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�CTTY OF ORONO SEP'TIC SYSTE11rI PF.Rt1�IIT�P�I��IOY <br /> -Box 66 (2750 Kell�y Parkway) - = - ' <br /> Crystal Bay, bN 55323 . -• � <br /> - - ., v�� z i�.-f- �;, ;; _,� . <br /> . •JOB SITE ADDRESS: 3�g�' �c a � c 1/�il ;L(- ��1 . _ __ . <br /> Occupancr Type: Residential �^ � � Commercial �� Other . <br /> Permit Type: New or Replacement System, $100.00 � <br />� Repair Existing System, $ 50.00 <br /> (Tanl�s or Drainfield) <br /> 0.50 State surcharge added to above fees � <br /> . *See fee schedule for non-residential permit fees <br /> r <br /> Q�wner's 1�'��: � � � d- K A-��,�✓ R�o-7T_ �c�e:�tc:an�r. Z`�y - �7 9 17 <br /> lYlailing Address: v3 Yv U: :.v� R���- City: e�ti �,,eQ••�.r�- Tp: SS3 <br /> Contractor's I\'ame: �i.�v.�a- dS PhoneNumber: G ��z y�Fl-73g3 <br /> lYlailing Address: 232no �oy�dqv� City:�o��S 7i�: 537� <br /> DO NOT 1�IAII� PAYIYIENT WITH THIS APPLICATIOY <br /> GEYERAI� 1�tSTRUCTIO�TS <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 peanit must be picked up in <br /> person at the Ciry O�ces and work must not begin unless the pennit cazd is on the job <br /> site. <br /> 2. Permit� will be issued only to contractors holdin; a City of Orono Septic System <br /> Installers License. <br /> 3. AIl 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 Ciry Inspector. <br /> 4. . Thc followin� inspecaons will be required for all septic systems: � . <br /> � A. Pre-iastallation site inspection to include inspector, i.nstaller, and general contractor. <br /> B. Tank installation prior to coveri.n;. <br /> � C. Drainfield tr�nch installation prior to covering. For mounds, inspection is required <br /> afrer rough-up buc prior to sand placement (sand will be jar tested for silt conteat), <br /> a�d again during pressure distn'bution piping installatioa in the rock bed. <br />- D. Final inspection to verify proper final cover depths aad to verify that all pump station <br /> (where required) components are functional and comply with codes. <br /> �5. Individual holding MPCA Installer Certificate shall be present during inspecdons: A Z'�- <br /> hour notice is required for all inspections. <br />