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�Ibga�l3 <br /> �`7' <br /> j11yyq <br /> CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Bos 66 (2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS �� C� r.ai r, �' S i/� <br /> Occupancy Type: Residential X Commercial Other <br /> Permit Type: New or Replacement System $100.00 /oo <br /> Repair Existing System S 50.00 <br /> (Tanks or Drainfield) <br /> $0.50 State surcharge added to above fees <br /> * See fee schedule for non-residential permit feeds <br /> �I�� � <br /> Owners Name: L e ig n,,l 6£7C'--- <br /> Phone Number: <br /> 1VIailing Address: %tgc, r>;p C ASA A 1 3!4'-l' 1(/Wity: L LAiI-e Zip: 5S3.S;o <br /> Contractor's Name: --�C 5 Phone Number: 710 3� Zq�l�-(oZ <br /> Mailing Address: W WP<6 c, City: Zip: <br /> ** DO NOT MAIL PAYMENT WITH TIUS 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(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 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 /> �. lers;'cenAse shall be present during all inspections. 24-hoAur <br /> Individual holding MPCAlnstal <br /> notice is required for all inspections. <br />