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v . _ - -- �_. ,_„ ,_ : ,- - - - __ _ � _ . _ .... .. . _ _..::� �,=4..:,_.: _, _ .- ;'. ,_. . .. _ _ .. .a.r_ . � _ _. - - - - = - - - � ,a-� --� -. -�-- : � - .. _ _ . . .._ _ - : . � - � , �_ . ._.:..; , . . � �=�- . . .. . �.`'-� _`� - _--.�____. -._ __ ._.:..� _—. � rn�;�� Y -,� « .y.t;� .,�' .,�,,:.�.....r... . .�. . , . .__� �- - - --� S�PTIC SYSTrM -PffitMIT APPI,IC.�TON - PAG� 2 �--- - �-- --- - _ _ _ _ _ _. .- -. � Per.nit Typ e � Fe�s (cse�.� one) ;-� . .^__ - _ � - New Construc�ion, Full System $75.00. . . . . . . . . . . - . . . . . . Replace Exis�ing System (1 or more new tanks &� drainfield) $50.00. . %� � Partial Replacement (reglace just tanks or just drainfield) $30.00. . . —--- •- ' ' - ' ...r_... �. - ' - ' - � _. .. _ � . .. . � _ . � . . ' . $0.50 State�surcharge added �to above permit�: fe�s �. - _ -" Sc�E FEE SCHEDIILE FOR NON-s'tESIDENTIAL PERMIT FEES � DO NOT MAIL PA3�NT WITB THIS APPI,IC�TION ****f�*tt**f****#**#*:***********�****�*#*****ft*************f***f***#tff#* NOTS: AD�Iicant must initial all spaces. Fill in all azprogriate blanks, check aIl approFriate boxes. Initial �� 1. 2 have received a copy of the system design inciuding �he . City of Orono Septic System A�nroval Coner Sheet. 2. I will be installing the following: A. Tanks: Precast Concrete �Other Manufacturer Tank Canacities: I)� �� gal. 2) ��gal. 3 ) gal. B. Pumn Station (if required) Pump make & model (attach gump curve & literature) ; syste� design requires gpm at fe�t of head. High water alaraz make & model Outside electrical work to be com�leted by _installer electrician other Inside electrical work must be completed by elec�rician. C. Treatment System: -,-� � �� ' Trenches:�� . . Mound �- ' De th of rock below pige " Rock bed dimensions 'x ' �� Drop Boxes Sand bed dimensions _'x ' � � Dist�ibution Box Pressure Dist. Pipe Diam. Manifold Pipe Diam. " D. Final Cover/Topsoil to be: borrowed from site � , (show location on site plan) - --- ._ .. trucked in - •#:*f*::***t*::*#�:**�:**t#**:*::*::******::::*:t*:*:�t*t*�****�***�******* ':�e undersigned hereby applies to the City of Orono for issuance of a zptic system installation permit, agrees to do aIl work in strict ccordance with the ordinances of the City and the regulations of the State � Minnesota, and certifies that alI statements made on this application =e complete,. true and correct. � - ignature `of A�plicant: �QQ �- Date: � �� . _ _ __ - _.__ ._ _ _ . _ _. ?CA Certification No. : � ..