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• -_� SEPTIC SYSTEM APPROVAL <br /> � -_�� <br /> � O ��` ORONO COPY � <br /> � � `�` ,�,, � <br /> 0 � '��`� � <br /> � �� ��.?.-��.- �. �, �� c CITY of ORONU ������ <br /> �, Fr �'� MunicipalOffices � <br /> ',; ti' *.d <br /> � � � ���" �� �� � � �' p� Street Address: Mailing Address: � <br /> ��� � � � � ' ��i <br /> `�kEggOg'�' 2150 Kelley Parkway P.O. Box 66 <br /> --� Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner Phone (Home) (Work) <br /> C v� /� Address Z�2 v C,t�2,�;,��z= L� City dRON 0 State Ma Zip <br /> � Site Evaluator i�,��5f��^t1D(, State License# `/3 Phone# �rz-��2 - �S� '7 <br /> /'iecl� f Type of Establishment: Single Family Multi Family <br /> �`� Commercial /ll c Garbage Disposal Yes No <br /> No. Potential Bedrooms � Est. Gallons Per Day '7$U <br /> Water Meter Required: Yes No� Soil Sizing Factor . �1.� . ��;pd f�-f� <br /> Perc Rates P-1 �-� P-2 /�'•S P-3 j 7-5. P-4 2� P-5 ZZ P-6Z�� P-7 <br /> Restrictinb Layer Depth B-1 t/�" B-2 7�` B-3 bc" B-4 S�" B-5 �b" B-6 36'�, S$�`�3�`; �� `� <br /> Type of Treatment System: <br /> Standard � Experimental Alternative <br /> Pressurized Nlound System x At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift Pressurized Bed System <br /> Holdin� Tank W/Alarm <br /> Septic Tank Size /� p� # of Tanks � Lift Tank Size 1.3c'�Z� <br /> Pump Brand GPM K 7 Head /�` <br /> Treatment Sy�stem: <br /> Minimum C+c�v3'�� 3`7�rc�` Square Feet with�_inches of rock below pipe <br /> Type of covering Fabric x 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 /> IV'OTICE 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 /> . fencinj 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 l� DENIED By the City of Orono subject to existing regulations and <br /> the followina conditions: <br /> �� . <br /> By: t� �� <br /> SYSTEM IS DESIGNfD fOR Chris ence, On-Site Systems Mana�er <br /> �.BEDROOMS. ANY INCREASE IN NUMBER <br /> OF BEOROOMS INVAUDATES THIS DESIGN. <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br />