Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
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: <br /> A. Tanks: Precast Concrete Other Manufacturers ( <br /> Tank Capacities: 1) Oa c gal. 2) t 2 5 cv gal 3) gal <br /> B. Pump Station(if required) oh a <br /> Pump make &model f— 5-6 6 7 Z, ,o, (attach pump curve& <br /> literature); system design requires gpm at feet of head. <br /> High water alarm make&model Oca UC u . Outside <br /> electrical work to be completed by installer V electrician other. <br /> C. Treatment System: <br /> 5 Trenches: t25') s.f. Mound <br /> Depth of rock below pipe " Rock bed dimensions ' x ' <br /> Drop Boxes Sand bed dimensions ' x <br /> Distribution Box Pressure Dist. Pipe Diam. <br /> Manifold Pipe Diam. <br /> D. Final Cover/Topsoil to be: V borrowed from site <br /> (show location on site plan) <br /> 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 made on this application are complete,true and correct. <br /> Signature of Applicant UW \ C/1 Date: 6- - o <br /> MPGA License No. -3A- q 2-- <br /> Staff Review: Approval X Denial <br /> Reviewer: C / ` .E.M;`�r��ek.I Date: —( ( - C 1 <br /> Reason for Denial: <br />