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� • <br /> CTTY OF ORONO SEP'TIC SYSTEM PERMIT APPLICATION <br /> Boz 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> d / n � � <br /> J <br /> OB SITE ADDRESS � � ��' // �-'� 4�'C � � <br /> Occupancy Type: Residential_� Commercial Other <br /> CX� <br /> Permit Type: New or Replacement System $100.00 /OC,� <br /> Repair Ezisting 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:�'/� �� � � Phone Number�g'� � � �`g ���5�' <br /> MailingAddress: ��o � 4� �� City•�Y.`�-'�4, Zip• S _ <br /> Contractor's Name:�/�c f � . t -��'sa� C� . Phone Number: 7G,p 9 �2- 2`►�2�' <br /> Mailing Address: �`�7 2( A9�-�_ I�U�• .S� City:�c.fo�►o Z p: 5 53 2� <br /> *** DO NOT MAII,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 Offices and work must not begin unless the permit cazd is on the job site. <br /> 2. Perm.its 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 sta.tions <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holding MPCA Installers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />