Laserfiche WebLink
.� <br /> NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check aIl appropriate <br /> boxes.�. <br /> � l. I have received a copy of the system desi�n includin� the City of Orono Septic <br /> System Approval Cover Sheet. <br /> 2. I will be installin�the following: <br /> A. Tanks: Precast Concrete �Other Manufacturer ar�z<rs, <br /> Tank Capacities: 1) /�Oo gal. 2) <aoa ''a� 3) gal <br /> B. Pump Station (if required) <br /> Pump make& model t��r�o �Ja��' (attach pump curve& <br /> literature); system design requi s .�"Z gpm at �d •� �feet of head. <br /> High water alarm make &model _T.,,s;� /'��--�--�- . Outside <br /> electrical work to be completed by installer_�electrician_�other. <br /> C. Treatment System: <br /> Trenches: l� s.f. Mound <br /> Depth of rock below pipe " Rock bed dimensions /a ' x �° ' ����`'�'""'" <br /> Drop Boxes Sand bed dimensions ' Y ' <br /> Distribution Box Pressure Dist. Pipe Diam. 2 " <br /> Manifold Pipe Diam. 2 " <br /> D. Final Cover/Topsoil to be: G _�Z� 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 /> a�rees 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 statements made on this application are complete,true and correct. <br /> SignatureofApplicant (!� Date: � 2G- �-6 <br /> MPCA License No. ZC ?7 <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> Staf',Fl�ev�e�ti•: �p��'ova9 V Denial <br /> Reviewer: �l�,,�� /���� Date: �`� - CG (p <br /> �easo� far �eni�Y: <br />