Laserfiche WebLink
_ � <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 design including the City of Orono <br /> Septic System Approval Cover Sheet. <br /> � 2. I will be installi g the following: �,,,,�5-�- <br /> A. Tanks: �Precast Concrete Other Manufacturer 2<,,�„� <br /> Tank Capacities: 1) op gal. 2) ��; ; gal. 3) �� gal. <br /> B. Pump Station (if required) <br /> Pump make & model �� /�c I�o�;�i,l� `�/� tH? (attach pump curve & <br /> literature); system design requires yc� gpm at Z�� feet of head. <br /> High water alarm make & model .�.V LF-u� 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. f/ Mound <br /> Depth of rock below pipe " Rock bed dimensions %� 'x 5�' <br /> Drop Boxes Sand bed dimensions �'x � � ' <br /> Distribution Box Pressure Dist. Pipe Diam. ' z" <br /> Maniford Pipe Diam. � " <br /> D. Final Cover/Topsoil to be: borrowed from site <br /> �how location on site plan) <br /> rucked in <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system installation <br /> permit, agrees 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 corr . <br /> SignatureofApplicant: Date: l 2- �� �4� <br /> MPCA Certification No.: �(��� <br /> Staff Review: App �val Denial <br /> � <br /> Reviewer: � Zl c� Date: i 2 -1 3-y y <br /> Reason for Denial: <br />