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CITY OF tjRONO <br />SEPTIC SYSTEM DESIGN PROPOSAL <br />STANDARD REPORT FORM <br />NOTE: This form must be completed by the applicant or his agent and submitted for approval with all re- <br />quired attachments when building permit is applied for. The following exhibits are required as a part of <br />this application and shall be attached hereto: Percolation Test Logs and Soil Boring Logs (on stand..rd <br />foraos); Site Plan drawn to scale showing locations of existing and proposed buildings, lot lines, perco- <br />lation test ind soil boring hole locations, proposed system location and layout, and well location. THE <br />HOUSE AND DkAINF1ELO AREA MUST BE STAKED. Improper or inadequate soil testing or information will result <br />in delays in processing. Permits will be issued only to contractors holding a current Orono Septic Sys- <br />tem Installers License. <br />TYPE OF WORK: JMJNEW CONSTRUCTION ❑ ADDITIO14 OR REPAIR ❑ SUBDIVISION APPROVAL ONLY <br />PINS NUMBER 3 I 1 1 5l ; 3 y Oo/I- PROPERTY ADDRESS_ 3 (•c. CH <br />PROPERTY DESCRIPTION L-C'C 3 84-0CK I CH lPPor,.yfl-rH1,eD 4ao/T-/L7R.l <br />OWNER LeRR y F. r1/14e- /A)e.4" ! ci41 7 gRyA -J 7-57- A14PcE Pc_AfIJ ��-��k9' <br />i Dame Mail Address —�Ity- - --1f one <br />SITE EVALUATOR L.A. (,C.Ift!-DRoAJ/22X7-_ff_aZ_ ST t0ACoA)lat <br />--Namr. aiT-Ir�dreis —City on <br />GENERAL CONTRACTOR 64 Lc- 5GN cA CTfL I A O ��/A W4-TrjrR-rowwl r,7 5-� ;k - <br />Name <br />—Name Kai ddres, — Liiy -- phone <br />SYSTEM INSTALLER (IF KNOWN) -%iRR E Ku555! C11�'iSfcA F N�Ijr —x.338 <br />eme - --- one <br />THE INFOW4ATION BELOW MUST BE FILLED IN BASED ON THE SITE EVALUATION AND DESIGN REPORT IATTACH). <br />1. <br />SITE EVALUATION / DESIGN CRITERIA USED <br />NO. OF BEDROOMS- �. GALLONS PER DAY- �✓ a ' PERC RATE L MINUTES PER INCH <br />INDICATED DEPTH TO SEASONAL WATER TABLE OR SATURATED ZONE.J.O ?� -INCHES T % <br />2. <br />SEPTIC TANKS <br />TANK 1 / O e O MIN. LIQUID CAPACITYO�NHOLE TO 6-12" BELOW FIyAL GRADE, INLET AND <br />-_GAL. <br />OUTLET INSPECTION PIPES TO SURFACE REQUIRED ON <br />TANK # 2 / O O O GAL, MIN, LIQUID CAPACITI( L SEPTIC TANK;. <br />3. <br />PUMP STATION <br />in NOT REQUIZEO ❑ REOUIRED GAL. M! CAPACITY (10 ALLOW FOR 1 DAY STORAGE CAPACITY) <br />❑ SEWAGE EJECTOR (BEFORE SEPTIC TANKS) <br />❑ EFFLUENT ONLY (AFTER SEPTIC TANKS) CHECK VALVE TO BE l ❑ YES [INC) <br />HIGH WATER ALARM AND MANHOLE TO SURFACE REQUIRED ON ALL PUMP STATIONS. <br />4. <br />DRAINFIELD SYSTEM XITRENCHES ❑ PRESSURE DIE RIBUTION MOUND ❑ OTHER: <br />TRENCHES: Q� DIST :IOt1�BOXES S0. FT. BOTTOM AREA <br />�, 7 w ) w <br />TRENCH !, 0 MAX.) ✓ O FT. CENTER -TO CENTER TRENCH SPACING i - G FT. <br />DEPTH OF ROCK BELOW TILE (6" MIN.) S DEPTH OF ROCK OVER TILE (2" MIN.) INCHES <br />DEPTH OF TRENCH BEL W ORIGINAL SURFACEI / "`—LCOVER 'MIN.,24" fl NCHES <br /><INCHES, <br />NUM5Ek OF LINES LENGTH EA -7 e. <br />PRESSURE DISTRIBUTION MOUND: ❑ STANDARD DESIGN AS PER ORONO D17IGN 11ANUAL <br />❑OTHER - --- -- — --- <br />SAND BASE DIMENSIONS: LENGTH -FT, X _FT, WIDTH SAND DEPTH BE.OW ROCK--- _INCHES <br />ROCK BED DIMENSIONS: STANDARD 10 FT. WIDTH X -__-.__"FT. LENGTH SLOPE AT SITE _—% <br />FOR OFFICE USE ONLY <br />❑ APPRuVED AS PROPOSEC APPROVED WITH OR <br />NOTED BELOW ❑ ADDITIONAL ITEMS NEEDED NOTED BELOW <br />IL <br />APPROVED BY:l�-'� �-- DATE 7-71 - R�J <br />s <br />