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, �� <br /> V <br /> � �� v� <br /> . <br /> CTTY OF ORONO SEP'TIC SYSTEM PERNIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) � <br /> Crystal Bay,Mn 55323 � �����4��1� <br /> :��v � <br /> � Q + <br /> � � <br /> JOB SITE ADDRESS �Ca � �� /��� � � m Gn c ,�' /� e . � I ��, , <br /> Occupancy Type: Residential i1�C 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 /> Owner's Name: �: ��0.�� �G- "`r 'S Phone Number: <br /> Mailing Address: /d � ���� �'���a f � • City:o��•1� Zip: <br /> Contractor's Name: t �-t r 1, �. _�'S��► �� , Phone Number: ?G `3�2-2�f za. <br /> Mailing Address: .S'S 2� 0���t ���• S,,,. City:��lQ,►d, Zip: ��,��£3. <br /> *** DO NOT MAIL PAYMENT"'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 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 /> A�ency(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 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 stations <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holding tiIPCA Installers License shall be present durinj all inspections. A 24-hour <br /> notice is required for all inspections. <br />