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� � - - `� � cr� , s� �' n �g� � <br /> �/z2/v3 <br /> CITY OF ORONO SEPTTC SYSTEM PERi'�IIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay, Mn 55323 r <br /> _ n � � /� <br /> JOB SITE ADDRESS ��J ��G , Gc �/;�/ /�''O�'ki' <br /> Occupancy Type: Residential � Commercial Other <br /> Permit Type: New or Replacement System $100.00 � <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-residential permit fees <br /> Owner's Name: C�`j,P�S� ��r�.f��,C�� Phone Number: 6�'u-3c�sv �%I"i <br /> MailingAddress: n,� y�Z City:/,v�,�t;,„��t,rzZip: �� <br /> Contractor's Name:/���,�p��.,��c�X�c; Y���l Phone Number 6�;_�7� ;���j` <br /> Mailing Address: r� 2, 'l�> Ci :�I,T � �; Zi �� <br /> 2.5�� G. h' P�s,S 3� � <br /> *** DO NOT MAII.,PAYMENT`VITH 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(NIPCA) 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. Tank installation prior to covering. <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 /> durin;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�tPCA Installers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />