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PERMlT TYPE AND �EES <br /> New or Repiacement System $400.00 �"i���•� <br /> Repair Existing System 100.00 <br /> (Tanks or Drainfield) <br /> Total �� <br /> $ '�DO� <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system <br /> installation permit, agrees to do ail the work in strict accordance with ordinances of the City <br /> and regulations of the State of Minnesota and certifies that all statements made on this <br /> application are complete, true and correct. <br /> Signature of Applicant ����LID'�����-- Date: ��(�([� <br /> MPCA License No.: I(�`���• <br /> Staff Review: cept enied <br /> ���� � <br /> Reviewer: Date: J` z�" 7 <br /> Reason for Denial: <br /> Comments (to be printed on inspection card): �����G� `m�s + <br /> ��vc c�t cf <br /> GENERAL INSTRUCTf�I /' <br /> ���/li Kjf <br /> 1. Applications for septic system permits may be mailec ,�p� � ��� J <br /> offices; however, permits will not be mailed out. The pi `� (v' 7L <br /> the City offices and work must not begin un{ess tt <br /> '"** DO NOT MAII. PAYMENT WITH THIS APPLICATI( �(��� / �1�,� � <br /> 2. Permits will be on(y issued to contractors holding a � <br /> (MPCA) Septic System Installers License. �� � � / <br /> 3. All work must be done in accordance with the approved � <br /> 4. The following inspections will be required for all septic sy�«�,,,,. <br /> A. Tank installation prior to covering. <br /> B. Drainfield trench installation prior to covering. For mounds, inspection is required after <br /> rough up, but prior to sand placement (sand must be jar tested for silt content) and <br /> again during pressure distribution piping installation in the rock bed. <br /> C. Final inspection to verify final cover depths and to verify that all pump station (where <br /> required) components are functional and comply with codes. <br /> 5. MPCA licensed Installers or their DRP (Designated Responsible Person) shall be present <br /> during all inspections. <br /> Page 2 <br />