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SEPTIC SYSTEM APPROVAL <br /> r <br /> -...�.� � <br /> 0 0 <br /> Y <br /> - CITY®f ORONO <br /> 1�. ;r• ^� ti Municipal Offices <br /> Street Address: Mailing Address: <br /> � ES' '0 L 2150 Kelley Parkway P.O. Boz 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner/U E4) C3uOen F7ie-Lb Phone (Home) (Work) <br /> Address 3745 IJ6fe0.0a City DR6NO State AM_ Zip <br /> Site Evaluator Koch 5o;( Jesf State License#IYjAlyz2 Phone#61Z -,17 9- 26 3 7 <br /> Type of Establishment: Single Family Multi Family <br /> Commercial /J o Garbage Disposal YesNo <br /> No. Potential Bedrooms 3 Est. Gallons Per Day '156 <br /> Water Meter Required: Yes_ No X Soil Sizing Factor .'?3 O,VS-qAql 9 <br /> Perc Rates P-1 q1.2 P-2 3 9 P-3 3 5 1 P4 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 ," B-2 18" B-3 /$" B-4 B-5 B-6 <br /> Type of Treatment System: <br /> Standard X Experimental Alternative <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 !poo # of Tanks 2- Lift Tank Size /Doo <br /> Pump Brand GPM .3 O Head 13.5' <br /> Treatment System: q <br /> Minimum(y l r Io') 2 07O X Square Feet with I 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(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: <br /> Chris Pence, On-Site Systems Manager <br /> Telephone(612)2494600 - Fax(612)2494616 <br />