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. � <br /> CITY OF ORONO SEPTIC SYSTENI PERIVIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Ba�-, illn 55323 <br /> JOB SITE ADDRESS 5�� �o� 1-�2-w�- ��2 <br /> Occupancy Type: Residential� Commercial Other <br /> Permit Type: New or Replacement System $100.00 � �U. J�� <br /> Repair Existing System $ 50.00 <br /> (Tanks or Drainfield) <br /> $0.50 State surchai•ge added to above fees <br /> * See fee schedule for non-residential permit fees <br /> Owner's I\'ame: '(1'1�-��'w �v� Phone Number: ���-3 I (o�-J <br /> Nlailing Address: 5�0 j�)�,�� ,J��v� �Z City: c�Y��� Zip: 5531P�/ <br /> Contractor's Name: �(,���±�� �e�c�e�E w�z Phone Number: 7Lo� -y�'�3-��7vZ <br /> Nlailing Address: i 2R5`I �1�.:�f�A1 1--,.i Cit3': I�,�t-(o��� Zip: ��3�( <br /> *** DO NOT NIAIL PAYMENT"'ITH THIS APPLICATION*** <br /> GENERAL INSTRUCTIONS <br /> l. 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 follo�ving inspections will be required for all septic systems: <br /> A. Pre-installation site inspection to include inspector, installer, an�i general contractor. <br /> B. Tank installation prior to covering. <br /> C. Drainfield trench installation prior to coverin�. For mounds, inspection is required after <br /> roujh 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 holdinQ�Il'CAlnstallers License shall be present durin�all inspections. A 24-houi• <br /> notice is required for all inspections. <br />