Laserfiche WebLink
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate <br /> boxes. <br /> 1. I have received a copy of the system design including the City of Orono <br /> Septic System Approval Cover Sheet. <br /> 2. I will be installing the following: <br /> A. Tanks: 7L Precast Concrete _ Other Manufacturer <br /> Tank Capacities: 1) le gal. 2) DX gal. 3)10/0 gal. <br /> //21 <br /> B. Pump Station (if required) <br /> Pump make & model (attach pump curve & <br /> literature); system design requires 4/0 gpm at T/ feet of head. <br /> High water alarm make & model . Outside <br /> electrical work to be completed by installer electrician <br /> other . Inside electrical work must be completed by <br /> electrician. <br /> C. Treatment System: <br /> Trenches: s.f. Mound <br /> Depth of rock below pipe " Rock bed dimensions ) 'xSS' <br /> Drop Boxes Sand bed dimensions 36 'x '? ' <br /> Distribution Box Pressure Dist. Pipe Diam. " <br /> Maniford Pipe Diam. ) " <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 <br /> permit, agrees to do all work in strict accordance with the ordinances of the City and the <br /> regulations of the State of Minnesota, and certifies that all statements made on this application <br /> are complete, true and correct. / <br /> Signature ofApplicant: ,�� � Date: (:Z3 1 j <br /> MPCA Certification No.: <br /> Staff Review: Approval Denial <br /> Reviewer: Date: <br /> Reason for Denial: <br />