Laserfiche WebLink
' � <br /> g w `z# sz=W ,,t, =e` c „ i ,: <br /> Fi #in allapproprrafebl °, sacbc •ilppop ate^ ocs : :` „,,,' <br /> I will be installing the following: <br /> Tan s <br /> ✓Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other I21/ S c4 <br /> (list manufacturer) <br /> Number of Tanks: 15 0Q 5 7 L • 4 C e>r+^?4(4""1/4-€A-1- <br /> Size of Tanks: 1 <br /> Treatment System 1-400K , _/5 Q . S -t-, r_9 <br /> Trenches s.f. 14 A : F. e t <br /> Mound s.f. <br /> Gravel less s.f. <br /> Chamber s.f. <br /> Final Cover/ Top Soil <br /> /to be borrowed from site (show location on site plan) <br /> ._\2c <br /> trucked in <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system <br /> installation permit, agrees to do all the work in strict accordance with ordinances of the City <br /> and regulations of the State of Minnesota and certifies that all statements made on this <br /> application are complete, true and correct. <br /> Signature of Applicant t /� Date: <br /> MPCA License No.: I�.l A <br /> Staff Review: Accept E, Denied <br /> Reviewer: /,L}. .)6_,c Date: /p2-(2-0 et <br /> Reason for Denial: <br /> Comments (to be printed on inspection card): <br /> A ( l C D (1A P°n.e A -i--_ 70 4 e So y I-:r0 /lit CMCJ i f <br /> V:\(Permits)\Septic Permit Application-New Permit Fees 2009.doc <br /> 2 / 2 <br />