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CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Box 66(2750 Kelley Parkway) <br /> Crystal Bay,Mn 55323 <br /> JOB SITE ADDRESS <br /> FS" O �� O s1 i B4� RnP - <br /> Occupancy Type: Residential ' Commercial Other <br /> Permit Type: New or Replacement System $100.00 <br /> Repair Existing System $ 50.00 <br /> (Tanks or Drainfield) <br /> $0.50 State surcharge added to above fees <br /> * See fee schedule for non-residential permit fees <br /> Owner's Name: 5"4 vhf/L & Phone Number: 952- % — O if 9 y <br /> Mailing Address:SS old 6-1544 64y 14.!• City: Oke410 Zip: 553z 3 <br /> Contractor's Name: 142,5 25 4-54rr.5 Phone Number: 76, 3^Y?4 -/7o& <br /> Mailing Address: 7`a 6-2 1-4 sf, s e. City: A70e ,se Zip: CS-S..3 <br /> *** DO NOT IVIA]L 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(M:PCA) 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 MPCAInstallers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />