Laserfiche WebLink
NOTE: Applican[ rriust initial all spaces. Fill in all appropriate blanks, check all appropriate <br /> boxes. <br /> � <br /> C 1. I have received a copy of the system desi;n includin� ihe City of Orono <br /> Septic System Approval Cover Sheet. <br /> � �� 2. I will be installin� the followin�: <br /> A. Tanks: Precast Concrete �Other Manufacturer <br /> Tank Capacities: 1) �� �aI. 2) �� �al. �) �� oal. <br /> B. Pump Station (if required) <br /> Pump make & model �c� �, ./� (attachrpump curve & <br /> literature); system desi�n requires gpm at i� feet of head. <br /> Hi�h �vater alarm make & model Outside <br /> • electrical work to be completed by installer �� electrician <br /> other . Inside electrical work m{�s� be completed by <br /> electrician. <br /> C. Treatment System: <br /> ,�_ Trenches: � S,f, Mound <br /> Depth of rock below pipe ��" Rock bed dimensions 'x ' <br /> Drop Boxes Sand bed dimensions 'x ' <br /> 2 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�ne�l hereby applies to the City of Orono for issuance of a septic system installation <br /> permit, a�rees to do all work in strict accordance with the ordinances of the City and the <br /> regulations of the State of Minnesota, and certifies that all statements made on this application <br /> are complete, true and correct. <br /> � <br /> Si�natureofApplican[: �� Date: �- � -�� �� <br /> , <br /> MPCA Certification No.: �� s�j - <br /> Staff Review: Appr v � D ni <br /> . , <br /> _ _ �, <br /> � Revietiver: _ � � ,/��� Date: ��J�-"�� <br /> Reason for Denial: <br />