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05/18/2015 14: 15 952-955-5071 BURNS EXCAVATING PAGE 03 <br /> !wlll he i�nstalling the following. <br /> Ta ks <br /> '� Precast Concrete ❑ Fiberglass ❑ Plastic [] Other <br /> (Ils!manufaclurer) <br /> Number af Tanks: 3 <br /> Sfze of Tanks: �;��., �� _ <br /> Treatment System <br /> Trenches S,#, <br /> � Mound ��z- s.f. <br /> Grav�l less s.f. <br /> Chamber _ g,�, <br /> NOTE: The contr�cto�r is required tv pro�id� an As-Built of the systern befare the <br /> final inspectlan. <br /> The undersigned hereby applies to the Ci#y of Orono for fssuance of a septic system <br /> inst2�ll�tion permit, agrees to do all the work in striCt accordance with ordin�nces of the City <br /> and regulations of th� State of Minnesata and c�rtifies that alI statements made on this <br /> application are camplete, true and cornect. <br /> Signature of Applicant ��t�-e��, g ���P; � � ��� <br /> MPCA License No.: �� <br /> S'taff Ro�iew: ❑ Accept ❑ Denlad <br /> Reviewer: Date: <br /> Reason fior Denlal: <br /> Camments (to b� printed on Insp�ctivn cardy: <br /> zrz <br />