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1� <br /> NOTE: 'Applicant rriust initial alI spaces. Fill in alI appropriate bIanks, check all a ro riate <br /> boxes. . pp p <br /> . -; • . : <br /> -? 1. I have received a copy of the system desiQn includin� <br /> � Septic System Approval Cover Sheet. J � �e Ciry of Orono <br /> �i/ i i _... . � . - <br /> �` � 2. I �viIl be�iastalliFi,..ttiz followinQ: � . . <br /> A. Tanks: �%precast Concrete Ocher <br /> iylanufacturer � �y"�.i,�i ,� <br /> Tank Capacities: 1) 5 L<% QaI. 2)/��I�F� - �al. 3).�_ oal.' <br /> . � i=1c;�J o , <br /> - B• Pump Station (if required) <br /> Pump make & model (�c�:.1�� . �� c 3 i � (attach pump curve & <br /> literature ; s stem desi�n re u�r e s �� gpm at , <br /> � y � q � �_ �_ feet of head. <br /> . Hi�h tivater alarm make & model �,,� �,�,,� <br /> � electricaI work to be com Ieted b • Outside <br /> P Y � installer t.-----� electrician <br /> other . Inside electrical work musc be completed by <br /> eleccrician. � <br /> � C. Trea[ment System: <br /> � Trenches; s.f. L''"� Mound <br /> Depch of rock below pipe " Rock bed dimensions '�G .'x s�� ' <br /> � Drop Boxes � Sand bed dimensions y�� 'x��' - <br /> Distribution Box Pressure Dist. Pipe Diam, i z " <br /> � � .Maniford Pipe Diam. �Z.`_� " <br /> D. Final Cover/Topsoil to be: _� ,%��o�otved from site <br /> �show location on sice pla�)- � <br /> �- "�trucked in <br /> The undersi�ned hereby applies to the City of Orono for issuance of a septic system installation <br /> permit, agrees to do all work in strict accordance wi[h the ordinances of the City and the <br /> . regulations of the State of Minnesota, and cenifies that all statements made on this application <br /> are complete, true and carr�cc; ., <br /> � _ ._. <br /> Si�natureofApplicant: :z._ �_ --- - - - ` � f� � -, � <br /> . . Date: �C. � / <br /> MPCA Certification No.: �� � l.J . . - � <br /> Staff Reriew: Ap ya1 be�� � <br /> � ReFiezver: Date:_ ��—l�- 9 <br /> Reason for Denial• � � <br />