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SEPTIC SYSTEM APPROVAL <br /> 0, . <br /> ORONO COPY <br /> r : CITY of ORONO <br /> v* L of 3 6 l oc. I Municipal Offices <br /> t�� `r G~ r✓1 nd t+�!1 Street Address: Mailing Address: <br /> '�$E`HOS' FA�cr+'► 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323.0066 <br /> Owner -7 o m G r,4h,9 m Phone (Home) (Work) <br /> Address /0(95 TArv1ARrteK Aa, City ton 6*kE State M,4 Zip 56' 6 <br /> Site Evaluator W vsf Wool) State License# q _ Phone# 32 D- 253- 873 7 <br /> Type of Establishment: Single Family X Multi Family <br /> Commercial Garbage Disposal Yes No <br /> No. Potential Bedrooms y Est. Gallons Per Day ! 0 D <br /> Water Meter Required: Yes_ Nom Soil Sizing Factor , 03 0 1 ed/f f2 <br /> Perc Rates P-1 17 P-2 2 y P-3 I q_ P-4 17 P-5 P- "P-1 <br /> Restricting Layer Depth B-1 2U" B-2 12" B-316" B-4 18" B-5 25'" B-6 2/ 2,(" <br /> Type of Treatment System: <br /> Standard k Experimental Alternative <br /> Pressurized Mound System X 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 loon # of Tanks Z Lift Tank Size 1 000 <br /> Pump Brand -- GPM 37, 7 Head <br /> Treatment System: <br /> Minimum bolx 5o')4- (38'x70')Square Feet with inches of rock below pipe <br /> Type of covering Fabric X 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 X DENIED By the City of Orono subject to existing regulations and <br /> the following conditions: <br /> By: x-25-0 c7 <br /> THIS SYSTIS DESIGNED FOR Chris Pence, On-Site Systems Manager <br /> EM <br /> -U—BEDROOMS. ANY INCREASE IN NUMBER <br /> OF BEDROOMS INVAUDATES THIS DESIGN, <br /> Telephone(612)249-4600 • Fax(612)2494616 <br />