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: _ � -m -• ,�- -_ - - - _ ._ - �: . . <br /> � � r -�--_ ---� - -- --t_ ��. � <br /> ` ._ +*'----�3^'—_ —_ '�' %. <br /> 1 ' .tir- _ � -�G _ _ 1_. ....":� ... -. _'-:. _� .-. �._.:� .�..., . . <br /> _. .." . 1 . ..':" . ..�"'� ' <br /> • �--- .-�. _� .•:- � ._ , �..`_ . -_-��- . � , �e:: k.v.qc. ��Y'�rY'�-� -? �^4�--►,N+iy ��.w.R..:'� �t�^"T'T' .+rt�- <br /> , ' � . <br /> .-,�r'r�—: � .. ...., - - � ..,_ . ' . . r' ' , . <br /> _ .. .. _.. _ . .. � ..._. ...' ..__ ' _..._ _ _-`. '..-.-- ,._.. . . ._.�..a.« .:.;.. :. <br /> SBPTSC SYST�..M -PERMIT APPI�SC�TON - PAG� 2 _ � <br /> Per.ait Type � Fe�s (c�e�.� oae) _..__ . � � � - <br /> New Construc�ion, Full Syst� $75. 00. . . . . . . . . ; � . . . . . . . - - <br /> Replace Existing �y�tem (1 or more new tanks & drainfield) $50.00. . . <br /> Partial Replacement� treplace just tanks or just drainfield) $30. 00. . . <br /> $0.5� State surcharge_ added to above permit: fees - - -V J" _ <br /> S£E FEE SCHEDULE FOR NON-�ESIDENTIAZ PERMIT FEES <br /> i� DO NOT MAIZ PAYM�'r' WZTH THIS BPPLIC�TIOA <br /> ***tff****#*#**t#****f*�****::**t*#*******::*��r***##:**###**t**t****f�***** <br /> NOTS: Ap�Iicant must initial all spaces. Fill in alI a�progriate blanks, <br /> check a�l appro�riate boxes. <br /> Initial <br /> ��"y I. 2 have received a cog of the s stem desi n includin the <br /> � Y Y g g <br /> . City of Orono Septic System A�nroval Cover Sheet. <br /> � 2. I wi11 be installing the following: <br /> � A. Tanks: LPrecast Concrete Other Manufacturer <br /> Tank Capacities: I) „ „ gal. 2) ; ,.r . gal. 3 ) ga1. <br /> B. Pumn Station (if required) �,.��r�, ,',�:. `" � ' ., <br /> Pump make & model � ,. � ;� ' � ; (attach gumn curve & ' ' � � <br /> Ziteratsre) ; system design requires �r gFin at ? , feet <br /> �� head. Hig:� •��a�er a?�� �aake & �:.oe�' , . i.;�• r„�,�� i ► � � <br /> Outside electrical work to be c�m�leted by _installer <br /> n electrician other Inside electrical work <br /> must be cam�Ieted by eiectrician. • <br /> C. Treatment System: <br /> �_ Trenches:��� s.f. Mound <br /> Depth of rock below pipe r.' " Roc� bed dimensions 'x ' <br /> -> Drop Boxes Sand bed dimensions 'x ' <br /> Distribution Box Pressure Dist. Pi�e Diam. " <br /> Manifold Pi�e Diam. " <br /> D. Final Cover/Topsoil to be: ;- borrowed from site � <br /> - , _ (show location on site plan) <br /> _ _ --._ _ . _ . _ _ . trucked in - <br /> *��*���*�#����*�*:ftt#�:�_�*�t�����t��3�t_::�����*����f���*�������t�r�:����� <br /> �e undersigned hereby app Iies to the City of Orono for issuance of a <br /> �ptic system iastallation permit, agrees to do aII work in strict <br /> �cordance with the ordinances of the City and the regulations of the State <br /> : Minnesota, and certifies that alI statements made on this application <br /> :e comp lete,. true and correct. . <br /> :gnature of AFplicant: '"-� � - ���'��� � - Date: ` � '��_ _ <br /> 'CA Certification No. : � � , - - <br />