Laserfiche WebLink
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate <br /> boxes. <br /> 1. I have received a copy of the system design including the City of Orono <br /> Septic System Approval Cover Sheet. <br /> 2. I will be installing the following: <br /> A. Tanks: X Precast Concrete _ Other Manufacturer ire Sfi <br /> Tank Capacities: 1) i ) gal. 2) t 3� gal. 3) / 3� gal. <br /> B. Pump Station (if required) <br /> Pump make & model -'M <br /> s (attach pump curve & <br /> literature); system design requires 3 9 gpm at i 3 feet of head. <br /> High water alarm make & model ��r����.��� Outside <br /> electrical work to be completed by installer k electrician <br /> other Inside electrical work must be completed by <br /> electrician. <br /> C. Treatment System: <br /> Trenches: s.f. x Mound <br /> Depth of rock below pipe Rock bed dimensions J 'x <br /> Drop Boxes Sand bed dimensions <br /> Distribution Box Pressure Dist. Pipe Diam. 1, s <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 /> Signature ofApplicant: J �� r� �` `" Date: 7 " 17 <br /> MPCA Certification No.: <br /> Staff Review: Approv Denial <br /> Reviewer: <br /> Date: ' <br /> Reason for Denial: <br />