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. '( O9' <br /> ti I <br /> CITY OF ORO 0 SEPTIC SYSTEM PERMIT APPLICATION <br /> Box 66 (2750 K=11ey Parkway) <br /> Crystal Bay, I 55323 <br /> JOB SITE ADD' S: y(-). ( 9_ ) /a). <br /> Occupan4y Type: Residential X Commercial Other <br /> Permit Trpe: New or Replacement System, $100.00 2< <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: PCku-. S Phone Number: <br /> Mailing Address: ,�,� �+ P City: Tip: 675-j:3- 35/ <br /> Contractor's Name: a rplIMB lepp41• Phone Manner: i/7/ <br /> Mailing Address: ,3-9, / 6 Q City: �o�, .�, Tp: 5 s3-� <br /> DO NOT MAIL 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 <br /> person at the City Offices and work must not begin unless the permit card is on the job <br /> site. <br /> 2. Permits will be issued only to contractors holding a City of Orono Septic System <br /> Installers icense. <br /> 3. All work ust be done in accordance with the approved septic system design. Design <br /> reports ar• not considered approved unless accompanied by the "City of Orono Septic <br /> System Arproval" cover sheet signed by the City Inspector. <br /> 4. The follo ing inspections will be required for all septic systems: <br /> A. Pre-' •tallation site inspection to include inspector, installer, and general contractor. <br /> B. Tank • tallation prior to covering. <br /> C. Dri s eld trench installation prior to covering. For mounds, inspection is required <br /> after rilugh-up but prior to sand placement (sand will be jar tested for silt content), <br /> and ag=in during pressure distribution piping installation in the rock bed. <br /> D. Final '• pection to verify proper fmal cover depths and to verify that all pump station <br /> (whe - required) components are functional and comply with codes. <br /> 5. Individual holding MPCA Installer Certificate shall be present during inspections. A 24- <br /> hour noti e is required for all inspections. <br />