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� <br /> . <br /> CITY OF ORONO � SEP'TIC SYSTEM PERNIIT APPLICATION <br /> Box 66(2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> ���'NccK (,!/Uv c.i S <br /> JOB SITE ADDRESS �o'"� .Z /3/�c lc iL �25� `5/�YIl+F`I /�-V�, <br /> Occupancy Type: Residential�_ Commercial Other <br /> Permit Type: New or Replacement System $100.00 # jOD . �d <br /> Repair Eaisting 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: LQ Uev- �7 dvvte S, ��� Phone Number• <br /> Mailing Address: City: Zip: <br /> Contractor's Name: �v Z�- ��// �, Phone Number: 6/2-��S�- y� �/� �� <br /> Mailing Address: ?�Y .Sk��,��P l�ve E City: S� � �c Zip: S'��3 ?cl <br /> *** DO NOT MAII�PAYMENT`ti'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 /> 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, an�l 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 pipin� 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�IPCA Installers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />