Laserfiche WebLink
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 />z. 1 will be irotalpi g the following: <br />A. Tanks: �_ Precast Concrete _ Other Manufacturer '�`��'' p"``"Sf <br />Tank Capacities: 1) mqftv gal. 2) gal. 3) gal. <br />-° 4c , s -9 <br />B. Pump Station (if required) <br />Pump make & model A If S - S$'- (attach pump curve & <br />literature); system design requires Spat at -2 ? feet of head. <br />High water alarm make & model v c c f. /, A, 1—Outside <br />electrical work to be completed by installer electrician A-' <br />other Inside electrical work must be completed by <br />electrician. <br />C. Treatment System: <br />Trenches: s.f. <br />Depth of rock below pipe " <br />Drop Boxes <br />Distribution Jox <br />Mound <br />Rock bed dimensions 10 'x 6y' <br />Sand bed dimensions Y ;� 'x 8 7' <br />Pressure Dist. Pipe Diam. " <br />Maniford Pipe Diam. .? " <br />D. Final Cover/Topsoil to be: borrowed from site <br />(show location on site plan) <br />✓ trucked in <br />The undersigned hereby applies to the City of Orono for issuance of a septic systent installation <br />permit, agrees to do all work in strict accordance with the ordinances of the City and the <br />regulations of the Statz- of Minnesota, and certifies that all star -*cents made on this application <br />are complete, true and correct. <br />SignatureofApplicant: awel'l� , Date: <br />MPCA Certification No.: i e.i.4: n 4 <br />Staff Review: Approval l/ _Denial <br />Reviewer: mil/ 'Date: 7 <br />Reason for Denial: <br />