6 j� S�r 5� City:�n�'�.� Zip: s'�3 F>� <br /> *** DO NOT MA1L PAYMENT WITH 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 Off'ices 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(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 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 tested 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 holding MPCA Installers License shall be present during a11 inspections. A 24-hour <br /> notice is required for all inspections. <br />