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CTTY OF ORONO SEP'TIC SYSTEM PER�iIT APPLICATION <br /> Boa 66(2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> r-- <br /> JOB SITE ADDRESS _� Ca �J �j �e.5� �^�'`^^ ' <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 /> Ovmer's Name: �Y;s�� S�'s �t �13oyer �°°��'�� phoneNumber• <br /> Mailing Address: City: Zip: <br /> Contractor's Name: wae5 �-�o,,s Phone Number: 763-�75�/76 2 <br /> Mailing Address: 2G3 &Z�s-r. 5 E • CitS:/�-nf.o.x Zip: �-3,�3 <br /> *** DO NOT MAIL PAYMENT`VITH THIS APPLICATI0IT*** <br /> GENERAL INSTRUCTIOti'S <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 begi.n unless the permit cazd 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 City Inspector. <br /> 4. The following inspections will be required for all septic systems: <br /> A Pre-installation site inspection to include inspector,insta.11er, 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 jaz 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 aze functional and comply with code�. " <br /> 5. Individual holding MPCA Installers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />