Laserfiche WebLink
!" # <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 /> C�` ' 2. I will be installing the following: <br /> r Manufacturer�q►�ir-/ <br /> A Tanks: ,/ Precast Concrete Othe <br /> Tank Capacities: 1) 3av al. 2)�al 3)�gal <br /> B. Pump Station(if required) <br /> Pump make& model ���� �� (atta.ch pump curve& <br /> literature); system design requires gpm at feet of head. <br /> High water alarm make&model . Outside <br /> electrical work to be completed by installer electrician other. <br /> C. Treatment System: <br /> Trenches: s.f. � Mound <br /> Depth of rock below pipe " Rock bed dimensions l� ' x�3 ' <br /> Drop Boxes Sand bed dimensions�' x 3� ' <br /> Distribution Box Pressure Dist. Pipe Diam. �'/�— " <br /> Manifold Pipe Diam. -L " <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 City of Orono for issuance of a septic system installation permit, <br /> a,,urees to do all work in strict accordance with ordinances of the City and the regulations of the Sta.te <br /> of Minnesota,and certifies that all statements made on this applica.tion are complete,true and conect. <br /> Signature of Applicant � S Date: l U�� `a T <br /> MPCA License No. � �� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> Staff Review: A proval Denial <br /> Reviewer: Date• 1� � �d� <br /> Reason for Denial: <br />