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. , <br /> CITY OF ORONO SEP'TIC SYSTEM PERNIIT APPLICATiON <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS <br /> � �� �. �, ►�� C � r� I� <br /> Occupancy Type: Residential �'�� Commercial Other <br /> Permit Type: New or Replacement System 5100.00 ✓"�� <br /> Repair Existing System $ 50.00 <br /> (Tanks or Drainfield) <br /> $0.50 State surcharge added to above fees <br /> * See fee schedule for non-residentill permit fees <br /> Owner's Name:��r-�� /�F Y� Phone Number: �1 S2 - `�7� ''/ 7 Z-�v <br /> Nlliling Address: t3o Y��.�� C<r�.l--� City: L�.�..v Zip: <br /> Conh�actor's Name: Phone Number:2(��-5�7�'-T7G? <br /> Mailing Address: zc�-3����� S� S E, Cityj�f�n frasP Zip: s'S'36� <br /> *** DO NOT NIAiI.,PAYMENT i�VITH THIS APPLICATION*** <br /> GENERAI�INSTRUCTIONS <br /> 1. Applications for septic system permits may be mailed or submitted in person at the City <br /> Off'ices; 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(NII'CA) Septic System Installers License. .. <br /> 3. All work must be done in accordance with the approved septic system desijn. 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 followin� 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 coverin�. <br /> C. Drainfield trench installation prior to covering. For mounds, inspection is required after <br /> rou;h up but prior to sand placement(sand will be jar 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�IPCAInstallers License shall be present durin�all inspections. :`�24-hour <br /> notice is required for all inspections. <br />