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� � � SEPTIC SYSTEM APPROVAL <br /> __;--- <br /> .---�� <br /> O ��L`OPY <br /> ��:, � � � �������' SITE COP� <br /> '�� � 0 � <br /> �� � � � �� CITY of OR4N0 <br /> ,� , . _- _ �, <br /> �'i, � .- : ,yE�r,; MunicipalOffices <br /> '� . - . ' <br /> � � ;, <br /> Street Address: Mailing Address: <br /> �9�C'EgK_��-/�" 2150 Kelley Parkway P.O. Box 66 <br /> � -�� Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner �i,•� E�den Cor.�d�nY Phone (Home) (Work) <br /> Address y5 Sus s�x Ca r�c City Lon C�akt State�y ,a Zip��d <br /> Site EvaluatorS- 7Ps�i n State License #� Phone# �17- 3 5�6 <br /> Type of Establishment: Single Family X Multi Family <br /> Commercial /�o Garbage Disposal Yes No <br /> No. Potential Bedrooms 5 Est. Gallons Per Day 7 SU <br /> Water Meter Required: Yes No �C Soil Sizing Factor . 83 � ,Y5 Ff2 <br /> Perc Rates P-1l0.7 P-2 2/�$ P-3� P-4 l��2 P-5 /?�0 P-6 �2�5 -7 <br /> Restrictina Layer Depth B-1 30" B-2 /8" B-3 /d" B-4 ZO` B-5 Z$� B-6�'� <br /> Type of Treatment System: <br /> Standard k Experimental Alternative <br /> Pressurized�Iound System )C At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift Pressurized Bed System <br /> Holding Tanl:W/Alarm <br /> Septic Tank Size 1250 / (v�p # of Tanks 'l. Lift Tank Size �25p <br /> Pump Brand GPM y 7 Head 27� <br /> Treatment System: (Ye f 93') q <br /> Minimum (��'zbz'�f�yb'�oo� Square Feet with / inches of rock below pipe <br /> Type of co��erin� Fabric k Other <br /> THIS IS I�OT A PERiiVIIT. This is a design approval form which must accompany the site plan. <br /> A permit must be issued to a licensed septic contractor prior to installation. <br /> NOTICE TO INSTALLERS: Any changes to the approved plans must have prior approval of the <br /> inspector(2-�9-4600) Call for inspection 24 hours in advance. <br /> ALL DRaI�'FIELD AREAS MUST BE FENCED OFF prior to building site excavation and <br /> . fencing must remain in place until final site grading. Approval to pour footings will not be granted <br /> until the Inspections Department has verified the primary and alternate sites are protected. <br /> NO VEHICULAR TRAFFIC OF ANY KIND is allowed within 20' of tested drainfield sites ever. <br /> ACCEPTED /� DE1vIED By the City of Orono subject to existing regulations and <br /> the follo�vinQ conditions: us 6 I b" Sqnr�O Un DCR Rock Qa� . /Y1a i N��iJ �l l In�i n i vrr u w, <br /> k3 . <br /> � <br /> By: �-l8-o 0 <br /> Chris Pence, On-Site Systems Manager <br /> ����� <br /> 8EDR00�. ANY�It�E'ASE 1K� <br /> ti�BED�Q0MS�11fAU�ltTES�NIS QEStC�, <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br />