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2001 - Septic System approval
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4760 West Branch Rd - 06-117-23-33-0002
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2001 - Septic System approval
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Last modified
8/22/2023 5:26:56 PM
Creation date
1/24/2020 1:41:04 PM
Metadata
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Template:
x Address Old
House Number
4760
Street Name
West Branch
Street Type
Road
Address
4760 West Branch Rd
Document Type
Septic
PIN
0611723330002
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• SEPTIC SYSTEM APPROVAL s„TE copy <br /> O � <br /> CITY of ORONO <br /> VISA ti Municipal Offices <br /> ~ <br /> Street Address: Mailing Address: <br /> `Utile-40V' 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner Mk.. Roc)e vvc d J Phone (Home) (Work) <br /> Address 1-176o w. City 0rocso State M/v Zip s53S6 <br /> Site Evaluator ova,,q Hc,\st4 State License # 76'-/ Phone# 61A-4 4 I- yoi5 <br /> Type of Establishment: Single Family X Multi Family <br /> Commercial Garbage Disposal Yes No X <br /> No. Potential Bedrooms LI Est. Gallons Per Day 600 <br /> Water Meter Required: Yes_ No x Soil Sizing Factor • $3 <br /> Perc Rates P-1 7 P-2 q P-3 la P-4 I-7 P-5 Fr P-6 O3 P-7 <br /> Restricting Layer Depth B-1 i y B-2 i6 B-3 17 B-4 ly B-5 17 B-6 �cE <br /> Type of Treatment System: <br /> Standard X Experimental Alternative <br /> Pressurized Mound System X At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift Pressurized Bed System <br /> Holding Tank W/Alarm <br /> Septic Tank Size l o o o # of Tanks a Lift Tank Size I o 0 o <br /> Pump Brand GPM 3 g Head 15- <br /> -Treatment System: <br /> Minimum(o x 5'0)(4>k >6) Square Feet with 9 inches of rock below pipe <br /> Type of covering Fabric X Other <br /> THIS IS NOT A PERMIT. This is a design approval form which must accompany the site plan. <br /> A permit must be issued to a licensed septic contractor prior to installation. <br /> NOTICE TO INSTALLERS: Any changes to the approved plans must have prior approval of the <br /> inspector (952-249-4600) Call for inspection 24 hours in advance. <br /> ALL DRAINFIELD AREAS MUST BE FENCED OFF prior to building site excavation and <br /> fencing must remain in place until final site grading. Approval to pour footings will not be granted <br /> until the Inspections Department has verified the primary and alternate sites are protected. <br /> NO VEHICULAR TRAFFIC OF ANY KIND is allowed within 20' of tested drainfield sites ever. <br /> ACCEPTED X DENIED By the City of Orono subject to existing regulations and <br /> the following conditions: Pump a- «0 0. (.,s t-; t €k s . <br /> By: caC 7-a- d 1 <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />
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