Laserfiche WebLink
_ . , , � 5S2b' <br /> ,�O/vr, <br /> CITY OF ORONO <br /> Street Address: Mailing Address: Telephone(952)249-4600 <br /> )I. i 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616 <br /> \�1 Orono,MN 55356 Crystal Bay,MN 55323 www.ci.orono.mn.us <br /> Septic System Permit Application <br /> Please complete this applicaton completely. Failure to fill in all of the required information may <br /> result in a delay of processing your application. Submit this application, a complete copy of the <br /> site evaluation and the design at least 3 working days prior to the projected installation date. <br /> Property Owner: j -/liz oc,74, . Email: <br /> Mailing Address: (23(0 p ji -.' iii,/ Je• <br /> Phone: Cell: Work: Home: <br /> Designer: kaj,) a/f -- License# gro Email: Phone:y f y9P- 7/' <br /> Installer/Contractors;e ,g,. .-, License#/f Email:s ✓ 7 ifu,/f.J Phone:6/ 2-Of -/s' J <br /> eAri... ,-iresy <br /> Date to be Installed: le7..- / 7 - / y <br /> Property Address: ,/3'c L.,vri/c /fei/ ',. <br /> Existing Septic System Eyes: Yes P46 Compliance Inspection Date: <br /> Parcel: (if no address) <br /> General Lot Dimensions: Width: Depth: Total Area: (Acres or sq ft) <br /> Home Type: ,S`„.Q #of Bedrooms: 9 <br /> Clothes Washer: / Water Cond: <br /> Garbage Disposal: �J Hot Tub/Whirpool: Dishwasher: A' <br /> Well: Existing New (to be installed) Depth: Size of Casing: Depth of Casing: <br /> PROPOSED SEPTIC INFORMATION <br /> Soil Types: L/�. Sizing Factor: I• i-- <br /> Septic: New jc Replacement Addition Other <br /> Tanks: Qty: 2 New - Existing Total <br /> Tank Type c to•--t•rr Capacity 1E---3 Manufacturerfl<<-. )i <br /> Pump Station: Tank Type e e,---o-Capacity /`3c Manufacturer 1, e.',-- <br /> (if <br /> 4-- <br /> (if applicable) Pump Size Y2 //v." ^ Type lv-- al Failure Alarm Type <br /> Drainfield Total Length 7 3 Total Width 3! Maximum Depth <br /> Trenches w/rock Trench w//chambers <br /> Rock below pipe /)- in <br /> Pressure Bed Mound ,'C Other(explain) <br /> Mound Dimensions: Rock Bed /6 x 6.3 ft Absorption Area x ft <br /> Clean Fill below rock bed inches <br /> Filter: Type Manufacturer Alarm Type: <br /> New designs shall adhere to 2008 MPCA standards. <br /> OFFICE USE ONLY <br /> Permit#„y)/cf-t 7,oc . Payment Rec'd 7-/(v --Iy Zoning District <br /> Field Checked Date Inspected New/Replace <br />