Laserfiche WebLink
�� �� <br /> NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate <br /> boxes. <br /> �--' <br /> —}� r� 1. I have received a copy of the system design including the City of Orono � <br /> Septic System Approval Cover Sheet. <br /> '��� 2. I will be installing the following: <br /> A. Tanks: ✓✓ Precast Concrete Other Manufacturer <br /> Tank Capacities: 1) �� gal. 2) �r� gal. 3) i��� gal. <br /> B. Pump Station (if required) . <br /> Pump make & model/�,,...i�0 �-��o�%/ � (attach pump curve & <br /> literature); system design requires �� gpm at � feet of head. <br /> High water alarm make & model ,�<-��/,�;.�,� Outside <br /> electrical work to be completed by installer �� electrician <br /> other Inside electrical work must be completed by <br /> electrician. <br /> C. Treatment System: <br /> Trenches: s.f. j,�� Mound <br /> Depth of rock below pipe " Rock bed d'unensions ��� 'x ���' <br /> Drop Boxes Sand bed dimensions �jc. 'x y�� ' :�'��. <br /> Distribution Box Pressure Dist. Pipe Diam. I�/L" <br /> Maniford 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 <br /> permit, agrees to do all work in strict accordance with the ordinances of the City and the <br /> regulations of the State of Minnesota, and certifies that all statements made on this application <br /> are complete, true and conect. <br /> J ' <br /> SignatureofApplicant: '-7 �:- �/ � � ' -- Date: i� -i S- i %`' <br /> MPCA Certification No.: � �/� <br /> Staff Review: Appro al � Denial <br /> � � . <br /> Reviewer: � � Date: ��f����� <br /> Reason for Denial: . <br />