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• � � SEPTIC SYSTEM APPROVAL <br /> � �lV' �� �� � � � `/ <br /> O <br /> O � <br /> C ITY of ORONO <br /> � ���� 'I'�°,. � <br /> ���� F�=�� `��' l� Municipal Offices <br /> �� G~ Street Address: Mailing Address: <br /> t`9�fEgg04'� 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner Fred Winston Phone (Home) (Work) <br /> Address 755 Sprin� Hill Rd City Orono State MN Zip <br /> Site Evaluator Steve Schirmers State License # 627 Phone# 763-497-3566 <br /> Type of Establishment: Single Family X Multi Family <br /> Commercial Est. Gallons Per Day 450 <br /> No. Potential Bedrooms 3 Slope: 8% <br /> Depth of Sand: Upslope: Downslope:_ Soil Sizing Factor 1.67 <br /> Perc Rates P-1 4.5 P-2 5.5 P-3 5.7 P-4 P-6 P-7 <br /> Restricting Layer Depth B-1 >72" B-2 >72" B-3 >72" B-4 _ B-5 _ B-6_ <br /> Type of Treatment System: <br /> Standard X Alternative Other Performance <br /> Pressurized Mound System At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift X Pressurized Bed System <br /> Holding Tank W/Alarm <br /> Septic Tank Size 1000 # of Tanks 2 Lift Tank Size 1000 <br /> Pump Brand GPM 10-45 Head 15' <br /> Treatment System: <br /> Minimum 660 Square Feet with 12 inches of rock below pipe <br /> Bed Mound Treatment Area <br /> THIS IS NOT A PERMIT. This is a design approval form which must accompany the site plan. A <br /> 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 (952-249-4600) 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 X DENIED By the City of Orono subject to existing regulations and the <br /> following conditions: <br /> 1) Alarm must be placed inside house. <br /> 2) An effluent filter in the pump tank is recommended. <br /> 3 Old tanks must be um and filled. <br /> ✓` 1���'�, '!.f �,"s��s�.. '� � _.. (,, _�? i� <br /> By: ��v <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />