Laserfiche WebLink
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate <br /> boxes. <br /> TS- 1. I have received a copy of the system design including the City of Orono <br /> Septic System Approval Cover Sheet. <br /> j -, 2. I will be inst • g the following: <br /> A. Tanks: Precast Concrete _ Other Manufacturer .'',.-.)1.1 ss <br /> Tank Capacities: 1) J c OZ) al. 2) ke,0 gal. 3) 16_ ,,c) gal. <br /> B. Pump Station (if required) <br /> r � <br /> Pump make & model (2 f� (attach. .u1np curve & <br /> literature); system design-tequues t gpm at `_;;r!. ' eet,of head. <br /> High water alarm make & model .i4v<< ,r .-, f�'ti,kicoutside <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 /> r <br /> Trenches: s.f. Mound 'j� <br /> Depth of rock below pipe " Rock bed dimensions J0'x 7 6� <br /> Drop Boxes Sand bed dimensions�$a5, 'x_ 4- c <br /> Distribution Box Pressure Dist. Pipe Diam. I i/V, " <br /> ;Maniford Pipe Diam. oZ " <br /> 4:,„; <br /> D. Final Cover/Topsoil to be: '''borrowed from site <br /> by (show location on site plan) <br /> /b 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 •.t all statements made on this application <br /> are complete, true and correct. ,, -) <br /> 9i <br /> SignatureofApplicant: 1. ),__ d` Date: y I�� -7 <br /> MPGA Certification No.: -c-i• V -p--...__ g—`?0— '= 7 if2-e0‘%Sec6 <br /> Staff Review: Approv. �\ Denial <br /> / <br /> Reviewer: /0,i i it , Date: 7: /1-"/ �� <br /> / #�-9 7 <br /> Reason for Denial: <br />