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SEPTIC SYSTEM APPROVA <br /> 0 0 ONO COPY <br /> 0 0 <br /> CITY of ORONO <br /> ON <br /> 1 y h i <br /> !Sr Municipal Offices <br /> eft; t G Street Address: Mailing Address: <br /> ` EggOg' 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner PhZIP S Phone (Home) (Work) <br /> Address 3'2 S Thur n k. , City U t o(\o State Zip <br /> Site Evaluator S 5 c1,;c-.k(S State License Phone# <br /> Type of Establishment: Single Family_ Multi Family <br /> Commercial Garbage Disposal Yes No <br /> No. Potential Bedrooms I-1 Est. Gallons Per Day GOO <br /> Water Meter Required: Yes_ No Soil Sizing Factor 0.�3 <br /> Perc Rates P-1 X3.3 P-2 -?.3 P-3 q.b P-4 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 ),g" B-214" B-3 a4" 13-4 �,'' B-5B-6 <br /> Type of Treatment System: <br /> Standard X 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 Sizea:(Size ;i, 0) # of Tanks Lift Tank Size 1000 <br /> Pump Brand GPM L40 Head 1 H <br /> Treatment System: <br /> Minimum (10,SS 4 q%i S Square Feet with 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(952-249-4600) 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: w't1\ ��I o.. v 10 °�°% S I bipc o u C fio <br /> Q \o-- SOU C . c c\"S <br /> By: oMojdCNf6/)�� q"�`� <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />