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q66 <br />CITY OF ORONO SEPTIC SYSTEM PERIN11T APPLICATION <br />Box 66 (2750 Kelley Parkway) <br />Crystal Bay, MN 55323 <br />JOB SITE ADDRESS: Y g S o X 5 7- <br />Occupancy Type: Residential Commercial Other <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: M nKKam Aso c) — PhoneNumber: q V 9— e 9 9/ <br />Mailing Address: /'/,9S ofl x 57— City: paU 1vc ZIi <br />Contractor's Name: Reg cs2 TA<4 PhoneNumber: 59' 27 Z 1 <br />Mailing Address: e -2-7S1 &3 wd aiaa city: Me „✓ ,,,,,r 740_.!,;�I <br />DO NOT NULL 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 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 requited <br />after rough -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. IndiviA,.,tl holding MPCA Installer Certificate shall be present during inspections: A 24- <br />hour rice Is required for all inspections. <br />