Laserfiche WebLink
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate <br /> boxes. <br /> �r���� 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 installing the following: <br /> A. Tanks: Precast Concrete Other Manufacturer <br /> Tank Capacities: 1) • �-7��%gal. 2) gal 3) gal <br /> B. Pump Station (if require <br /> Pump make & model (attach pump curve& <br /> literature); system design re ' es gpm at feet of head. <br /> High water alarm m model . Outside <br /> electrical wo e completed by installer trician other. <br /> C. Treatm ystem: <br /> Trenches: s.f. Mo d <br /> Depth of rock below pipe " Rock bed dimens' ns ' x ' <br /> Drop Boxes Sand bed dime io ' x ' <br /> Distribution Box Pressure Dist ipe Di " <br /> Manifold pe Diam. " <br /> D. Final Cover/Topsoil to be: � borrowed 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 Minnesota,and certifies that all statements made on this application are complete,true and correct. <br /> SignatureofApplicant � � Date: /L� <br /> � <br /> MPCA License No. ` <br /> � �� <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> Staff Review: Approval t Denial <br /> Reviewer: � Date• � � � � � � <br /> Reason for Denial: <br />