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7 3.1 Y <br />CITY OF ORONO SEPTIC SYSTEM PERMIT APPLICATION <br />Box 66 (2750 Kelley Parkway) <br />Crystal Bay, NIN 55323 <br />JOB SITE ADDRESS: ;2- 7 IV Civ+' I <br />Occupancy Type: Residential %( Commercial Other <br />Permit Type: New or Replacement System, $100.00 / W <br />Repair Existing System, $ 50.00 <br />(Tanks or Drain;;eld) <br />0.50 State surcharge added to above fees <br />*See fee schedule for non-residential permit fees <br />Owner's Name: << c r. Phone Number: <br />Mailing Address: City: <br />Contractor's Name: C l u u t 1! I C o 7-,,. Phone Number: -7 7- 3- 71 sr' <br />Mailing Address: 4 -N 3 S- Lt City: Lgr-f t1i u zip. s r 3�L-- <br />DO NOT MAIL PAYMENT WITH THIS APPLICATION <br />C ENERAL INSTRU TI N <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 we 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 requirzd fur all septic systems: <br />A. Pre -installation site inspection to inctudz 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 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. Individual holding MPCA Installer Certificate shall be present during inspections. A 24- <br />hour notice is required for all inspections. <br />