Laserfiche WebLink
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate <br /> boxes. <br /> � 0 1. I have received a copy of the system design including the City of Orono <br /> r Septic System Approval Cover Sheet. <br /> 2. I will be installing the following: <br /> A. Tanks: �( Precast Concrete Other Manufacturer ��c+'��� <br /> Tank Capacities: 1) I�w gal. 2) f w gal. 3) t 3� gal. <br /> B. Pump Station (if required) , <br /> Pump make & model Y�E `10 �- ��� (attach pump curve & <br /> literature); system design requires y? gpm at 2 � feet of head. <br /> High water alarm make & model �a.,G;� Outside <br /> electrical work to be completed by installer _�electrician <br /> other . Inside electrical work must be completed by <br /> electrician. <br /> C. Treatment System: <br /> Trenches: s.f. � Mound <br /> Depth of rock below pipe " Rock bed dimensions L_'x�' <br /> Drop Boxes Sand bed dimensions ��'x�' <br /> Distribution Box Pressure Dist. Pipe Diam. '!L_" <br /> Maniford Pipe Diam. 2 " <br /> D. Final Cover/Topsoil to be: � borrowed 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 <br /> permit, agrees to do all work in strict accordance with the ordinances of the City 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 /> SignatureofApplicant: �Zu�" 1` ��'p'�"` Date: �/S-u� <br /> MPCA Certification No.: �-��o <br /> Staff Review: p al Denial <br /> Reviewer: <br /> \ �,�,�,ui Date: 8�(5� 00 <br /> Reason for Denial• <br />