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- _ _ - - <br /> �:-: �•. ---' _._-:" - +-- - �.t,u- .. ^.3T}srsc;= s:rw--•r__ sn��Yrn�J�' yt�. -rr-.-.�.-.rr.•. _ <br /> Sts '- IC SYSTEM PERMIT APPLICATON - PAGE 2 <br /> Permit Type & Fees (check one) _...- <br /> New <br /> -New Construction, Full System $75.00 <br /> Replace Existing System (1 or more new tanks & drainfield) $50. 00. . . <br /> Partial Replacement (replace just tanks or just drainfield) $30. 00. <br /> $0.50 State surcharge added to above permit: fees - -- `_ <br /> SEE FEE SCHEDULE FOR NON-RESIDENTIAL PERMIT FEES <br /> DO NOT MAIL PANT WITH THIS APPLICATION <br /> *************************************************************************** <br /> NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, <br /> check all appropriate boxes. <br /> Initial <br /> 1. I have received a copy of the system design including the <br /> . City of Orono Septic System Approval Cover Sheet. <br /> 2. I will be installing the following: <br /> A. Tanks: 3 Precast Concrete Other Manufacturer <br /> Tank Capacities: 1) 1000 gal. 2) gal. 3 ) gal. <br /> B. Pump Station (if required) <br /> Pump make & model BFF (attach pump curve & <br /> literature) ; system design requires 194 gpm at 20 feet <br /> of head. High water alarm make & model anchor <br /> Outside electrical work to be completed by 'installer <br /> x electrician other . Inside electrical work <br /> must be completed by electrician. <br /> C. Treatment System: <br /> Trenches: s.f. x Mound <br /> Depth of rock below pipe " Rock bed dimensions +'x 55 ' <br /> Drop Boxes Sand bed dimensions 3'x 27 ' <br /> Distribution Box Pressure Dist. Pipe Diam. 2 " <br /> Manifold Pipe Diam. 2 " <br /> D. Final Cover/Topsoil to be: borrowed from site <br /> _ (show location on site plan) <br /> 'x truce in - <br /> ************************************************************************** <br /> he undersigned hereby applies to the City of Orono for issuance of a <br /> optic system installation permit, agrees to do all work in strict <br /> acordance with the' ordinances of the City and the regulations of the State <br /> f Minnesota, and certifies that all statements made on this application <br /> =e complete,. true and correct. <br /> 0, <br /> _gnature of Applicant sOJ�i _/� ._ Dater- <br /> . <br /> 'CA Certification No. : / %13 <br />