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' }.,�_.'. .•., � <br /> SEPTIC SYSTEM DENIAL <br /> � <br /> �,�. <br /> � 0 <br /> ,� �� � ���� ���� � <br /> C ITY of 4RON0 <br /> �C, Municipal Offices <br /> �� ' G~ Street Address: Mailing Address: <br /> �9kE3H�4`'� 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner RICHARD W PARSONS Phone (Home)_Work) <br /> Address 280 Bi� Island City Orono State MN Zip <br /> Site Evaluator Kevin Kloeppner State License # 208 Phone# 763-441-7509 <br /> Type of Establishment: Single Family X Multi Family <br /> Commercial Est. Gallons Per Day 300 <br /> No. Potential Bedrooms 2 Slope: 16% <br /> Depth of Sand: Upslope: Downslope:_ Soil Sizing Factor 2.2 <br /> Perc Rates P-1 8 P-2 33 P-3 P-4 P-6 P-7 <br /> Restricting Layer Depth B-1 >66" B-2 >70" B-3 " B-4 " B-5 " B-6 '; <br /> Type of Treatment System: <br /> Standard X Alternative Other Performance <br /> Pressurized Mound System At-Grade System <br /> Gravity Trenches System X Pressurized Trench System <br /> Gravity Trenches W/Lift Pressurized Bed System <br /> Holding Tank W/Alarm <br /> Septic Tank Size 1500 # of Tanks 1 Lift Tank Size <br /> Pump Brand GPM _ Head <br /> Treatment System: <br /> Minimum 660 Square Feet with 6 inches of rock below pipe <br /> Bed Mound Treatment Area <br /> THIS IS NOT A PERMIT. This is a design approval form which must accompany the site plan. A <br /> 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 (952-249-4600) 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 DENIED X By the City of Orono subject to existing regulations and the <br /> following conditions: <br /> 1) Based on soil testin� done by U of MN Extension on Mav 26, 2004 it was determined that <br /> mottlinQ occurs within 36 inches of the surface of the �round at borin�#2. This makes this desi�n <br /> non-compliant with State Septic Code 7080 and further testin�must be done to find a site that meets <br /> 7080. <br /> �� Y <br /> By: <br /> � ��r� , -:.��,_..�r._ �'.�j-0 � <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />