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SEPTIC SYSTEM APPROVAL <br />O O GITYofORONO <br />Mualdpal Ofllcts <br />Stntt Mtfrau: <br />2750 IMIey P»rtr*ay <br />Orono. MN S5356 <br />Maaiiii Mdrtu: <br />P 0. B« 66 <br />CfysUI Bay. MM 55323^ <br />1 <br />OvNiicr Cif/ <br />Address / ?r/7 ^ <br />Site Evaluator -3-/* <br />Type of Establishment: <br />Commercial_____ <br />________________Phone (I lomc) HU f'LVit (\Vork)_ <br />/>A’ City />aV’a:State______ Zip, <br />State License ^ S/>/ PhoncM ^ 7?^-j^ ^ <br />' Single Family /<Multi Family, <br />No. Potential Dedrooms — <br />Water Meter Required: Ycs_ <br />Pcrc Rates P-1 ___ P-2 <br />No <br />P-3 <br />Garbage Disposal <br />Est. Gallons Per Day_ <br />Soil Sizing Factor <br />F-4 P-5 P-6 <br />Yes - <br />Restricting Layer Depth B-1 ___ I <br />Type of Treatment System: <br />Standard Experimental,Alternative <br />Pressurized Mound System, <br />Gravity Trenches System________________ <br />Gravity Trenches W/ Lift_______________ <br />I lolding Tank W/ Alonn________________ <br />Septic Tank SizctVr’.. y-t # of Tanks_ <br />Pump Brand. oPM____ <br />At-Gradc System_ <br />Pressurized Trench System. <br />Pressurized Bed System__ <br />/Lift Tank Sizc_ <br />Head <br />Treatment System: <br />Minimum — <br />Type of cosering Fabric__ <br />Square F'eet \%ith inches of rock below pipe <br />Other - <br />THIS IS NOT A PERMIT. This is a design approval form which mioi accompany the site plan. <br />A permit must he issued to a licensed septic contractor prior to installation. <br />NOTICE TO INSTALLEICS: An\ changes to the approved plans must have prior approval of the <br />inspector (249-4600) Call for inspection 24 hours in advance. <br />ALL DRAINFIELD AREAS MIST BE FENCED OFF prior to building site excavation and <br />fencing mu3t 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 alternate sites arc protected. <br />NO \’EHICLLAR TR.AFFIC OF AN^’ KIND is allowed within 20’ of tested drainfield sites ever. <br />ACCEPTED A-DEMF.D <br />the following conditions:. <br />Bv the Citv of Orono su^ect to c.xisting regulations and <br />/ )________________ <br />// / <br />B IA i^!CiJ' <br />Chris Pence, On-Site Systems Manager <br />lUcphooe (612) 249-4400 • Fox (612) 2494616