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SEPTIC SYSTEM APPROVAL T> <br />h « ! <br />■ <br />I I <br />|l <br />h »r /. <br />ORONOCOPY <br />CITYor ORONO <br />2-/9-O3 <br />Municipal Oflkcs <br />StTMt Addrass: <br />2750 Kelley Partiway <br />Orono. MN 55356 <br />Phone (Home) <br />Mailini Mdrau: <br />P.O. Box 66 <br />Crystal Bay, MN 55323-0066 <br />State <br />(Work) <br />Zip <br />Owner pf<A _________ <br />Address iJ City _____ . _____ <br />Site Evaluator taiX State License Phone# "TCS- <br />TypeofEstgfe|ialUn^|^,,,,,§|^^ X Family______ <br />Bneroal Gallons Per Day______________ <br />No. Potential Bedrooms 3_________ ^ope: ~______ <br />------ Soil Sizing Factor_. |.._.0 <br />Perc Rates P-IJ>> P-2 3j.\ P-3 tS A P-4J1A P-5 l>.^ P-6 P-7 <br />B-5 B-6Restricting Layer Depth B»1 3.1 B-2 3 i> B-3 3.^ B-4 <br />Type of Treatment System: <br />Standard Alternative___ Other____ Performance_____ <br />Pressurized Mound System______________ At-Grade System____________ <br />Gravity Trenches System________________Pressurized Trench System__________ <br />Gravity Trenches W/ Lift________________ Pressurized Bed System V <br />I lolding Tank W/ Alarm________________ <br />Septic Tank Size # of Tanks ^ Lift Tank Size <br />Pump Brand_________GPM tjO Mead <br />Treatment Sy.stem: <br />Minimum *790_____ <br />'Nteund Bed X <br />Square Feet with C inches of rock below pipe <br />Mound Treatment Area <br />THIS IS NOT A PERMIT. Tliis is a design approval form which must accompany the site plan. <br />A permit must be issued to a licensed septie 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 DRAINFIELI) AREAS MUST BE FENCED OFF prior to building site excavation and <br />fencing must remain in place until final site grading. Approval to pour footings will not be granted <br />until the Inspections Department has verified the primary and ahemate sites are protected. <br />NO VEHKTILAR TRAFFIC OF ANY KIND is allowed within 20’ of tested drainfield sites ever. <br />ACCEPTED DENIED______By the City ofOrono subject to existing regulations and <br />the following conditions;____________________________________________________ <br />» Z»f- &fi) ^ Ccv<r <br />____Vw- . ______________________________________________ <br />5«-*C *\\r>r r^H S-K. ____________ <br />«vxx 5tr*>«.v VS VVjV- SV <br />Bv: C-Z.7-"0 7_ <br />Matt Boltcrman, On-Site Systems Manager Date <br />Telephone (952) 249-4600 • Fax (952) 249-4616 <br />wwv.cLoronoaQQ.us