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boxes. <br /> � -� 1. I have received a copy of the system design including the City of Orono Septic <br /> System Approval Cover Sheet. <br /> 2. I will be installing the following: jJ�A 5 t�� <br /> A. Tanks: Precast Concrete 'X Other Manufacturer�otl,�,C�,SC i) <br /> Tank Capacities: 1) 'p�p gal. 2)T�� gal 3) gal - � <br /> �3C'�;S�S <br /> B. Pump Station(if required) <br /> Pump make&model (attach pump curve& <br /> literature); system design requires gpm at feet of head. <br /> High water alarm make&model . Outside <br /> electrical work to be completed by installer electrician other. <br /> C. Treatment System: <br /> Trenches: s.f. Mound <br /> Denth of rock below pipe " Rock bed dimensions ' x ' <br /> _ Drop Boxes Sand bed dimensions ' x ' <br /> Distribution Box Pressure Dist. Pipe Diam. " <br /> Manifold Pipe Diam. " <br /> D. Final Cover/Topsoil to be: borrowed from site <br /> (show location on site plan) <br /> trucked in <br /> The undersigned hereby applies to the City ofOrono for issuance ofa septic system installation permit, <br /> agrees to do all work in strict accordance with ordinances ofthe City and the regulations ofthe State <br /> of Minnesota,and certifies that all statements made on this application are complete,true and correct. <br /> Signature ofApplicant ��e� ���24r�r�v�ua�- Date: '�-/l��-C� <br /> c�/� (� ^ !s=C� <br /> MPCA License No. ���� � l `��"�"� �"� '�� � <br /> I/ J <br /> Reset Form <br /> Staff Review: Approval Denial <br /> � <br /> Reviewer: _�_ � ��, � � `��_ , Date: `� ' j� 'C�`� <br /> Reason for Denial: <br />