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� - - - � SEPTIC SYSTEM APPROVAL <br /> , ��� <br /> ORONO COPY <br /> �. <br /> �% ��� '� �\� O� <br /> 0 0 �� <br /> � � � C ITY of ORONO � <br /> ,,, j ���:• _ �► , �`�" n <br /> M� �, - � �a Mll711C1� O�CQS � <br /> ,'� �, ti i,' Q,. �, <br /> 1 ` G Street Address: Mailing Address: ` <br /> `�: � � " �:;' .�i ,�' <br /> �` `�kEggOg' � � 2750 Kelley Parkway P.O. Box 66 <br /> — Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner Phone (Home) (Work) <br /> L d.� � Address �115, C'a rzR�.��� �„1 City DRoao State ^� Zip <br /> Site Evaluator G✓P�-/�,�,��cc� State License # ij3 Phone# G i z-[��z-1 sg� <br /> ��o�� � T y pe of Establishment: Sin gle Famil y_� Multi Famil y <br /> Commercial �tI�� Garba�e Disposal Yes No <br /> No. Potential Bedrooms S Est. Gallons Per Day 7 Sc7 <br /> Water Meter Required: Yes_ No.X Soil Sizing Factor �. b�7 <br /> Perc Rates P-1 /`9 P-2 a� P-3 2� P-4 i 2. P-5 J'� P-6� P-7 <br /> Restricting Layer Depth B-l� B-2 k$" B-3�6" B-4 78 " B-SS�" B-6,��" � 52'; 5��% S`�,jb�`s� <br /> Type of Treatment System: <br /> Standard k Experimental Alternative <br /> Pressurized Mound System At-Grade System <br /> Gravity Trenches System j� Pressurized Trench System <br /> Gravity Trenches W/Lift Pressurized Bed System <br /> Holding Tank W/ Alarm <br /> Septic Tank Size 1 3 0(7 # of Tanks 'L Lift Tank Size — <br /> Pump Brand GPM — Head <br /> Treatment System: L;,,,}QA f <br /> Minimum L!I � �a 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 /> NOTICE TO Il�TSTALLERS: 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 /> . fencin� 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_� DElvIED By the City of Orono subject to eYistin�regulations and <br /> the follo�ving conditions: <br /> . <br /> By: Z� C�z <br /> �}i�$$Y$TEM IS DESIGNED FOR Chris Pence, On-Site Systems Manager <br /> __,_BEDROOMS. A��NES NSS ESIGN.B� <br /> pF gEpRppMS INVAUDAT <br /> Telephone(612)249-4600 • Fax(612)249-0616 <br />