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I <br /> � , SEPTIC SYSTEM APPROVAL <br /> ,��� �� <br /> �� <br /> '� '�' . <br /> � ,;.. ��i . <br /> !�� CITY of ORONO <br /> I� <br /> 1 � �15 fi.� ���' '� �I I <br /> �`,r�, � y .` ti i Municipal Offices <br /> �� � ,; <br /> \� � r ` G�� Stra�t Address: Mailing Addrsss: <br /> ����`��i�'��Hp�°'��� � 2750 Kelley Parkway � � � � P.O. Box 60 <br /> Orono, M� 55356 Crystal Bay, MN 55323-0066 <br /> Cc�� <br /> Owner �,n�/q .�SRq�S Phone (Home)yy�- `lvx� (�o�) 2 72-7� <br /> Address �675 Si/v�Rtr,�w DR. City �rzon;(; State� Zip <br /> Site Evaluatar S�P Ti�s�f�'r�9 State License# 3qy Phone# yr�- ;S E C, <br /> Type of Establishment: Single Family� Multi Family <br /> Commercial /�� Garbage Disposal Yes No <br /> No. Potential Bedrooms � Est. Gallons Per Day CTO <br /> Water Meter Required: Yes_ No� Soil Sizing Factor�� f Z EFD ', <br /> Perc Rates P-1 y�y P-2 5�� P-3 "l:`/ P-4 P-5 P-6 -7 <br /> Restricting Layer Depth B-ls� B-2_� B-3(�" B-4 bo" B-5 B-6 ' <br /> Type of Treatment System: � <br /> Standard� Experimental Alternative <br /> Pressurized Mound System At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift x Pressurized Bed System <br /> Holding Tank W/Alarm E:�t�a�i N <br /> Septic Tank Size � /QQa # of Tanks 2 �ft Tank Size� /p�� <br /> Pump Brand GPM �t5 Head 2G � <br /> Treatment System: <br /> Minimum �-;�3C� Square Feet with�inches of rock below pipe <br /> Type of covering Fabric�'� Other <br /> THIS IS NOT A PERMIT. This is a design approval form which must accompany the site plan. <br /> A permit must be issued to a licensed septic contractor prior to installation. <br /> NOTICE TO INSTALLERS: Any changes to the approved plans must have prior approval of the <br /> inspector (249-4600) Call for inspection 24 hours in advance. <br /> ALL DRAINFIELD AREAS MUST BE FENCED OFF prior to building site excavation and <br /> . fencing must remain in place until final site grading. Approval to pour footings will not be granted <br /> until the Inspections Department has verified the primary and alternate sites are protected. <br /> NO VEHICULAR TRAFFIC OF ANY HIND is allowed within 20'of tested drainfield sites ever. <br /> ACCEPTED � DE1vIED By the City of Orono subject to existing regulations and <br /> the following conditions: <br /> By: ��J .��L�G�/ <br /> Chns Pence, On-Site Systems Manager <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br />