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, � - SEPTIC SYSTEM APPR(���L <br /> _-- , <br /> � Q� , �`<;;.'L�,TO$�COPY <br /> Il�SPECT�'S COPY <br /> � � <br /> CITY of ORONO <br /> a �';�,: _ � , <br /> , �4 Municipal Offices <br /> �� �VF G~ Street Address: Mailing Address: <br /> �.� ' �����i;; <br /> �� kEBI;���� 2150 Kelley Parkway P.O. Box 66 <br /> _ —�' Orono, MN 55356 CrYstal Bay, MN 55323-0066 <br /> _� , ��} - <br /> Owner .,,.;�`�� ���r( Phone (Home) (Work) <br /> Address .3��� „�'�(; �.:-;%-�1�, City �%/_6Y)L� State G12��� Zip �`3,��� <br /> Site Evaluator.5- ��"5� ' State License #�� Phone# �-/q'7-3S�� <br /> Type of Establishment: Single Family Multi Family�%�+•� �'��;,�,./Jy� �,S,�F�1 <br /> Commercial /V� Garbage Disposal Yes No�_ � � <br /> No. Potential Bedrooms � �k j�" .3 Est. Gallons Per Day L(7'-{ <br /> Water Meter Required: Yes No jc Soil Sizing Factor � ,(o�l <br /> Perc Rates P-1�_ P-2 JJ P-3� P-4 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 ��" B-2�" B-3 ��" B-4 B-5 B-6 <br /> Type of Treatment System: <br /> Standard�_ Experimental Alternative <br /> Pressurized Mound System At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift � Pressurized Bed System <br /> —� <br /> Holding Tank W/ Alarm <br /> Septic Tank Size �L^��'�� # of Tanks `� Lift Tank Size �C`�O� <br /> Pump Brand --- GPv1 `-�5 Head ,5'� <br /> Treatment System: <br /> Minimum �`lC_� Square Feet�vith jC��Sc32 inches of rock below pipe <br /> Type of covering Fabric_ L Other <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 (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 AIV`Y KIND is allowed within 20' of tested drainfield sites ever. <br /> . �; <br /> u i�''. <br /> ACCEPTED � DENIED By the Ci of Orono subject to existing regulations and � �r <br /> thefollowingconditions:f}�1 �anks ji��ist i���- /� �u c:cr� rn h'C�1s A v',�r�;�ai�c�� w^�<< jk �ra,� <br /> , , <br /> q i lc�� !��t-, c� �vrvt w'��f F�rc; c; . l�r/��z , , . ��� ' .t r� -Ttfi� <br /> �`t,�;ii�-i �il�:�,^�;r1� g,�,s �u�, 7`� y� ��r�4s �;2P�� . .r��st �.� �,5;.,���ttp �D�iv .-to �a�nu,�-}- yiei�� <br /> $y: 2- 7-C�O (SSr,a�� <br /> Chr s Pe , - �stems Manager <br /> �'�7 �EOR04M�. 11i�lY�t�FlISE f�l�tl�NlB�t <br /> Typr� ��OOMS prVAUDA�S Tt�IS�ESIGN. <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br />