Laserfiche WebLink
N07'E: �Applicant rriust i.n.itial aII spaces. FilI in alI appropriate blanks, check all appro riate ' <br /> boxes. . p <br /> 1. T have received a copy of the system desi�n includin� the Ciry of Orono <br /> Septic System Approval Cover Sheet. � <br /> .2. I tivill�be�installin� thz followin?;'� � . . <br /> A. Tanks: Precast Concre[e Ocher i1�lannfacturer <br /> Tank Capacities: 1) ' gai. 2) �al. ^ : <br /> a ,� a21, . <br /> - B• Pump Station (if required) <br /> Pump make & model : - � (attach pump curve & <br /> literature); system design rzquires gpm at - feet of head. <br /> Hi;h water alarm make & model <br /> • ' electrical work to be compieted by installer + • Outside <br /> ocher eiecerician <br /> . Inside electrical work must be compleced by <br /> electrician. � <br /> ' C. Treatment System: <br /> � Trenches: s.f. Mound <br /> Depth of rock below pipe " Rock bed dimensions 'x - ° <br /> � Dro p Boxes � Sand bed dimensions , 'x � - <br /> Distribution Box Pressure Dis[. Pipe Diam. � " <br /> � .Maniford Pipe Diam. ^ <br /> D. Final Cover/Topsoil to be: borrowed from site <br /> (show location on site pla�)- � <br /> „ ��, trucked in <br /> The undersi�ned hereby applies to the City of Orono for issuance of a septic system installation <br /> permit, a�rees to do all work in strict accordance with the ordinances of the Ciry and the <br /> regulations of the State of Minnesota, and certifes ihac all statements made on this application <br /> are complete, true and correct: <br /> Si�natureofAppIicant: Date: . � ' <br /> MPCA Certification No.: " ' . � . - • <br /> Staff RevieSv: Appr �`-- Deni . . � <br /> � ReFiesver: ''� . � . . <br /> � Date:�--/'j�� <br /> � <br /> Reason for Denial• <br />