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. � � 1131(� <br /> � <br /> . ��,o ,���� <br /> CITY OF ORONO SEP"TIC SYSTEM PERNIIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS ���� �/o%-�i� ,4v��i d�r'dp lt�'Ps,,r f�'1 c�;;�v�, y�1�+T <br /> Occupancy Type: Residential� Commercial Other <br /> �L� <br /> Permit Type: New or Replacement System $100.00 /U� - <br /> Repair Existing System $ 50.00 <br /> (Tanlis or Drainfield) <br /> $0.50 State surcharge added to above fees <br /> * See fee schedule for non-residential permit fees <br /> Owner's Name: l'��yr-vr.,� ;�,�,�,;�1c, j/(,��s.� /( Phone Number: a`J'S.�- 3���7,33 <br /> MailingAddress: �� r,� , '�,� �.Jlr lvr,sj' City: l� zi, Zip: 5,3�N <br /> Contractor's Name: ��n.,�s .��-c'avk f;h y Phone Number: �Is�-Ll��-9��-;.� C��ll � <br /> Mailing Address: j�l ?5 �,�c,ic3d SI City: �'a/v�i��� Zip: `jS3�.� °tsa'b�t' 7 <br /> /��� .T <br /> I`l'Y��"L'vL� ���%i'1,.'�� �/CQ`�G4-r�� v'xi:�j. 3f0��, <br /> *** DO NOT MAII,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 /> 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. 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 stations <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holding NII'CAInstallers License shall be present during a11 inspections. A 24-hoa�r <br /> notice is required for all inspections. <br />