Laserfiche WebLink
v <br /> '�. <br /> NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate <br /> bo s. <br /> 1. I have received a copy of the system design including the City of Orono Septic <br /> System Approval Cover Sheet. <br /> � 2. I will be installinQ the followin : <br /> � � p,��w�•� <br /> A. Tanks: � Precas�Concrete Other Manufaeturer <br /> Tank Capacities:��) v�v Qal.c�sr 2) t��o Qal -ex•sf 3) lna� �al <br /> r�cQc� (3 oO I i� s-4�.t�o� <br /> B. Pump Station (if required) <br /> Pump make&model �t,•��� (.UC6�512�I ? (attach pump curve& <br /> literature); system design requires S� gpm at�'�feet of head. <br /> Hi�h water alarm make&model ��C�.W►- . Outside <br /> electrical work to be completed by installer electrician other. <br /> C. Treatment System: <br /> Trenches: s.f. tl' Mound 2 _ /o'x 3 Z� <br /> Depth of rock below pipe " Rock bed dimensions ' x ' <br /> Drop Boxes Sand bed dimensions��r ' x S'Z ' . <br /> Distribution Box Pressure Dist. Pipe Diam. /i�- " <br /> Manifold Pipe Diam. Z " <br /> D. Final Cover/Topsoil to be: borrowed from site <br /> (show location on site plan) <br /> ���— trucked in <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system installation permit, <br /> agrees to do all work in strict accordance with ordinances of the City and the regulations of the State <br /> of Nlinnesota,and certifies that all statements made on this application are complete,true and correct. <br /> S ignature of Applicant .L Date: l d �2° " � � <br /> MPCA License No. ��� <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> �Staff Review: Appa�oval Den�ai <br /> � <br /> Reviewer: Date: � (7 `� � � �� <br /> Reason for Denial: <br />