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� <br /> /� � ���� <br /> rX <br /> i <br /> - CITY OF ORONO SEPTIC SYSTEM PERNIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 ����r��.'� <br /> JOB SITE ADDRESS 300 County Road 6 <br /> �i AR 1 4 2007 <br /> �1TY Q� R��G <br /> Occupancy Type: Residential � ✓ Commercial Other ; _ <br /> _ <br /> , � <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: Douglas Dayton Phone Number: (952)475-2928 <br /> Mailing Address: 300 County Road 6 City: Orono Zip: 55391 <br /> Contractor's Name: Pride Construction & Excavatii Phone Number: (952) 446-9804 <br /> Maiting Address: 9450 West Hill Road City: Watertowr Zip: 55388 <br /> *** DO NOT MAIL PAYMENT WITH TffiS 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. T'he 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 MPCA Installers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br /> NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate <br /> L' <br /> J �� <br /> � � <br />