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. <br /> NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate <br /> boxes. <br /> 1. I have received a copy of the system desi�n including the City of Orono <br /> Septic System Approval Cover Sheet. <br /> 2. I will be installing the followin�: � <br /> A. Tanks: � Precast Concrete Other Manufacturer ��_� l l s <br /> Tank Ca pacities: 1) � 5�= gal. 2) /<=r��= gal. 3) ;� -=>�_ gal. <br /> B. Pump Station (if required) <br /> Pump make & model (attach pump curve & <br /> literature); system design requires �;'� gpm 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 " ock bed dimensions �'x L� ' <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: � bonowed from site <br /> (show location on site plan) <br /> trucked in <br /> The undersigned hereby applies to the Ciry 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 /> SignatureofApplicant: ���-��� �?���..� Date: �-� / 711� <br /> MPCA Certification No.: �9� <br /> Staff Review: Approval Denial <br /> Reviewer: Date: ��!`� <. <br /> Reason for Denial: <br />