Laserfiche WebLink
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate <br />boxes. <br />�{�U _ 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: Y, Precast Concrete _ <br />Tank Capacities: 1) I 3uD gal. <br />Other Manufacturer Pr_eGast Swf4-' <br />2) 13 cg a gal. 3) 1 Tw gal. <br />B. Pump Station (if required) <br />Pump make & modelge r5 1C YO (attach pump curve & <br />literature); system design requires 3 ct gpm at 2-0 of head. <br />High water alarm make & model 64,.­� Outside <br />electrical work to be completed by installer electrician X <br />other Inside electrical work must bf zompleted by <br />electrician. <br />C. Treatment System: <br />Trenches: s. f. � Mo;and <br />Depth of rock below pipe Rock bed dimensions 10 'x <br />Drop Boxes Sand bed �- :mensions q_? 'x /01(' <br />Distribution Box Pressure Dist. Pipe Diam. 1-4- " <br />Maniford Pipe Diam. Z <br />D. Final Cover/Topsoil to be: borrowed from site <br />(show location on site plan) <br />trucked in <br />The undersigned hereby app . to the City of Oror. ,suance of a septic system histallation <br />permit, agrees to do all work in strict accorda._�.e �i the ordinances of the City and the <br />regulations of the State of Minnesota, and certifies that all statements made on this application <br />are c Clete, true and correct. <br />SignatL_ Applicant: G� /� ✓&�n= Date: .4'/ Z - ce S - <br />MPCA Certification No.: <br />Staff Review: Approval !/ Denial <br />Reviewer: Date: /—/57-9S _ <br />Reason for Denial: <br />