Laserfiche WebLink
�; ' <br /> NOTE: Applican[ rriust initial all spaces. Fill in al1 appropriate blanks, check all appropriate <br /> boxes. <br /> 1. I have received a copy of the system desi�n includin� the Ciry of Orono <br /> Septic System Approval Cover Sheet. <br /> 2. I wiIl be installin� the followin�: <br /> A. Tanks: Precast Concrete Other Manufacturer <br /> Tank Capacities: 1) gaI. 2) �al. 3) �al. <br /> B. Pump Station (if required) <br /> Pump make & model (attach pump curve & �� <br /> literature); system desi�n requires �"� apm at � feet of head. ��� <br /> Hi�h water alarm make & model Outside ���5 <br /> � electrical work to be comple[ed by installer electrician <br /> oc�ier Inside electrical work must be completed by <br /> electrician. <br /> C. Treatment System: <br /> Trenches; s.f. � Mound <br /> Depth of rock below pipe Rock bed dimensions �'x�' <br /> P ' Sand bed dimensions 3� x��r-� <br /> Dro Boxes > > <br /> Distribution Box Pressure Dist. Pipe Diam. " <br /> Maniford Pipe Diam. " <br /> D. Final Cover/Topsoil to be: borrowed from site <br /> (show location on site plan) <br /> trucked in <br /> The undersijned hereby appIies to the City of Orono for issuance of a sep[ic system installation <br /> permit, a�rees to do all work in strict accordance wi[h the ordinances of the City and the <br /> regulations of the State of Minnesota, and certifies chat all statements made on this application <br /> are complete, irue and correct. <br /> ------� ��- <br /> Si�natureofApplicant: �� Date: C�� Z --( � <br /> MPCA Certification i�To.: �p L�L J <br /> Staff Review: Approv Denial <br /> Revietiver: -� Date: �� <br /> -�-- <br /> Reason for Denial: <br />