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i-o3lol <br /> CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br /> Box 66 (2750 Kelley Parkway) - <br /> Crystal Bay, MN 55323 <br /> JOB SITE ADDRESS: 1-75-C 0R0,..o Of' 14a4 £ _ <br /> Occupancy Type: Residential Commercial Other <br /> • <br /> Permit Type: New or Replacement System, $100.00 <br /> Repair Existing System, $ 50.00 <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: 6uwt v rT /O S rli,a ioneN ber: t-7/77 - 3 ZS <br /> Mailing Address: 3y36 City: o Tp: 55-3 <br /> Contractor's Name: s4-T.,1 .& Y 6 A o s Phone Number: 4{Z S - 7 3c/ 3 <br /> Mailing Address: 2 ;Q00 coy /4/66—ti City: f'i'e 6 . Zip: 5:5'.-?.-7(7 <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 /> • <br /> 2. Permits will be issued only to contractors holding a City of Orono Septic System <br /> Installers License. <br /> 3. All work must be done in accordance with the approved septic system design. Design <br /> reports are not considered approved unless accompanied by the "City of Orono Septic <br /> System Approval" cover 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 installation prior to covering. <br /> C. Drainfield trench installation prior to covering. For mounds, inspection is required <br /> after roush-up but prior to sand placement (sand will be jar tested for silt content), <br /> and again during pressure distribution piping installation in the rock bed. <br /> D. Final inspection to verify proper final cover depths and to verify that all pump station <br /> (where required) components are functional and comply with codes. <br /> 5. Individual holding MPCA Installer Certificate shall be present during inspections: A 24- <br /> hour notice is required for all inspections. <br />