Laserfiche WebLink
_ ♦ <br /> NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate <br /> boxes. <br /> ti' 1. I have received a copy of the system design including the City of Orono Septic <br /> System Approval Cover Sheet. <br /> 2. I will be install�ng the following: <br /> A. Tanks: � -�P er cast Concrete Other Manufacturer �Gl�/S <br /> Tank Capacities: 1) I�?,�; gal. 2) C�U gal � 3) Zrl) gal <br /> B. Pump Station(if required) C , �,�,1 eL;,�l�( !`� <br /> Pum make& model (-`�CiCt � �=-'��'b� <br /> p _�c� � (attach pump curve& <br /> Iiieiaiure j; sysiem design requires gpm at�T feet of head. <br /> High water alarm make & model�� �, �J-�Z C � cJ�-e//�/J�Outside <br /> electrical work to be completed by installer electrician�_other. <br /> C. Treatment System: <br /> Trenches: s.f. _� Mound <br /> Depth of rock below pipe " Rock bed dimensions /G ' x� <br /> Drop Boxes Sand bed dimensions ��' x�C/'� <br /> Distribution Box Pressure Dist. Pipe Diam. .'� �� " <br /> ---� " �— <br /> Manifold Pipe Diam. � %� " <br /> D. Final Cover/Topsoil to be: borro�ved 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 permit, <br /> agrees to do all work in strict accordance with ordinances of the City and the regulations of the State <br /> of Nlinnesota,and certifies that all ta'' ments made on this application are complete,true and correct. <br /> � <br /> � �y� - <br /> Signature ofApplicant Date: �C' <br /> MPCA License No.__ �r �U � <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> Staff Revie�v: Approval Denial <br /> � <br /> Reviewer: �(wj ��-��� Date: � /(,?� -�� <br /> Reason for Denial: <br />