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CITY OF ORONO <br />SEPTIC SYSTEM DESIGN PROPOSAL <br />STANDARD REPORT FORM <br />NOTE: This form mist be completed by the applicant or his agent and submitted for avproval with all re- <br />quired attachments when building permit is applied for. The following exhibits are requirtd as a part of <br />this application and shall Be attached hereto: Percolation Test logs and Soil Boring logs (on standard <br />forms); Site Plan drawn to scale showing locations of existing and proposed buildings, I c t lines, perco- <br />lation test and soil boring hole locations, proposed system location and layout, and well locaticn. THE <br />HOUSE AND DRAiNFIELD AREA "UST 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 />tes Installers license. <br />TYPE OF WORK: (N1sEW CONSTRUC710M ❑ ADDITION OR REPAIR ❑ SUBDIVISION APPROVAL ONLY <br />PINS Nl1.MdER_4118-23-22-0010 PROPERTY ADDRESS 765 Dickey Lake Drive <br />PROPERTY DESCRIPTION Lot 6, Block 2 Ringerswood <br />OWNER James Lon# 1603 Black Oaks Place Flymouthr MN 55447 475-1696 <br />a a:! Mailresi Lity �one <br />SITE EVALUATOR Mark Gronberg 482-A Tamarack Ave. Long L3ke MIIi 553Z 4 -4141 <br />♦ale Nail Address city phone <br />GENERAL CONTRACTOR__ Nair � <br />er t_____My __.ty —- IFi�G n! <br />SYSTEM INSTALLER (iF KNOWN) Nam- <br />T.0 INFORMATION BELOW MUST BE PILLED IN BASED ON THE SITE EVALUATION AND DESIGN REPORT (ATTACH). —1 <br />1. SITE EVALUATION / DESIGN CRITERIA USED <br />NO. OF BEDROOMS 3 bALLONS PER DAY 600 PERC RATE 73 _--MINUTES PER INCH <br />INDICATED DEPTH TO SEASONAL WATER TABLE OR SATURATED ZONE _24 U. .ES <br />2. SEPTIC TANKS <br />TANK 0 1 1,000 GAL. MIN. LiQuID CAPACITY MANHOLE TO 6-12' BELOW FINAL , INLET AND <br />OUTLET INSPECTION PIPE:. TO S, a ACE P.EOUIRED ON <br />t <br />TANK 1 2 ,00 GAL. MIN. LiQUiD CAPACITY ALL SEPTIC TANKS. <br />3. PUMP STATION '� I�� <br />❑ NOT REQUIRED IN REQUIRED GAL. MIN. CAPACITY (TO ALLOW toll 1 DAY STORAGE CAPACITY) <br />JECTOR (BEFORE SEPTIC TANKS) �}y•�F <br />EFFLUENT 0 Y (AFTER SEPTIC TANKS) 'HECK VALVE 10 BE USED t� YES [INC) <br />WIGI AND MANHOLE TO SURFACE RE91,RED ON ALL PUMP STATIONS. <br />4. DRAINFIELD SYSTEM <br />❑TRENCHES ❑PRESSURE DISTRiBUT10'1 MOUND M OTHER: Mound SyBteD. <br />ATTACH INFORMATION! <br />TRENCHES: ❑ DISTRIBUTION BOX ❑ DROP BOXES SO. FT. BOTTOM ARrA _ <br />TRENCH WIDTH (3' MAX.) FT. CENTER -TO -CENTER TRENCH SPACING FT. <br />DEPTH OF ROCK BELOW TILE (6' MIN.) INCHES DEPTH OF ROCK OVER TILE (2' MIN. )------INCHES <br />DEPTH OF TRENCH BELOW ORIGINAL SURFACE___ INCHES FINAL COVERS' MIN.,24' f'AX.)_ ____INCHES <br />NUMBER OF LINES LENGTH OF EACH LINE — <br />PRESSURE DISTRIBUTION MOUND: ❑ STANDARD DESIGN AS PER ORONO DESIGN MANUAL <br />®OTHER Please see System Design by Engineer <br />SAND BASE DIMENSIONS: LENGTH FT, X-tQ_FT. NIDTII SAND DEF. `(-W ROCK Z —1 _INCHES <br />Oe. It q,♦! <br />ROCK BED DIMENSIONS: STANDARD 1 FT. WIDTH X _y�_FT. L"GTH SLOPE 4i S17E < ' S <br />FOR Orrut USE ONLY <br />❑ APPROVED AS PROPOSED 54APPROVEn WITH CHANGES NOTED BELOW ❑ ADD1710NAL ITEMC NEEDED NO ED BELOW <br />- ----- - -+ 3 ' 2s` � � _ �� f utter.,, ��Piar�vc` t �p,c.�•.- ^' o_ i �_�_ <br />