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� . �o� �tl ��U . so <br /> CITY OF O ONO SEPTIC SYSTEM PERNIIT APP CATION <br /> Boz 66(275 Kelley Parkwa.y) <br /> Crystal Bay Mn 55323 j � <br /> I <br /> ITE DRESS J I s s ��`c S �c3�`...n ��. I <br /> JOB S �lD <br /> Occ pancy Type: Residential Commercial Other I <br /> � <br /> Pe it Type: New or Replacement System $100.00 <br /> Repair Eaisting System $ 50.00 <br /> (Tanks or Drainfield) <br /> I <br /> $0.50 State surcharge added to above fees <br /> * See fee schedule for non-residential permit fees <br /> Owner's N me• �� '��� �'� ����`�"S� Phone Number: � <br /> Mailing A dress:�f �'� ��3 7`��� R - City: Zi : <br /> Contractor�s Name: . �7�t�S a� �o Phone Number: ?G9� �j 9 '242v <br /> Mailing A�dress: S9 '�-� �0.g�-�. ���. 4 City: ��-"a Zip: '� �'�$ <br /> *** DO NOT MAII�PAYMENT WTTH THIS APPLICATION*** <br /> GENERAI�INSTRUCTIONS <br /> 1. Ap�lications for septic system permits may be mailed or submitted in perso at the City <br /> Offices; however, permits will not be mailed out. The permit must be picked p 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 holding a Minnesota Pollution Contr 1 <br /> Ag�ncy(MPCA) Septic System Installers License. <br /> 3. All'work must be done in accordance with the approved septic system design. D sign reports <br /> are not considered approved unless accompanied by the "City of Orono S ptic System <br /> Approval" cover sheet signed by the City Inspector. <br /> 4. Th�following inspections will be required for all septic systems: <br /> A Pre-installation site inspection to include inspector, installer, and general c�ntractor. <br /> B. Tank installation prior to covering. <br /> C. Drainfield trench installation prior to covering. For mounds, inspection is equired after <br /> rough up but prior to sand placement(sand will be jar tested for silt conte t), 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 ump sta.tions <br /> (where required)components are functional and comply with codes. <br /> 5. Individual holding 1�LPCA Installers License shall be present during all inspectio s. A 24-hour <br /> nqtice is required for all inspections. <br />