Laserfiche WebLink
SEPTIC SYSTEM APPROVAL <br /> g. O'ev �R <br /> _a <br /> a <br /> _CE <br /> oA o <br /> aT CITY of ORONO <br /> Municipal Offices <br /> , { G <br /> �)� � ,� Street Address: Mailing Address: <br /> `9l� H0 2750 Kelley Parkway P.O. Box 66 <br /> n Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner R�� ` }fie r Phone (Home) 64646" (Work) <br /> Address City State Zip <br /> Site Evaluator .CTS r\ State License# 1 OAS Phone# ck�- 445- 44(01 <br /> Type of Establishment: Single Family Multi Family <br /> Commercial Est. Gallons Per Day 75y <br /> No. Potential Bedrooms S Slope: 5 <br /> Depth of Sand: Upslope: a " Downslope: a9" Soil Sizing Factor <br /> Pere Rates P-1 a-7 P-2 a7 P-3 a.9 P-4 a,9 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 g_ B-2 Q.4 B-3 1,DL B-4 1. 1 B-5 1 B-6 1,a <br /> Type of Treatment System: <br /> Standard 'X Alternative Other Performance <br /> Pressurized Mound System_ 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 taSO�\oob # of Tanks 7a Lift Tank Size �a S C <br /> Pump Brand GPM 19.-3 Head 15.5� <br /> Treatment System: <br /> Minimum Square Feet with inches of rock below pipe <br /> Mound Bed 10 x 6 Mound Treatment Area d X 1{a,' S�x I i 5 <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: <br /> � cR.c� 0 GC boil S.�c.S <br /> 0\ deSr\ —y" be <br /> Leo <*wy <br /> r,�ac( Sfian ns QCs g� <br /> By: Gti•—ovVK � - ' - 11- Q <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.cLorono.mn.us <br />