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� <br /> CITY OF ORONO SEPTIC SYSTENI PERi�IIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, N�Y 55323 <br /> JOB SITE ADDRESS: � Z S �u v��Y �/�S S <br /> Occupancy Type: Residential �� Commercial Other <br /> Permit Type: Netiv 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�o� ��s� - J�l`�"� �e.v. PhoneNumber: �5'O�`���1 <br /> Nlailing Address: City:C�J,., ,�� �p�s�3�� <br /> Contractor's 1�Tame: �yr.�s -��5 PhoneNumber: y�y- ��6 z <br /> 11�Iailing Address: Z63 �'=`� s-� s��s� ��-�� City: 7-�P_, � '� <br /> DO 1\TOT NiAIi� PAYI�IENT WITH THIS APPLICATION <br /> GEYERAL �TSTRUCTIONS <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 begin unless the permit card is on the job <br /> site. - ,;� � <br /> 2. Permits will be issued only to contractors holdin� a City of Orono Septic System <br /> Installers License. <br /> 3. All work must be done in accordance with the approved septic system design. Desi?n <br /> reports 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 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 coverin�. <br /> C. Drainfield trench installation prior to covering. For mounds, inspection is required <br /> after rou�h-up but prior to sand placement (sand will be jar tested for silt content), <br /> � and a�ain durin; pressure distribution piping installation in the rock bed. <br /> D. Final inspection 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�MPCA Installer Certificate shall be present during inspections: A 24 <br /> hour notice is required for all inspections. <br />