Laserfiche WebLink
1 <br /> 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 /> 2. I will be instal�ing the following: <br /> A. Tanks: X Precast Concrete Other Manufacturer <br /> Tank Capacities: 1) �JG�b gal. 2) gal. 3) gal. <br /> B. Pump Station (if required) <br /> Pump make & model +�� ✓YlC.DO�A'l�-7� (attach pump curve & <br /> literature); system design requires gpm at � feet of head. <br /> High water alarm make & model 'I/Ef..- Outside <br /> electrical work to be completed by x installer electrician <br /> other Inside electrical work must be completed by <br /> electrician. <br /> C. Treatment System: <br /> Trenches: s.f. � Mound <br /> Depth of rock below pipe " Rock bed dimensions /d 'x�' <br /> Drop Boxes Sand bed dimensions y�'x��' <br /> . ��� <br /> Distribution Box Pressure Dist. Pipe Dia� �� <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 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 /> SignatureofApplicant: � � �eU���� � Date: � � �� �J� <br /> MPCA Certification No.: �/�� <br /> Staff Review: Approv � Denial <br /> Reviewer: �� r� Date: C�`�� <br /> Reason for Denial• <br />