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APPLICATION FOR SEPTIC S(STEM PERMIT <br /> CITY OF ORONO :' 2j3S L-) <br /> ( Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> *************************************************************************** <br /> General Instructions: <br /> 1. You may apply for septic system permits by mail or in person at the <br /> City offices. However, permits will not be mailed out and must be <br /> picked up in personlat the City offices. <br /> 2. Permitsarenot valid until you receive a permit card. <br /> 3. Work must not begin] unless the permit card is available on the job <br /> site. <br /> 4. Permits will be isued only to contractors holding a City of Orono <br /> Septic System Installer' s License. <br /> 5. All work must be dote in accordance with the approved septic system <br /> design. Design reports are not considered approved unless accompanied <br /> by the "City of Orono Septic System Approval" cover sheet signed by <br /> the City Inspector. <br /> 6. The following inspections will be required for all septic systems: <br /> a) Pre-installation site inspection to include inspector, installer, <br /> and general contractor. <br /> b) Tank installation prior to covering. <br /> c) Drainfield trench installation prior to covering. For mounds, <br /> inspection is re uired after rough-up but prior to sand placement <br /> (sand will be ar tested for silt content) , and again during <br /> pressure distrib tion piping installation in the rock bed. <br /> d) Final inspectidn to verify proper final cover depths and to <br /> verify that all pump station (where required) components are <br /> functional and cbmply with codes. <br /> I <br /> 7. Individual holding MCA Installer Certificate shall be present during <br /> installation. 24-hour notice is required for all inspections. <br /> ***************************************************************`************* <br /> JOB SITE ADDRESS: )), c- /C2 G cf-''/�s /et_ / 8 a.•� RQ-- i✓'a A- r> <br /> / Ci- <br /> Occupancy <br /> Occupancy Type: Residential X Commercial Other <br /> • <br /> Owner' s Name: 01 / 4,0 R / e.�S i Phone: <br /> Mailing Address:3 'S d / l61-yc7 / /3�J OL� City: 0/--0 k 2 Zip: SS-9eQ,� <br /> Septic Contractor' s Name: /7-a,..,4-7y S Zs ',cc Bus. Phone:‘,Ss 7 2_,c <br /> 07 <br /> Mailing Address: 7/ ,SS R 6.1 7'z LK /? A City: M 11- %-c f-- Zip: 6:-.5-10 <br /> ***************************1**************************4********************* <br /> - over - <br /> A r doo07, ����o.� <br /> /. <br /> — ai ,r <br />