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� ti <br /> NOT�: Applican[ rriusc initial aIl spaces. Fill in all appropriate blanks, check all appropriate <br /> boxes. . <br /> 1. I have received a copy of the system desi�n includin� the Ciry of Orono <br /> Septic System Approval Cover Sheec. � <br /> .2. I �viIl be installin� the followin�: <br /> A. Tanks: Precast Concrete Other anufacturer O�`�Cco�«� <br /> Tank Capacities: 1) c�� gaI. 2) /,$�p s j� ;� Qa1. <br /> o , <br /> B• Pump Station (if required) <br /> Pump make & model ff i���, �,j�� (attach pump curve & <br /> literature); system desi�n requires apm at feet of head. <br /> , Hi�h water alarm make & model Outside <br /> • electrical work to be completed by installer electrician <br /> other . Inside electrical work must be completed by <br /> electrician. <br /> C. Treatment System: <br /> �_ Trenches: �_ S,f, Mound <br /> Depth of rock below pipe S/�"- Rock bed dimensions 'x ' <br /> �_ Drop Boxes Sand bed dimensions 'x ' <br /> Distribution Box Pressure Dist. Pipe Diam. " <br /> Maniford Pipe Diam. " <br /> D. Final Cover/Topsoil to be: � borrowed from site <br /> (show location on site pla�) � <br /> trucked in <br /> The undersi�ned hereby appIies to the City of Orono for issuance of a septic system installation <br /> permit, agrees to do aIl work in strict accordance with the ordinances of the City and ihe <br /> regulations of the State of Minnesota, and certifies that all statements made on this application <br /> are complete, true and correct: <br /> Si�natureofApplicant: <br />