Laserfiche WebLink
+ <br /> .a!� . -r.�r. <br /> .t <br /> NOTE: Applicant must in.itial all spaces. Fill in all appropriate blanks, check all appropriate � <br /> boxes. <br /> 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 installina � �g/���H����'� <br /> . A. Tanks: recast Concret _ Other Manufacturer <br /> Tank Capacities: / o gal. 2) /000 gal. 3) �, gal. <br /> B. Pump Station (if required) <br /> Pump make & model ;�u 11� �A � c� (attach pump curve & <br /> literature); system design requires Z� Spm at /-� feet of head. <br /> High water alarm make & model,l,E�el G����� • Outside <br /> electrical work to be completed by installer >C electrician <br /> other . Inside electrical work must be completed by <br /> electrician. <br /> C. Treatment System: <br /> Trenches: s.f. x Mound <br /> Depth of rock below pipe <br /> " Rock bed dimensions /o 'x 37' <br /> Drop Boxes Sand bed dimensions y/ 'x�' <br /> Distribution Box Pressure Dist. Pipe Diam. � 2° <br /> � Maniford Pipe Diam. 2' " <br /> D. Final Cover/Topsoil to be: bonowed from site <br /> (show location on site plan) <br /> �'(� trucked in <br /> The undersigned hereby applies to the Ciry of Orono for issuance of a septic system installation <br /> permit, agrees to do all work in strict accordance with the ordinances of the Ciry and the <br /> regulations of the State of Minnesota, and certifies that all statements made on this application <br /> are complete, true and correct. <br /> i natureofA licant: � Date: c� 'Z �` �� <br /> S g PP <br /> MPCA Certification No.: � 98 <br /> Staff Review: Appro ,/� enial <br /> Reviewer: Date: ����� <br /> Reason for Denial: . <br />