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� , � � � SEPTIC SYSTEM APPROVAL <br /> . - _- <br /> , - - � <br /> /� Q ,\\\� � So e c.�--d� �-� �/ <br /> �; 'Q�' � �--b` � <br /> \ , <br /> %'% � � '`. <br /> � y C ITY of ORONO <br /> .. � � �f �`L� �� I' � <br /> /I, <br /> �'i, � ,�t� � ,�ti��' Municipal O�ces <br /> ,�, <br /> �� �� ��� '� ���' .���� Street Address: Mailing Address: <br /> ���`�$'EggOg'// 2150 Kelley Parkway P.O. Box 66 <br /> �_--- � <br /> — Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner {��.c����c� �a�5���� Phone (Home) (Work) <br /> Address �$O ����1 ZS������ City Of��c� State MN Zip <br /> Site Evaluator kev'.� Klee��� State License # �-n� Phone# 763- 441 - 75��9 <br /> Type of Establishment: Single Family�_ Multi Family <br /> Commercial Est. Gallons Per Day 30C) <br /> No. Potential Bedrooms a Slope: ����o <br /> Depth of Sand: Upslope: — Downslope: — Soil Sizing Factor �o'�•a <br /> Perc Rates P-1 � P-2 3� P-3 P-4 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 '766`' B-2 77o"B-3 B-4 B-5 B-6 <br /> Type of Treatment System: <br /> Standard � Alternative Other Performance <br /> Pressurized Mound System At-Grade System <br /> Gravity Trenches System ?( Pressurized Trench System <br /> Gravity Trenches W/Lift Pressurized Bed System <br /> Holding Tank W/Alarm <br /> Septic Tank Size i5�� # of Tanks I Lift Tank Size <br /> Pump Brand GPM Head <br /> Treatment System: � � .��,K.� �ite�c.L�S / <br /> Minimum (-�6� �x�'� Square Feet with p inches of rock below pipe <br /> Mound Bed Mound Treatment Area <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(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 By the City of Orono subject to existing regulations and <br /> the following conditions: - R F.1 tz� r•,�Srs 6� u Scc� o-� S�Q+�,�. -����I� <br /> —r�R�r. Sv� Z �CQ �':rc.. �-c.�� Cttn '+nr �-,Sfi�� c,.;tS�.i,� D��SSL�C.S <br /> _ M�`1.- �CQ�.�, 0�- 'f�c.��LC� JO . t�l.��� <br /> --�ZC L 3rtS's 5 l�d�•< w -�` 0 c�,c�;rc\ Q�ac�S <br /> —ea� �S� t'o�� o: �.�.0.�t<5 p te�✓�}�.c� �.,.- .kL C�,��b:� vSL <br /> — o�•�y a oc-.�� ���r,ee �c 'rt� �:}-Y s cr�-s���. :c� o: s�.� . <br /> By: �� �...` � — �—�3 <br /> Matt Bolterman, On-Site Systems Manager Date <br /> .- �q�,�-�r i �-+,�.h��.a� ���� �� ��� ...��h ��z..<<.�S �,��.,Sl A�f� s�-�-� . <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />