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CITY OF ORONO SEPTIC SYSTEM PERMTT APPLICATION <br /> Boz 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS��'LI S J ar'�1'�w�/ �.D � � l�'N'4� �,�r�/a�tir✓ <br /> Occupancy Type: Residential� Commercial Other <br /> Permit Type: New or Replacement System $100.00 � <br /> Repair Ezisting 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: /Vl� �2 w�I �� Phone Number: <br /> Mailing Address: Zq�j.S- i7.�,Nt t5 ��✓ P City: P�✓'aNC� Zip: SS3 Z� <br /> Contractor'sName: £SS .,�-,�C PhoneNumber: Gtz-�y�^S-����{ <br /> Mailing Address: ►Q l 5'�/ R�^<<� uJ� .�° City: �`�+^ la� Zip: -�'�'72 <br /> *** DO NOT MAII�PAYMENT W ITH 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 Off'ices 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 Insta.11ers 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 required 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 sta.tions <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holding MPCAInsta.11ers License shall be present during a11 inspections. A 24-hour <br /> notice is required for all inspections. <br />