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� <br /> t � <br /> CITY OF ORONO SEP'TIC SYSTEM PERNIIT APPLICATION <br /> Boa 66(2750 Kelley Pazkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS �2 j �T� � �' '�r�.�� <br /> Occupancy Type: Residential Commercial Othe�..r '���-� <br /> Permit Type: New or Replacement System $100.00 ��� . O v <br /> Repair Eaisting System $ 50.00 <br /> (Tanks or Drainfield) <br /> 50.50 State surcharge added to above fees <br /> * See fee schedule for non-residential permit fees <br /> Owner's Name: /U-c�" 7F��� ��'� �����1� Phone Number: gS2� ��s—(S�� <br /> Mailing Address: �`L S� �-c� ,;1 ,5''7�K�. City:a�'� ^a Zip: <br /> Contractor's Name: c'���So -► Co - Phone Number: 24�' 9 '7 2���{20, <br /> Mailing Address: �5 2 / �4��-c_ ��_. S^ City:,�-��n v, Zip:_� _, 2 a. <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 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 Mi.nnesota 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, installer, and general contractor. <br /> B. Ta.nk 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 l�IPCA Installers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />