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SEPTIC SYSTEM APPROVAL <br />.1.04 S CCS "-P,'CTCW'S 0011 <br />0 0. <br />,� . f... IN CITY of ORONO <br />i G~�. Municipal Offices <br />Street Address: <br />.q Mailing Address: <br />kE88�4' 2150 Kelley Parkway P.O. Box 66 <br />Orono, MN 55356 <br />" Crystal Bay, MN 55323.0066 <br />Owner &R drfi-�PC7i u i fdE Zgc- <br />Phone (Home) (Work) <br />Address_to 11,1 A Vo ,ue! City <br />161,)dV 2a fm State qllv Zip z5�e' f <br />Site Evaluator_ -f' I`;t�n� State License # I� i I Phone# W9 <br />Type of Establishment: ingle Family_ <br />Multi Family <br />Commercial /`;1t? <br />Garbage Disposal Yes >_ No <br />No. Potential Bedrooms' <br />Est. Gallons Per Day_ 6 0 C� <br />Water Meter Required Yes_ No X- <br />Soil Sizing Factor y.ac M t. -f 20 <br />Perc Rates P-1 f j,_,,Z P-2 /�, P-317,1,, <br />P-46,[ P-517, F, P-6 .30, V P-7 <br />Restricting Layer Depth B-1 i(o'l B-2 W' <br />B-3 r t," B-4 1 C B-5(2-- B-6 � a" <br />Type of Treatment System: <br />-- <br />Standard X Experimental <br />Alternative <br />Pressurized Mound System_ X <br />At -Grade System <br />Gravity Trenches System <br />Pressurized Trench System <br />Gravity Trenches W/ Lift <br />Pressurized Bed System <br />Holding Tank W/ Alarm <br />Septic Tank Size jc,00 # of Tanks 1- Lift Tank Size l 00C." <br />Pump Brand YL r�P GPM_ <br />qQ Head 2 0 <br />Treatment System: <br />Minimum (,n y5s")f(yb• 1N j Square Feet with _ inches of rock below pipe <br />Type of covering ` Fabric_ 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 (249-4600) Call for inspection 24 hours in advance. <br />ALL DRAINFIELD 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 alternate sites are protected. <br />NO VEHICULAR TRAFFIC OF ANY KIND is allowed within 20' of tested drainfield sites ever. <br />ACCEPTED DENIED By the City of Oron� subject to existing regulations and <br />the following conditions:�„� i'rc�� <br />Chris Pence, On -Site Systems Manager <br />Is Bonn "I <br />LLMRdiOM . AW INCREME #1 ilOf <br />Telephone (612) 249-4600 • Fax (612) 249-4616 <br />