Laserfiche WebLink
SEPTIC SYSTEM APPROVAL <br /> � � %-� ��0�0 . : <br /> �� <br /> �, � ���`� _ <br /> �! o� <br /> 0 <br /> �'�' ,., .��, '�''� CITY of ORONO <br /> ��,a >> r,, �, i� <br /> ��'i, ,t� � ,�ti / Municipal O�ices <br /> �\\�� � -�� G / <br /> , ' Street Address: Mailing Address: <br /> �����CEggO�'��� 2150 Kelley Parkway P.O. Box 66 <br /> ��=__=� Orono, MN 55356 Crystai Bay, MN 55323-0066 <br /> Owner Phone (Home) (Work) <br /> Address 46�S',�� Roqd City State /�\N_ Zip <br /> Site Evaluator Ro� olso� State License # �i► � Phone# 95 a-4 y g- 6s�y <br /> Type of Establishment: Single Family� Multi Family <br /> Commercial Garbage Disposal Yes�_ No <br /> No. Potential Bedrooms S Est. Gallons Per Day �sv <br /> Water Meter Required: Yes_ No X Soil Sizing Factor � 83 <br /> Perc Rates P-1 ��.� P-2 ib.� P-3 i3.� P-4__ P-5 :_ . P-6 i8.s P-716.5 PI"3 Pf.M +b- 6-�s�it. <br /> Restricting Layer Depth B-1 I g�� B-2 i S'� B-3 �8" B-418" B-5 ao" B-6 <br /> Type of Treatment System� pr..,r. � <br /> Standard k Experimental Alternative <br /> Pressurized Mound System >( At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/ Lift Pressurized Bed System <br /> Holding Tank W/Alarm <br /> Septic Tank Size�aso d- �000 # of Tanks a Lift Tank Size IaSo <br /> Pump Brand GPM �1�.6 Head a>. � <br /> Treatment System: <br /> Minimum '3$X�$6 Square Feet with 9 inches of rock below pipe <br /> Type of covering Fabric X Other <br /> THIS IS NOT A PERMIT. 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 /> NOTICE TO INSTALLERS: Any changes to the approved plans must have prior approval of the <br /> inspector (952-249-4600) Call for inspection 24 hours in advance. <br /> ALL DRAINFIELD AREAS MUST BE FENCED OFF prior to buildin sit���.er�,�d� .:.�„�� <br /> fencing must remain in place until final site grading. Approval to pour foot���s���,�ie��t� r �,�c� '� <br /> � �?, , ,,�� <br /> until the Inspections Department has verified the primary and alternate sites are�t� ' �w— <br /> NO VEHICULAR TRAFFIC OF ANY KIND is allowed within 20' of tested drainfield sites eve��� <br /> ACCEPTED X DENIED By the City of Orono subject to existing regulations and <br /> thefollowingconditions: Rev".se� �1a� .�o� pr-,r, r�o��a . <br /> By: �a� y-3o - o� <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />