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$��� �=6-Q� <br /> � <br /> �4�/3z,o <br /> �TT1'OF ORONO SEP'TIC SYSTEM PERMTT APPLICATION <br /> Boz 66(2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> � r <br /> JOB SITE ADDRESS I �Q, S �� CA �� �"'e— ^��� <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 /> Sl,�,,,..,N, �- <br /> Owner's Name:5c-v'f� ��'�-� Phone Number: � �2- �'� ' g 3 r� <br /> Mailing Address: I �S l.vcrz �-�'w� ��rr4�City:!'�lk ,' Zip: �3S'.� <br /> Contractor's Name: �u�es �-�Ms tl Phone Number:_��3��{7y-�7b� <br /> Mailing Address: 2�3 fi'Z"� s�- s� City:�h..,,��9c Zip: s'S 3�� <br /> *** DO NOT MA.II.PAYMENT WITH 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 Minnesota Pollution Control <br /> Agency(MPCA) Septic System Insta.11ers 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 NLPCA Insta.11ers License shall be present during a11 inspections. A 24-hour <br /> notice is required for all inspections. <br />