Laserfiche WebLink
Dec-05-2003 03:30pm From-CITY OF ORONO +9522494616 T-505 P.002/002 F-224 <br /> NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate <br /> boxes. (13 Jk /& <br /> 1. I have received a copy of the system design including the City of Orono Septic <br /> System Approval Cover Sheet. �^ (73To�6 <br /> 2. I will be installing the following: /G'� f,Coi� �l� � /c <br /> A. Tanks: Precast Concrete Other Manufacturerr <br /> Tank Capacities: 1)_ gal. 2) gal 3) nal <br /> B. Pump Station(if required) <br /> Pump make&model (attach pump curve& <br /> literature), system design requires gpm at feet of head. <br /> High water alarm make&model . Outside <br /> electrical work to be completed by installer electrician other. <br /> C. Treatment System: <br /> Trenches: s.f. Mound <br /> Depth of rock below pipe" Rock bed dimensions ' x ' <br /> Drop Boxes Sand bed dimensions 'x ' <br /> Distribution Box Pressure Dist, Pipe Diam. " <br /> Manifold Pipe Diarn. <br /> D. Final Cover/Topsoil to be: borrowed from site <br /> (show location on site plan) <br /> trucked in <br /> The undersigned hereby applies to the City ofQrono for issuance ofa septic system installationpermit, <br /> agrees to do all work in strict a. ance with ordinances of the City and the regulations of the State <br /> of Minnesota,and certifies ttcc 1 statements m eon this application are complete,true and correct. <br /> Signature ofApplicant G/haDate ®3 <br /> 01 <br /> MPCA License <br /> Staff Review: Approval penial <br /> Reviewer: y r i �qzl( _ Date: <br /> Reason for Denial: <br />