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• CUSTOMER: <br /> Nar�: Kevin Haimes <br /> Street Address: 585 N Stubbs Ba Road N ----— <br /> City, State, Zip Code: Orono MN 55356 <br /> Phones: (H} Work Cell fi12-867-3743 <br /> SITE ADDRESS: <br /> Street: S�1ME AS ABOVE <br /> City _- <br /> Township <br /> P!D <br /> Date of design � <br /> System informatio�r New X Replacement <br /> Type of system Rock Trench Gravelless trench <br /> X Mound At-Grade <br /> Chamber Altemative, Other, Perfonn. <br /> Type of establishme�t Single Family Home <br /> Septic tank information No. & size of usable existing tanks: PUMP AND DESTRC?Y <br /> No. 8 size af new septic tanks: 2 - 1000 <br /> *' ts there a grindeNe}ector pump used in the system? N4 <br /> (Check fcx additional si�ing requirements and compartmentalization with LUG) <br /> Pump tank information Size of pump tank 1000 gallons <br /> Site considerations Propane or natural gas lines in way? <br /> X Under ground electric lines in way? <br /> � Cabte or phone lines in way? <br /> Buried water lines in way7 <br /> Existing septic tank to pump and inspeat? <br /> X Old septic tanks #o pump and bury? <br /> Septic tank truck access available? <br /> T�ees to be removed? <br /> Difficult tanic & drainfield equipment a��ess/workability? <br /> Other: <br /> Variance required? NO Describe: <br /> PAGE 2 OF 12 <br />