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<br /> ``"""�' ' :`;2003 1�:24am From-CITY OF ORONO +A6224o4616 T-433 P.003/003 F-T82
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<br /> , NOTE: Applicant must initial all spaces. Fil1 in all appropriate blanks and check ail appropriate '`"'` � --- -
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<br /> _- 1. I have received a copy of the system design including the City 4f Ozon4 Sepuc
<br /> -_ _ ' System Approval Cover Sheet.
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<br />-�--,:- _ x -- 2. x will be��s�' g�he following: .
<br /> - 4 Tanks:��reea�t Concrete Other Man�er
<br /> _ - � _ � � Tank Capacities: 1) aai. 2) ttal � 3) �al
<br /> --- t�ll�er� oZ.,- ..
<br /> w �'��C—�a+�B. Pump Stadon(if requirui) ' "
<br /> _� Q�� 0.--Focr� �mp make&modet (atrach pump curve& -
<br /> - `d 1 1�i -� literature); system design r�uires gpm at feet of head.
<br /> - ���� �igh water alarm make&model . Qutside _ . _ ..
<br /> � electrical work to be completed by installer electrica�n other.
<br /> _._ �„lowe.rti .
<br /> �x 'Ct�; � C. Treatment System:
<br /> �a�� Trenches: s.f. Mound .
<br /> . Depth of rock balow pipe " Rack bed dim�insions�'x�'
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<br /> � Drop Boxes Sand bed dim�nsions 'x ' �
<br /> Distribution$ox Pressure I)ist.Pipa T�=�Tn. �� �
<br /> _ anifold Pipe l�isrn „ � .
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<br /> D. Final Cot�ern'opsoil to be: borrowed Fcom site ' • �-�
<br /> -� (show location on site plan)
<br /> trucked ia _
<br /> The undersi�;ned hereby applies to the City of Orono for issuance ofaseptic systeminstaIlation ge�it, � ,
<br /> agr�es to da all work in striat accorda.nce with ordinances of#he City and the regt�lations of the State
<br /> ofMinuesota,and certifies that all statements made oA this application are complete,tnae a.ad correct.
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<br /> Si�natureofAppliGac�jCl/�_ v�f'.iYv�in , p� , : �— � ��:
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<br /> _ , MPCA License No. �!'�1 C, �� ���I'►►� �� i . � -
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<br /> Staf'�Review: Approval l3enial . .;-.Y . '
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<br /> _ : Revievrer: ��� .'Aate: ��.�:���� ., � ,
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