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g <br /> I will be installing the following: <br /> Tanks <br /> E✓ Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other <br /> (list manufacturer) <br /> Number of Tanks: 1 <br /> Size of Tanks: 1,300 <br /> Treatment System <br /> Trenches s.f. <br /> Mound s.f. <br /> Gravel less s.f. <br /> Chamber s.f. <br /> �c <br /> P's --A lato-o S <br /> Final Cover/Top Soil <br /> © to be borrowed from site (show location on site plan) <br /> ❑ trucked in <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 corre t. <br /> Signature of Applicant <br /> MPCA License No.: <br /> 0192'. <br /> il <br /> Staff Review: Accept ❑ Denied <br /> Reviewer: wlt� Date: ��- <br /> Reason for Denial: <br /> Comments (to be printed on inspection card): j-46"0L_UNel . AO-5-r C'^J <br /> M. -I-,► GA -f- %o rrAn r Co�V TO C +9 -01- A fies Ali ST De <br /> LJ'A -f e1' - <br /> V:\(Permits)\Septic Permit Application-New Permit Fees 2009.doc <br /> 2 /2 <br />