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NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate <br />boxes. <br />1. I have received a copy of the system design including the City of Orono <br />Septic System Approval Cover Sheet. <br />2. I will be installing the following: <br />A. Tanks: ^Precast Conwete <br />Tank Capacities: 1) fxXl gal. <br />B. Pump^tion (if mqui <br />Pun^pTHlllr A iiiin|<1 <br />literature); system desi] <br />High water alarm <br />electrical wor|U»‘be^mpleted by <br />ofhec..^—Inside electrical work must <br />electrician. <br />C. Treatment System: . <br />DepA of rock below pipe 1 <br />Mound <br />ep^< <br />S^Drop Boxes <br />Distribution Box <br />Rock bed dimensions <br />Sand bed dimensions <br />'X <br />*x <br />Pressure Dist. Pipe Diam. <br />Maniford Pipe Diam.___ <br />'Yc D- Final Cover/TopsoU to bf X borrowed from site <br /><7 I ^ (show location on site plan) <br />A. trucked in <br />The undersigned hereby applies to the City of Orono for issuance of a septic system installation <br />Dcrmit agrees to do all work in strict accordance with the ordinances of the City ^ the <br />regulations of the State of Minnesota, and certifies that all statements made on this application <br />are complete, true and <^npetr~^ <br />Signatureof^jpli <br />MPCA Certification No.: f 3 <br />Staff Review: Approv Denial <br />Reviewer: <br />k I. I for Denial: <br />< <br />..iiH ■Ota