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t . � � <br /> !"��_.�`� � j 7f/ <br /> ( !�Z> i � �� <br /> CITY OF ORONO SEP'TIC SYSTENI PERl�'IIT'APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB STTE ADDRESS ` b r f l. e w� od '\ �� <br /> Occupancy Type: Residential X Commerci�►1 Other <br /> Permit Type: New or Replacement System �100.00 <br /> Repair Esisting System � 50.00 �4,"�' <br /> (Tanlcs or Drainfield) <br /> � f_u <br /> f- <br /> j (_� �=-- <br /> � <br /> �0.50 State surcharge ldded to above fees <br /> * See fee schedule for non-i•esidential perrnit fees <br /> O�vneB's Name: e, V i Il �/70��� S �✓� Phone Numbei•: <br /> IVIailingAddress: � ✓N � ��Q w��� �t C►ty: a�vo_ Zip: <br /> Conti�actoY's Name: va S �� o�^� Phone�u¢nbei•: 7'(,� � 6�3 9 " '�6y/ <br /> Nlailing Address: /v 7 0 �( /t-'' �i 1/� j✓ City:�'l. rv���i7� �ip: '.>-�� '� `// <br /> "�** DO 1�T01 1`'IA�'i., PA�ii�IEI�tT�Z'�T� 'i'iIIS AP�Li��TION**"� <br /> G�NE�tA�, INSTRUCTIONS <br /> 1. Applicltions for septic system pernnits 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 �vill be issued only to contractors holdin� a Minnesota Pollution Control <br /> A�ency(1VIPCA) Septic System Installers License. <br /> 3. All work must be done in accordance with the approved septic system desi�n. Desian reports <br /> are not considered approved unless accompanied by the "City of Orono Septic System <br /> Approval" cover sheet signed by the Ciry Inspector. <br /> 4. The follo�vinQ inspections will be required for all septic systems: <br /> A. Pre-installation site inspection to include inspector, installer, and �eneral contractor. <br /> R. Tank installation prior to covering. <br /> C. Drainfield trench installation prior to coverin�. 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 /> I�. Final inspection to verify proper final cover depths and to verify that all pump stations <br /> (wnere required j components are iunctionai anu cor�iply�vith codes. <br /> �. Tndi`idual holdin���CAT zstallers r.,icen�e shall be present during a?1 inspections. .�2�-�o=.a2' <br /> �ot��e as a•equi�'ed fa�• a9� ir�spections. <br />