Laserfiche WebLink
. • . <br /> � 1 <br /> NOTE: Applicant must i.nitial all spaces. Fill in all appropriate blanks and check all appropriate <br /> 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: '3 Precast Concrete Other Manufacturer ��� � <br /> Tank Capacities: 1) /!o�O gal. 2) /(, 5� gal 3) /� �d gal <br /> B. Pump Station(if required) <br /> Pump make& model (atta.ch pump curve& <br /> literature); system design requires t-�9 gpm at��feet of head. <br /> High water alarm make&model . Outside <br /> electrical wo�k to be completed by insta.11er electrician other. <br /> C. Treatment System: . / <br /> Trenches: s.f. V Mound <br /> Depth of rock below pipe " Rock bed dimensions 8� ' x 1 C ' <br /> Drop Boxes Sand bed dimensions ' x ' <br /> Distribution Box Pressure Dist. Pipe Diam. " <br /> Manifold Pipe Diam. " <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 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 certifi t all statements made on this application are complete,true and conect. <br /> SignatureofApplicant � N,^�� ��'�,,��i� Date: ��,�6 � �(`�' <br /> MPCA License No. l 1�d �'��. � ' � ��c � <br /> ------------------------------------------------------------------------------------------------------------------------- <br /> Staff Review: Approval W(� Denial <br /> Reviewer: � � � ��� Date• �'��'C�.� <br /> Reason for Denial: <br />