Laserfiche WebLink
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate <br /> boxes. <br /> r <br /> 1. I have received a copy of the system design including the City of Orono Septic <br /> System Approval Cover Sheet. <br /> 2. I will be installing the following: <br /> A Tanks: J_Precast Concrete Other Manufacturer <br /> Tank Capacities: 1) /'p o o gal. 2) ZO" gal 3) E D al <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 /> Frenches: s.f. /O,I^5-V Mound <br /> Depth of rock below pipe Rock bed dimensions Ix ' <br /> Drop Boxes Sand bed dimensions ' x ' <br /> Distribution Box Pressure Dist. Pipe Diam. <br /> Manifold Pipe Diam. :Z " <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 of Orono for issuance of a septic system installation permit, <br /> agrees to do all work in strict accordance with ordinances of the City and the regulations of the State <br /> of Minnesota,and certifies that all statements made on this application are complete,true and correct. <br /> Signature ofApplicant Date: S —ja D <br /> o.---MPCA License No.- <br /> -------------------—--—--------------------------------------------------—------------------------------------- ----- <br /> Staff <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> Staff Review: Approval Denial <br /> Reviewer: Date: <br /> Reason for Denial: <br />