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f 10. <br /> CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) <br /> Crystal Bay,,MN 55323 <br /> JOB SITE DRESS: 'j 4 OLD C R Vs /- my Ro 163-DOccu ancy Type: Residential y Commercial Other <br /> Permit Type: New or Replacement System, $100.00 /00, 00 <br /> Repair Existing System, $ 50.00 <br /> 0.50 State surcharge added to above fees <br /> *See fee schedule for non-residential permit fees <br /> Owner's Name: C�R�'F FU AM Phone Number: <br /> Mailing Address: 54o OLD C gV5i /8) V R 9- City:Lp,4 LPI-/ TV: <br /> Contractor's Name: SW67)( .')l➢ SCPTIG PhoneNumber: -SZ-SicP:5e575' <br /> Mailing Address: g��2P, L -/c Etv&n) RD . City: ,1-/-t61.-Skil- Tp: 6,T21 ? <br /> DO NOT MAIL PAYMENT WITH THIS APPLICATION <br /> GENERAL INSTRUCTION <br /> 1. Applications for septic ystem permits may be mailed or submitted in person at the City <br /> Offices; however, pe its will not be mailed out. The permit must be picked up in <br /> person at the City Offi es and work must not begin unless the permit card is on the job <br /> site. <br /> 2. Permits will be issue only to contractors holding a City of Orono Septic System <br /> Installers License. <br /> 3. All work must be don in accordance with the approved septic system design. Design <br /> reports are not consid ed approved unless accompanied by the "City of Orono Septic <br /> System Approval" coy r sheet signed by the City Inspector. <br /> 4. The following inspectikns will be required for all septic systems: <br /> A. Pre-installation site inspection to include inspector, installer, and general contractor. <br /> B. Tank installation pijior to covering. <br /> C. Drainfield trench installation prior to covering. For mounds, inspection is required <br /> after rough-up but prior to sand placement (sand will be jar tested for silt content), <br /> anc again during p essure distribution piping installation in the rock bed. <br /> D. Final inspection to erify proper final cover depths and to verify that all pump station <br /> (where required) c mponents are functional and comply with codes. <br /> 5. Individual holding MP A Installer Certificate shall be present during inspections. A 24- <br /> hour notice is require for all inspections. <br /> @ "-q6 <br />