Laserfiche WebLink
• <br /> • <br /> ,�,!': G�di � .,$d <br /> *a <br /> ® , ' <br /> #P:r S pl ate s�.„ II <br /> • <br /> I will be installing the following: <br /> Tanks <br /> ❑ Precast Concrete ❑ Fiberglass Plastic ❑ Other <br /> (list manufacturer) <br /> Number of Tanks: 3 <br /> Size of Tanks: /e%c)e, je) ci /mac..) <br /> Treatment System <br /> Trenches s.f. <br /> Mound S SZ..; s.f. <br /> Gravel less s.f. <br /> Chamber s.f. <br /> NOTE: The contractor is required to provide an As-Built of the system before the <br /> final inspection. <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system <br /> installation permit, agrees to do all the work in strict accordance with ordinances of the City <br /> and regulations of the State of Minnesota and certifies that all statements made on this <br /> application are complete, true and correct. <br /> Signature of Applicant Date: -R/ - (G <br /> MPCA License No.: <br /> Staff Review: Accept ❑ Denied <br /> I444, �---32F-- C3/ <br /> Reviewer: L � <br /> _ A� Date: <br /> Reason for Denial: <br /> Comments (to be printed on inspection card): <br /> W:\(Permits)\Septic Permit Application-Updated Surcharge 7-1-10.doc <br /> 2 / 2 <br />