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SEPTIC SYSTEM APPROVAL <br /> 0 0 . <br /> CITY of ORONO <br /> Municipal Offices <br /> t Street Address: Mailing Address: <br /> 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner C)Fc.r. Kf arr,e-r Phone (Home) (Work) <br /> Address i qkf f tt w- � City 0 C e rkO State M Zip <br /> Site Evaluator ge r n,t M.11 c r State License# 11a1 Phone# 3 ZO- 3`i 4 <br /> Type of Establishment: Single Family Multi Family <br /> Commercial Garbage Disposal Yes No <br /> No. Potential Bedrooms Est. Gallons Per Day 90 U 11 <br /> Waier Meter Required: Yes_ NoX Soil Sizing Factor `z's <br /> Perc Rates P-1 11 P-2 -)L3 P-3 iA P-4,, :) P-5-cl_ P-6 QO P-7 v <br /> Restricting Layer Depth B-1�?� B-2, ,3 B-3 I.S' B-4 1.5 B-5 1,: B-6 i <br /> Type of Treatment System: y <br /> Standards Experimental Alternative INC ^ <br /> Pressurized Mound System X At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift Pressurized Bed System <br /> sa <br /> Holding Tank W/Alarm M <br /> Septic Tank Size 13o 0 # of Tanks Lift Tank Size i n <br /> Pump Brand GPM 0-4 J. ? Head 16, <br /> Treatment System: a <br /> Minimum (i Ox`75)(4%x ioo 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 (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 X DENIED By the City of Orono subject to existing regulations and <br /> the following conditions: <br /> By: -i r OO 5- 31- 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 />