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�'w <br /> CITY OF ORONO SEPTIC SYST'EM PERNIIT APPLICATION <br /> Boa 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS � I� J ��QS '"'�� '�"4 <br /> Occupancy Type: Residential_� Commercial Other <br /> Permit Type: New or Replacement System $100.00 �` �00. 00 <br /> Repair Eaisting 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: f�'rq � VAN �IaG�r� Phone Number: <br /> Mailing Address: 3��(0 r►cc�S NA�cc I�d. City: d+�Na Zip: <br /> Contractor's Name: (ZC Graa iNq4 EX�'Gua��„� ��'�• Phone Number: 7L3-y9'7-I'72y <br /> Mailing Address: P�• C3oX 2�f � City:i416ov�v,� t Zip: 5530/ <br /> *** DO NOT MAII�PAYMENT WTTH 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. Permits will be issued only to contractors holc�ing 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 requued 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 all inspections. A 24-hour <br /> notice is required for all inspections. <br />