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I <br /> CITY OF ORONI) SEPTIC SYSTEM PERMIT APPLICATION <br /> Box 66(2750 Kellaey Parkway) <br /> Crystal Bay,Mn 155323 <br /> 1 ! n <br /> JOB SITE ADDRESS - <br /> Occupanc3 Type: Residential LY Commercial Other <br /> Permit Tyke: New or Replacement System $100.00 <br /> Repair Existing System $ 50.00 <br /> (Tanks or Drainfield) <br /> I <br /> I $0.50 State surcharge added to above fees <br /> * See fee schedule for non-residential permit fees <br /> Owner's Name:• ` i'<'€- 642_n fid' c t.. Phone Number: <br /> Mailing Address: City: Zip: <br /> Contractor's Nam•: /n,.cr .et-sols, Phone Number: 943] S92---q€2--0_ <br /> Mailing Address: •9'Lc O. a City:&Lt.o_ Zip: 5 5.,320 <br /> *** 10 NOT MAIL PAYMENT WITH THIS APPLICATION*** <br /> GENERAL INSTRUCTIONS <br /> 1. Application• for septic system permits may be mailed or submitted in person at the City <br /> Offices; ho . ever, permits will not be mailed out. The permit must be picked up in person <br /> at the City •ffices 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 Polltition Control <br /> Agency(MP A) Septic System Installers License. <br /> 3. All work mu t 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 /> T <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 insllation prior to covering. <br /> C. Drainfiel 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 pr ssure distribution piping installation in the rock bed. <br /> D. Final ins ection to verify proper final cover depths and to verify that all pump stations <br /> (where re uired) components are functional and comply with codes. <br /> 5. Individual ho ding MPCA Installers License shall be present during all inspections. A 24-hour <br /> notice is req fired for all inspections. <br />