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Ju1-49-20p1 03:42pm From-CITY OF ORONO +9522494616 T-379 P.002/002 F-828 <br /> � NI�T�: Applicant znust initial all spaces_ Filf in al! apprapriate blanks and check all appropriate <br /> boxes. <br /> 1. I have receivad a copy of the system design including the City of Oroz�o Septic <br /> - System Appra�al Cover Sh�et, <br /> 2. I wilI be installin�the following: <br /> A. Tanks. �precast Concrete �O#her N1a�aufacturer <br /> Tauk Capacities� 1} r�al. 2)--- �al 3) �al <br /> B. Pump Station(if required j <br /> Pump make&model (attach pump curve& <br /> literatare); system design requires�gpm at feet p�h,ead, <br /> �Ti�h water aiarm mak�&model__.. . Outside <br /> electrical�vork w be co�nplgted by installer eiect�iciar� ather. <br /> C, Treacment System: � / �'i�',t1�� n�P <br /> T�enahes: s.f. X Mound CA-S Z>1z l��/l1 A��.L� ly�Ll/��� <br /> Depth of reck below pipe._. " Rock bcd duner�sions ' x ' <br /> Drop Boxes Sand bed dim�nsions ' x._. ' <br /> � Distributian�ax Pr�ssure Dist. Pipc Diam. " <br /> Manifold Pipe Diam. " <br /> I]. �'inal Cover/Topsail tfl be: _� borrowed trom site <br /> {sbow location on site plan) <br /> _� trucked in <br /> The undersigned hereby appli�s ta the City crf Or�na for essua�ce af a septic system install�tiaz�permit. <br /> a�eas to do alI work in strict accordance with ordinances of the City aaid the regulat�c�ns of the Staxc <br /> of hlinnesota,and eertifies that all sfiate nts made onthis application are complete,true znd correct. <br /> i / <br /> i <br /> SignatureofApplicant�, ;_ �f�e/���� c� _ Date: "�� " � <br /> �c�.z�x��5�No.-- -�9� <br /> ������:�_s�s S <br /> Stxff Re�iew: Appravat � Denia! <br /> , . <br /> Revrewer: ,���.^ �^��-� ' ; � '�.r �; Date• - � i, , <br /> �. <br /> Reasan for Denial: <br />