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r ' SEPTIC SYSTEM APPROVAL <br /> 0 4�' COPY ORONO CoPY <br /> CITY of ORONO <br /> Municipal Offices <br /> Street Address: Mailing Address: <br /> �fEg�j 2150 Kelley Parkway P.O. Box 66 <br /> --- Orono, MN 55356 Crystal Bay, MN 55323.0066 <br /> Owner 7e FF I'll CI i n! Phone (Home)Yoy-o327 (Work) <br /> Address 39`io 141*11F,41yan 1101. Cityljrpfc FIa1►J State Ald Zip $535 <br /> Site Evaluator fusfy OL5on1 State License# 53-10 Phone# 4110 - 0,7 717 <br /> Type of Establishment: Single Family X Multi Family <br /> Commercial Garbage Disposal Yes No <br /> No. Potential Bedrooms 3 Est. Gallons Per Day YSO <br /> Water Meter Required: Yes_ No_C Soil Sizing Factor, 0 5 z <br /> Perc Rates P-1 P-2 3 P-3 P-4 P-5 P-6 P- <br /> Restricting Layer Depth B-1 U" B-2 ZY' B-3 22" B-4 yY" B-5 B-6 <br /> Type of Treatment System: <br /> Standard X 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 IOoD #of Tanks Lift Tank Size 1060 <br /> Pump Brand6oulds FOOS-3 07/ GPM 2 9 Head Z 1 <br /> Treatment System: 144o'x 6a' <br /> Minimum.110,,38')0(4o'x 4o') Square Feet with q inches of rock below pipe <br /> e <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 X DENIED By the City of Orono subject to existing regulations and <br /> the following conditions: 456- r+- e f /b" 6-elato y oc k. klect , k.,- <br /> /u f Fill 6459,11 ks M,-i u l Clu4 X 80. O! !o . <br /> By: p4aa� 7-31-00 <br /> Chris Pence, On-Site Systems Manager <br /> SYSTEM is DESIGNED FOR <br /> BEDROOMS. ANY INCREASE IN NUMBER <br /> OF BEDROOMS INVAUDATES THIS DESIGN. <br /> Telephone(612)2494600 o Fax(612)2494616 <br />