Laserfiche WebLink
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate <br /> boxes. <br /> l. I have received a copy of the system design including the City of Orono Septic <br /> System Approval Cover Sheet. <br /> 2. I will be installing the following: �'� ,3�l�lA>S <br /> A. Tanks: Precast Concrete �Other Manufacturer <br /> Tank Capacities: 1) is0� gal. 2) iS�U gal 3) gal <br /> Gim t 4rf n..�" <br /> B. Pump Station(if required) <br /> Pump make& model (attach pump curve& <br /> literature); system design requires gpm at feet of head. <br /> High water alarm make&model . Outside <br /> electrical work to be completed by installer_�electrician other. <br /> C. Treatment System: <br /> �_Trenches: 7 0� s.f. Mound <br /> Depth of rock below pipe�" Rock bed dimensions ' x ' <br /> �Drop Boxes C1�4 ���. Sand bed dunensions ' x ' <br /> Distribution Box Pressure Dist. Pipe Diam. " <br /> Manifold Pipe Diam. " <br /> D. Final Cover/Topsoil to be: 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 /> agrees to do all work in strict accordance with ordinances of the City and the regulations of the State <br /> of Minnesota,and certifies that all statements made on this application are complete,true and correct. <br /> SignatureofApplicant Date: �lZ'�;� <br /> MPCA License No. �(1' j� <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> Staff Review: Approval � Denial <br /> Reviewer: �/�„� �� Date• � � � J <br /> Reason for Denial: <br />