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SEPTIC SYSTEM APPROVAL <br /> O SiTE c,�. . �L�O�'!!' <br /> ;; � � <br /> ��� �� <br /> �, <br /> � �,, <br /> ''� CITY of ORONO <br /> � '' � ��'���� ;;�� �C;;�� �iunicipal Offices <br /> '�'' ` '' ;.. �� 1� i� <br /> � � �� � "����'�` G��� Street Address: MailinQ Address: <br /> ��'9I�'ESHQ j� 2150 Kelley Parkway P.O. Box 66 <br /> � �==J Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner e Sc n1 Phone (Home) (Work) <br /> Address � �P.��n� i��� S City �RvN� State /YiN Zip <br /> Site Evaluator��— P %��"fi��i State License # ��_ Phone= y�7- .i5(0 6 <br /> Type of Establishment: Single Family � Multi Family <br /> Commercial pJ� Garbage Disposal Yes No <br /> No. Potential Bedrooms �, Est. Gallons Per Day 'C <br /> Water Meter Required: Yes No� Soil Sizing Factor � ��3 a�t 5� '! z <br /> Perc Rates P-1 �� P-2 '�� P-31Q,� P-4 P-5 P-6 P- <br /> Restricting Layer Depth B-1 30`� B-2�(i'` B-3 �� B-4„�Y" B-5 /��'` B-6 <br /> Type of Treatment System: <br /> Standard � Experimental Alternative <br /> Pressurized Mound System X At-Grade S��stem <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift Pressurized Bed System <br /> Holding Tank W/Alarm <br /> Septic Tank Size �2 SO i�o C� # of Tanks `Z Lift Tank Size ISi)7 <br /> Pump Brand - GPM y 2 Head /S � <br /> Treatment System: C� <br /> Minimum (io x�s'�t(3`��� i��'� Square Feet with / inches of rock below pipe <br /> Type of covering Fabric�_ Other <br /> THIS IS NOT A PERMIT. This is a design approval form which must accompany the site plan. <br /> A permit must be issued to a licensed septic contractor prior to installation. <br /> NOTICE TO INSTALLERS: Any changes to the approved plans must have prior approval of the <br /> inspector (249-4600) Call for inspection 24 hours in advance. <br /> ALL DRAINFIELD AREAS MUST BE FENCED OFF prior to building site excavation and <br /> . fencing must remain in place until final site grading. Approval to pour footings will not be granted <br /> until the Inspections Department has verified the primary and alternate sites are protected. <br /> NO VEHICULAR TRAFFIC OF ANY KIND is allowed within 20' of tested drainfield sites ever. <br /> ACCEPTED � DENIED By the City of Orono subject to existing regulations and <br /> thefollowingconditions:VgR�n►�Ct,' �.s Gaw1�ltY�1 � �-t-� 2v� '�o � T'v�t= � W�t���J� ��I P�'r�{;n� <br /> ��,ks m ust= � �,�� =� u���>A � F�i��i C �� ' �, c7� �6. <br /> By: -C'�iGL/� 2-3—UC� <br /> Chri ence, On-Site Systems Manager <br /> TylS SYSTEM IS DESIGNED FOR <br /> a BEDROOMS. ANY INCREASE IN NUMBER <br /> OF BEDROOMS INYAUDAtES THIS DESIGN. <br /> Telephone(612)249-4600 • Fa�c(612)249-4616 <br />