Laserfiche WebLink
�, • , . SEPTIC SYSTEM APPROVAL <br /> � �,�. <br /> �ISt'EC1'OR'S CpPY ��FECTOR'S COPY <br /> � � ' <br /> . ;,�,,. ,� C ITY of ORONO <br /> r��, �!� Municipal Offices <br /> � � � �� , �, � ; � <br /> Street Address: Mailing Address: <br /> �����E88����� 2750 Kelley Parkway P.O. Box 66 <br /> ___—' Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner 1 ony E�der� CatHp�i'1�! Phone (Home) (Work) <br /> Address�O SuSSPX Lq�nt� City (,�r � State GY?•� Zip S5 356 <br /> Site Evaluator 5r-P ��e���hq State License # 3 Phone# yq�- ,3566 <br /> Type of Establishment: Single Family�C_ Multi Family <br /> Commercial fJO Garbage Disposal Yes No <br /> No. Potential Bedrooms 5 Est. Gallons Per Day 5 D <br /> Water Meter Required: Yes No )C Soil Sizing Factor .83 .Y$ �' ' <br /> Perc Rates P-1 N,5 P-2� P-3 2�C! P-4 3�$ P-5 P-6 P- <br /> Restricting Layer Depth B-1 22" B-22G" B-3 2�"' B-4 Zo" B-5 ZD" B-6 l8" <br /> Type of Treatment System: <br /> Standard X Experimental Alternative <br /> Pressurized Mound System ,k At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift Pressurized Bed System <br /> Holding Tank W/Alarm <br /> Septic Tank Size 250 /DOC� # of Tanks 2 Lift Tank Size !250 <br /> Pump Brand — GPM y-] Head /g� <br /> Treatment System: 8y, q <br /> Minimum (�p'xb��)+-�y���`i 8' Square Feet with I inches of rock below pipe <br /> Type of covering Fabric�_ Other <br /> THIS IS NOT A PERMIT. 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 (249-4600) Call for inspection 24 hours in advance. <br /> ALL DRAINFIELD 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�_ DENIED By the City of Orono subject to existing regulations and <br /> the following conditions: <br /> By: � - -Oo <br /> Chris Pence, On-Site Systems Manager <br /> ��n�� /°� 2 S3 Z <br /> �t1Es T�i�� �3 � o <br /> ��/ � <br /> Telephone(612)249-4600 • Fax(612)249-4616 9�2(� 40 <br />