Laserfiche WebLink
** ATTENTION APPLICANT ** <br /> Fil! in all a ro riate blanks and check all appropriate boxes. <br /> I will be installing the following: " <br /> Tanks <br /> ❑ Precast Concrete ❑ Fiberglass � Plastic ❑ Other <br /> (list manufacturer) <br /> � <br /> Number of Tanks: � <br /> Size of Tanks: /DUc7 /�>UU J D(�O <br /> Treatment System <br /> Trenches s.f. <br /> ✓ Mound 3 � C� s.f. <br /> Gravel less s.f. <br /> Chamber s.f. <br /> Final Cover/ Top Soil <br /> to be borrowed from site (show location on site plan) <br /> �trucked in <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system <br /> installation permit, agrees to do all the work in strict accordance with ordinances of the City <br /> and regulations of the State of Minnesota and certifies that all statements made on this <br /> appfication are complete, true and correct. <br /> �' <br /> Signature of Applicant Date: /- 3� -09 <br /> MPCA License No.: ;� � ( (� <br /> Staff Review: Accept ❑ Denied <br /> '> < <br /> Reviewer: _ /�-'i.��� �'� Date: / ��� fO � <br /> Reason for Denial: <br /> Comments (to be printed on inspection card): � �P +A � � i �� C� A� � <br /> M.� ��� <br /> .�P ���n S-t��1�' �-� c1 � l� s�t � f�j f1 �l� G� ���A� � '� <br /> (.,�% o� � 1 � , �-t l• (G, /1�,� � �C:� !�-1 %�C�,� C`�,c�� � �r �-��.c� <br /> �/'O U^� � V:\(Permits)\Septic System Permit Application.doc <br /> � 2 � 2 <br />