Laserfiche WebLink
. � t <br /> NOT'E: �Applicanc rriust initial aIl spaces. Fill in alI appropriate blanks, check all a ro riate <br /> boxes. . pp p <br /> �� � . _ <br /> 1. I have received a copy of the system desijn includin� the Ciry of Orono <br /> Septic System Approval Cover Sheet. <br /> . -�-7 i � _ . _ <br /> ���� .2. I tiviIl be�installin� thz followinQ:'� = <br /> A. Tanks: .� precast Concrete Other Manufacturer �-'�`�-'����� <br /> Tank Capacities: 1) -i7c.,a QaI. 2) c�v oal. ^ <br /> � .l�_. � �) /3� g2i.. <br /> � - B• Pump Station (if required) <br /> Pump make & model ��,����2 � 1 (attach pump curve & <br /> literature); system desi�n requues Q z <br /> Hi;h Svater aIarm make & mode� �Pm at / feet of head. <br /> • ' eIectrical �vork to be completed by �instali r �. • Outside <br /> ocher � electrician <br /> . Inside elec[rical work must be completed by <br /> electrician. . <br /> ' C. Treatment System: <br /> � Trenches: s.f. � Mound <br /> Depch of rock below pipe " Rock bed dimensions�'x � � � <br /> Drop Boxes � Sand bed dimensions 'S� 'X s;7 � - <br /> Distribution Box � , <br /> Pressure Dist. Pipe Diam. ��" <br /> � .3Vianiford Pipe Diam, Z " <br /> D. Final Cover/Topsoil to be: � borrozved from site <br /> (show location on site plan)- . <br /> trucked in <br /> The undersignec3 hereby appIies 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 /> aze complete, true and correct: <br /> - ---� � <br /> Si�natureofApplicant:_ `� Date: ,� — —� <br /> . . �� - l� i' <br /> MPCA Ceriification No.:�Q C�� . . - � <br /> Staff Reviezv: ApproY .� Denial . . � <br /> � ReFietiver: -- � " • . � <br /> � ate: � <br /> - -�--L—.-- <br /> Reason for Denial• <br />