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� ' SEPTIC SYSTEM APPROVAL <br /> �-- �lR <br /> ON <br /> D <br /> o COP <br /> � � <br /> � � , <br /> 0 0������� <br /> ���;� , ,� �,;_ :- CITY of ORONO <br /> �� r� ��� � ," � ,� �v �� Municipal Offices <br /> ,`�� � 1F ' � �/. <br /> ���� �"' � �`�'���` ���� Street Address: Mailing Address: <br /> �y . . � �/ <br /> �'�$EggOg' 2750 Kelley Parkway P.O. Box 66 <br /> �=_� Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner Phone (Home) (Work) <br /> Address �4645 ys,�e City State Zip <br /> Site Evaluator pale De�•� State License # 583 Phone# Qsd-a33- oa�'� <br /> Type of Establishment: Single Family X Multi Family <br /> Commercial Garbage Disposal Yes�C No <br /> No. Potential Bedrooms S Est. Gallons Per Day 750 <br /> Water Meter Required: Yes_ No �C Soil Sizing Factor i�b� <br /> Perc Rates P-1 $�5 P-2 7.S P-3 7 P-4 ��s.5 P-5 i6.S P-6 P-7 <br /> Restricting Layer Depth B-1 S�" B-2 s�" B-3� B-4 ��." B-5 4a" B-6 yo" <br /> Type of Treatment System:� p-- q t <br /> Standard X Experimental Alternative <br /> Pressurized Mound System At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift �C Pressurized Bed System <br /> Holding Tank W/ Alarm <br /> Septic Tank Size aa5o # of Tanks a Lift Tank Size la5o <br /> Pump Brand GPM 30 Head 19 <br /> Treatment System: <br /> Minimum �a 6o Square Feet with 6 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 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 X DENIED By the City of Orono subject to existing regulations and <br /> the following conditions: <br /> By: �n�C <br /> Matt Bolterman, On-Site Systems Manager <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />