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. � <br /> CTTY OF ORONO SEPTIC SYSTENI PERNIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, nTn 55323 _ <br /> JOB SITE ADDRESS � � z- v ..� � c c �� S �� � I � �;.�' <br /> Occupancy Type: Residential ✓ Commercial Other <br /> Permit Type: New 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 /> ,� <br /> O�vner's l�'ame: �J' � � � ��,�� l Sa;,� Phone Number: <br /> Mailing Address: City: Zip: <br /> Contractor's Name: � � �,�5 �- 5�.S Phone Number:__7�,3 �i 75- l��; �Z <br /> MailingAddress: 2�;Tn'� 7t - '; .E City:,/�Lt:,Hf��;y� Zip: s�3w � <br /> *** DO NOT MAII, PAYMENT`VITH 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 card is on the job site. <br /> 2. Permits 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 Ciry 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 coverinj. <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 ajain <br /> 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 stations <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holding i�fPCA Installers License shall be present durinj a11 inspections. A 24-houi• <br /> notice is required for all inspections. <br />