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SEPTIC SYSTEM APPROVAL <br /> O —R-03 91 <br /> r, CITY of ORONO <br /> Aj�, ti I Municipal Offices <br /> Street Address: Mailing Address: <br /> kE$SO 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner M',Ke dyer Phone (Home) (Work) <br /> Address—41145 wctter tc!w� P City Or6-0 State MA./ Zip <br /> Site Evaluator Stcdt Sc1.;t" 15 State License# CO Phone# <br /> Type of Establishment: Single Family_ Multi Family <br /> Commercial Est. Gallons Per Day 660 <br /> No. Potential Bedrooms L' Slope: C 610 <br /> Depth of Sand: Upslope: IA Downslope: Soil Sizing Factor 6. 3 <br /> Perc Rates P-1 P-2 P-3 P-4 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 IX" B-2 1'4" B-3 B-4 B-5 19" B-6 <br /> Type of Treatment System: <br /> Standard Alternative Other Performance <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 1 p p O # of Tanks Lift Tank Size 0 0 C� <br /> Pump Brand GPM__3 Head N <br /> Treatment System: <br /> Minimum Sdy Square Feet with cl inches of rock below pipe <br /> Mound Bed 10 AC'S O Mound Treatment Area y-A O <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 DENIED By the City of Orono subject to existing regulations and <br /> the following co ditions: <br /> X �e®fat� �•�..5�-:� � r-®��> > <br /> By: 1) <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 - Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />