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0 <br /> CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Box 66 (2750 Kelley P. kway) <br /> Crystal Bay,Mn 55321 <br /> JOB SITE ADDRESS / () c 6)--„,... cOv-r,Lc.,v_cf) Rc___Q <br /> Occupancy Ty,e: Residential Commercial Other <br /> Permit Type: New or Replacement System $100.00 <br /> Repair Existing System $ 50.00 4 s-o• SD <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: Si -eC v +45s.,---1- 3 ` c°'`''''� Phone Number: <br /> Mailing Address: City: Zip: <br /> Contractor's Name: 111, 25 ..5 Phone Number: 76,3-1/7S /26e <br /> Mailing Address: 2.4. : � S - 5 City:fl7,,►f os2 Zip: 55363 <br /> *** DO OT MAIL PAYMENT WITH THIS APPLICATION*** <br /> GENERAL INSTRUCTIONS <br /> 1. Applications fo septic system permits may be mailed or submitted in person at the City <br /> Offices; howe -r, permits will not be mailed out. The permit must be picked up in person <br /> at the City Offi•es and work must not begin unless the permit card is on the job site. <br /> 2. Permits will be ssued only to contractors holding a Minnesota Pollution Control <br /> Agency(MPCA Septic System Installers License. <br /> 3. All work must b- done in accordance with the approved septic system design. Design reports <br /> are not consid=red approved unless accompanied by the "City of Orono Septic System <br /> Approval" cove 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 install tion prior to covering. <br /> C. Drainfield t ench installation prior to covering. For mounds, inspection is required after <br /> rough up b t prior to sand placement (sand will be jar tested for silt content), and again <br /> during pres ure distribution piping installation in the rock bed. <br /> D. Final inspe tion 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 N1PCA Installers License shall be present during all inspections. A 24-hour <br /> notice is required for all inspections. <br />