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boxes. <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 installing the following: <br /> A. Tanks: �Precast Concrete _�Other Manufacturer !'Yl�(�,Floca <br /> Tank Capacities: 1) aop� al. 2) -�so �al 3) ISoa gal <br /> SQ�` M��ti�Clow <br /> B. Pump Station(if required) � <br /> Pump make&model_(�' �ds w��� �Z�� (attach pump curve& <br /> literature); system design requires��gpm at /� feet of head. <br /> High water alarm make&model �c�c.l . Outside <br /> electrical work to be completed by installer electrician other. <br /> C. Treatment System: <br /> Trenches: s.f. Mound ��Q�Ze� �� <br /> Deuth of rock below pipe�" Rock bed dimensions�' x�' <br /> _ Drop Boxes Sand bed dimensions�' x(�,�' <br /> Distribution Box Pressure Dist. Pipe Diam. z" " <br /> Manifold Pipe Diam. 02'�" <br /> D. Final Cover/Topsoil to be: bonowed from site <br /> (show location on site plan) <br /> J� 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 Minnesota,and certifies that all stateme n this application are complete,true and correct. <br /> Signature of Applicant Date: 9'a5-D`� <br /> MPCA License No. 0192 <br /> � � z ,P, ;�,,s , .,, <br /> Staff Review: Approval � . Denial <br /> Reviewer: ./}' . /, �,(',� Date: �(/'��� � <br /> Reason for Denial: <br />