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� <br /> CTTY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Boa 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS � �D �/o���, �y.yyl ��- <br /> Occupancy Type: Residential �C Commercial Other <br /> Permit Type: New or Replacement System $100.00 lvO-� <br /> Repair Eaisting System $ 50.00 <br /> (Tanks or Drainfield) <br /> �p� . �� <br /> $0.50 State surcharge added to above fees �B � <br /> * See fee schedule for non-residential permit fees <br /> Owner's Name: �G-yCe e�- ��c.�l� cJo�t.r5aw Phone Number:Q'S� — �?�--��� 7 <br /> MailingAddress: S8� Nv�-T7� s��.n, D�- City:iJ•couh.� Zip: SS' 36 'f <br /> Contractor's Name:� q�.7'y EX �cvcT�'.�-� Phone Number: qS:2� GS�-�S%8 <br /> Mailing Address: 7l�.S� 0��1`2 G.4 k� �2oa� City:�Yt.�z�-e� Zip: S-S.36m <br /> *** DO NOT MAIL PAYMENT WITH THIS APPLICATION*** <br /> GENERAL 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(MPCA) Septic System Insta.11ers 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 /> 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 sta.tions <br /> , (where required) components are functinnal and comply with codes. <br /> 5. Individual holding MPCAInstallers License shall be present during a11 inspections. A 24-hour <br /> notice is required for all inspections. <br />