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i � <br /> } <br /> . SEPTIC SYSTEM APPROVAL <br /> ._� `�; , <br /> . � � � � �����, �SPE����`�� IN�FEGTOR'S COP <br /> � � ,� Y <br /> ` - � � �� CITY of ORONU <br /> � , t;�..,- - ,,, <br /> v�, 15� Municipal Offices <br /> '� ���#`� �'� � <br /> �;, .�� � � ���g.�y � Street Address: Mailing Address: <br /> �: ,IfE�gKi� 2750 Kelley Parkway� P.O. Box 66 <br /> � Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> O�vner�,g�fj �,hJC C��Qi''�ll� Phone (Home)y�{q-y/27 (Work) <br /> Address `�2�C7 S•`xY'h f� - �rti�h.- City Gc�2 � �(r State �iJ Zip 55356 <br /> Site Evaluator � Se�1 %�Fi State License# Phone# y�9� 2�,.3 7 <br /> Type of Establishmen�t•} ingle Family � Multi Family <br /> Commercial /V c Garbage Disposal Yes No >( <br /> No. Potential Bedrooms 3 Est. Gallons Per Day y$c� <br /> Water Meter Required: Yes_ No� Soil Sizing Factor , g3 [, �f5y;4/%�fZ <br /> Perc Rates P-lyl, P-2_� P-3�D P-4y2•3 P-553,6 P-6�P 7 <br /> Restricting Layer Depth B-l� B-2� B-3 1�1'' B-4� B-5 B-6 <br /> Type of Treatment System: <br /> Standard X Experimental Alternative <br /> Pressurized Mound System X, At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift Pressurized Bed System <br /> Holdin� Tank W/Alarm <br /> Septic Tank Size J ppp # of Tanks � Lift Tank Size l 000 <br /> Pump Brand =-- GPM 30 Head <<I <br /> Treatment System: " <br /> Minimum(�a,�yi'��- (73`x52� 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 KIND is allowed within 20' of tested drainfield sites ever. <br /> ACCEPTED�_ DENIED By the City of Orono subject to existing regulations and <br /> thefollo��-in;conditions: Fv,fur� s�f� is P,�pex��en.f�a( �Iu�� � �=%/l �5ci�s� �Ain'F�In1 � <br /> Z�r .5c' f7AC ��1r1 W e� f0 SPu�_ �-r, '�7�F � /9 �i Y1 Li. J�'� / � i �I S <br /> �,v��l�i�� 50` z�F w'�r I . <br /> By: �uc� /e � � cp <br /> +ns}�1� Chris Pence, On-Site Systems Mana;er <br /> T SYSTEM IS DESIGNED FOR , � p <br /> � <br /> BEDROOMS. ANY{NCREASE IN NUMBER lo'�� �� 'I�d� � � ���Z� - <br /> OF BEDROOMS iNYAL1DATES THIS DESIGN. ��� ���tit�--� (�`�b�o� <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br />