Laserfiche WebLink
� <br /> NOTE: Applicant IIiust 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: C�Precast Concrete Other Manufacturer �a�+��h ��eC-�'sf <br /> Tank Capacities: 1) ► � gal. 2) f� �v gal. 3) � ��o gal. <br /> B. Pump Station (if required) <br /> Pump make & model 1'ti� `{� �lc rrrz (attach pump curve & <br /> literature); system design requires � gpm at � feet of head. <br /> High water alarm make & model Outside <br /> electrical work to be completed by installer �electrician <br /> other . Inside electrical work ust be completed by <br /> electrician. <br /> C. Treatment System: <br /> Trenches: s.f. � Mound <br /> Depth of rock below pipe " Rock bed dimensions �� 'x Z� ' <br /> Drop Boxes Sand bed dimensions �'x ' <br /> Distribution Box Pressure Dist. Pipe Diam. 1°/z " <br /> Maniford Pipe Diatn. �_" <br /> D. Final Cover/Topsoil to be: X 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 system installation <br /> permit, agrees to do all work in strict accordance with 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 complete, true and correct. <br /> Signa.tureofApplicant:—�f�u�'"� � ��� Date: q��`�� � <br /> MPCA Certification No.: �S`P <br /> Staff Review: Approval Denial <br /> J� � <br /> Reviewer: Date: <br /> Reason for Denial• <br />