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SEPTIC SYSTEM APPROVAL <br /> v.-O `\: ©Raxo corms <br /> O O <br /> CITY of ORONO <br /> Municipal Offices <br /> ' Street Address: Mailing Address: <br /> i`qk Og41W 2150 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323.0066 <br /> Owner rilnd5 �� e�l C7 Phone (Home) (Work) <br /> AddressCity og-ero State /*J Zip <br /> Site Evaluator S—P %f51(r2a State License # 3_�_ Phone# 66 <br /> Type of Establishment: Single Family >, Multi Family <br /> Commercial A)0 Garbage Disposal Yes No <br /> No. Potential Bedrooms .5 Est. Gallons Per Day_ 75D <br /> Water Meter Required: Yes No X Soil Sizing Factor , .y5 al z FI <br /> J Ssr=) <br /> Perc Rates P-1 1 P-2P-3� �P-4 P-5 P-6 q_ P- <br /> Restricting Layer Depth B-1 IE)" B-2 12'' B-3 �6'' �B-4 ,L B-5 ;C B-6 ZZ`` <br /> Type of Treatment System: <br /> Standard_ 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 #of Tanks Z Lift Tank Size I ZSR <br /> Pump Brand GPM I/ Head 4� <br /> Treatment System. <br /> Minimum bc'y 5�`��&X I it 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 (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 /> By: - 17- <br /> Chris 'en ce, On-Site Systems Manager <br /> b SYSTEM IS DESIGNED FOR <br /> BEDROOMS. ANY INCREASE IN NUMBER <br /> OF BEDROOMS INVAUDATES THIS DESIGN. <br /> Telephone(612)249-4600 Fax(612)2494616 <br />