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� � SEPTIC SYSTEM APPROVAL <br /> Q ��� <br /> � � �� <br /> , o 0 <br /> � , �,,. C ITY of ORONO <br /> � � ,_ � . <br /> � � , t ,� � MunicipalOffices <br /> � ,,,� <br /> �� ���'� �_ �� r� � �� Street Address: Mailing Address: <br /> l� � ;���`��, ;;' <br /> �ESHO - 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner� E�dPnl R- Phone (I-Iome) (Work) <br /> Address �fy. 5 Qa Si E o City f'►1,qo1� �'(aiN State Mr? Zip 55359 <br /> Site Evaluator 5-� f�s�f�n State License # 39� Phone# �(q7- 3566 <br /> Type of Cstablishment:�Single Family x Multi Family <br /> Commercial J�a Garbage Disposal Yes No <br /> No. Potential Bedrooms �C���-f + 2 = 5 Est. Gallons Per Day 75 f� <br /> Water Meter Required: Yes No�C Soil Sizing Factor . 83 L �`�S aod��f') <br /> Perc Ratcs P-1 y�S P-2 2,� P-3 f�.� P-4 P-5 P-6 P-7 <br /> Restricti�ig Layer Dcpth B-1_((�"_ B-2 `lN'` I3-3 1Z" F3-4 /H'� 13-5 B-6 <br /> Tync of Trcatmcnt Systcm: <br /> Standard�_ I�xperimcntal nitcrnativc <br /> Pressurizcd Mound System___� At-Grade System <br /> (iravity �I�rcnclict Systcn�-- ---- 1'ressurirccl "I�rcncl� Syslcm_ <br /> Gravity "I'rcnches W/ Lift Pressuriz_cd I3cd System_ <br /> I Iolding '1'ank W/Alarm <br /> Scptic "I'ank Size Z$c'� 00�1 # of Tanks � _ Lift Tank Sizc �2 Sc� <br /> Pump I3rand — GPM �{ 7 I-�ead (� 0 � <br /> Trcatmcnt System: q <br /> M1[11I11U111 /�dd�i([ortr',��yo'�,_�Square Feet with 1 inches of rock below pipe <br /> Type of covering Fabric�_ Other <br /> THIS IS NOT A P�IZMIT. 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 /> NOTIC� TO INSTALL�RS: Any changes to the approved plans must have prior approval of the <br /> inspector (249-4600) Call for inspection 24 hours in advance. <br /> ALL DRAIIVFI�LD AR�AS MUST B� FCNCLD OFF prior to building site excavation and <br /> fencing must remain in place until ftnal site grading. Approval to pour footings will not be granted <br /> until the Inspections Department has verified thc primary and alternate sites are protected. <br /> NO VCIIICULAR TRAI'FIC OF ANY KIND is allowed within 20' of tested drainf eld sites ever. <br /> ACCrPTCD /� D�NI�D By thc City of Orono subject to existing regulations and <br /> thefollowingconditions: ��is�f-+►� -fc+Nlrs w�usf /u pu�.�+r0, Cvushod 1- F�ll�� ���,� �080�0176. <br /> Ex�s-F�n werl �nus-f 6 � riDR- 1n �ssu�cE of ;s �carr,,fi <br /> Qy: �,c�,J 7-ZS=oc� <br /> Nc v�f Chris Pence, On-Site Systems Manager <br /> T THIS SYSTEM IS DEStGNED FOR <br /> 3�2�.:5 BEDR�OMS. ANY INCREASE IN NUMBER <br /> '� Of BEDROONIS 1NYALIDATES THIS DESIGN. <br /> r7�is}��nJ° <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br />