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�90 92y� <br /> g-.�o-o.SJ <br /> . <br /> �ITY OF ORONO SEPT'IC SYSTENI PERMTT APPLIC�S.TION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS I 1�� }��vilT�� �I l,1 C'_ <br /> Occupancy Type: Residential Commercill Other <br /> Permit Type: New or Replacement System $100.00 �'�'j <br /> � <br /> Repair Existing System $ 50.00 <br /> (Tanks oi•Drainfield) <br /> /b O s o <br /> $0.50 State sui•charge added to above fees <br /> * See fee schedule for non-i•esidential permit fees <br /> O�vner's Name: ('_��f:� %11�f �Q���) Phone Number• r%S�- '�I�3� ��`�`� <br /> Nlailing Address: i 1 ,2� Nu-ntt iRY�'u� City: p �,t;�,,� Zip: <br /> Contr�ctor's Nam�/�u� � - �'�<�So•� C� Phone Number: �7 C�,� `'7 r�Z���`�-" <br /> Mailing Address: `�`7�. � �«;�,..� A�'� S. � . City:Dz(�_�� Zip: => > >� `� <br /> x�* DO NOT ivl�ll� PA�'IVIEI+IT ZZ'iT�i'i'�-IIS �iPPI.ICATIOr+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 Ciry Offices and work must not begin 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(NIl'CA) 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 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 /> rou�h up but prior to sand placement (sand will be jar tested for silt content), and a�ain <br /> durin� pressure distribution pipinj installation in the rock bed. <br /> D. Final inspection to verify proper final cover depths and to verify that all pump stations <br /> (wnere required j components are functional and compiy with codes. <br /> 5. Individual holding�IPCA Installers License shall be present durin�all inspections. A 24-ho�a�• <br /> notice is i�equii•ed for all inspections. <br />