Laserfiche WebLink
• <br /> NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate <br /> boxes. <br /> 1. I have received a copy of the system design including the City of Orono Septic <br /> System Approval Cover Sheet. <br /> 2. I will be installing the following: L <br /> A. Tanks: D Precast Concrete Other Manufacturer <br /> Tank Capacities: 1)/000 gal. 2) /000 gal 3) gal <br /> B. Pump Station (if required) <br /> Pump make& model (attach pump curve& <br /> literature); system design requires -3 gpm at / feet of head. <br /> High water alarm make & model . Outside <br /> electrical work to be completed by installer Velectrician other. <br /> C. Treatment System: <br /> Trenches: s.f. Mound <br /> Depth of rock below pipe " Rock bed dimensions /0 ' x 60' <br /> Drop Boxes Sand bed dimensions V' ' x 747 <br /> ,' <br /> Distribution Box Pressure Dist. Pipe Diam. " <br /> Manifold Pipe Diam. !/ <br /> D. Final Cover/Topsoil to be: borrowed from site <br /> (show location on site plan) <br /> V trucked in <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system installation permit, <br /> agrees to do all work in strict accordance with ordinances of the City and the regulations of the State <br /> of Minnesota,and certifies that all statements de on this application are complete,true and correct. <br /> Signature of Applicant d,e/ Date: 6 S-0/ <br /> MPCA License No. g V <br /> Staff Review: Approval X Denial <br /> Reviewer: 'V\0 Date: 7-a- 0 <br /> Reason for Denial: <br />