HomeMy WebLinkAbout1989-11-08 Application for Septic System PermitC I TY OF ORONO .f�- o15a -7
ON -SITE SEWAGE DISPOSAL APPLICATION 4 75,5Z
I, 1 << being the (o,.rner/owner's agent) of the
(appli nt) (please print)
property located at _l/, V�-
(number, street)
do hereby apply for a permit to ilistall an on -site sewage treatment
system to serve the S,C�o
(residence, apt., comme.cial bldg., a c.)
at said location.
New System
Existing System Repair or Alteration
Name and address of installer6 _? J
The following materials must be submitted for approval with this application:
1. Plot plan including primary and alternate drainfield areas or showing
location of existing tanks and drainfield.
2. Site Evaluation Report.
3. Design plans and specifications.
In consideration of the granting of this permit, the undersigned agrees:
1. To furnish any additional pertinent information on the proposed work
that may be requested by the Septic System Inspector.
2. To abide by all provisions of the Ordinance of the City of Orono
and of all other pertinent ordinances or regulations that may be
adopted in the future.
3. To operate and maintain these sewage disposal facilities in a sanitary
manner at all times, in compliance with the requirements of the
City of Orono.
4. To notify the Septic System Inspector at least 24 hours prior to
commencement of the work proposed, and again at least 24 hours
prior to the covering of any underground portions of the installation.
Date approved Signed L r�
Permit # (app
dir�k)
Signed .C�;,��
Septic System Inspector —)( pplicant's address & phone)
(y73- y.3I(e%
Date of application �'