Laserfiche WebLink
. <br /> NOTE: Applicanc rriust initial all spaces. Fill in a11 appropriate blanks, check all appropriate <br /> boxes. - � <br /> �� __ - , / <br /> /�>� ��� ti,v� v�Ci��c;�� z. �' ,.�rc;,;;�: � <br /> � _..`ik �r tR�-�3Fj�.d-�...�.�z�e.�-/� �-c S �sc<<rc���.. <br /> � 1. `I have received a copy of the system desi�n includin� the City of Orono <br /> Septic System Approval Cover Sheet. <br /> � � <br /> 2. I �vill be installin; the f�1l�winQ: <br /> A. Tanks: ✓precast Concrete Other Manufacturer <br /> Tank Capacities: 1)/ �� gaI. 2) �r'c�j �al. ;)� Q�i. <br /> a <br /> B• Pump Station (if required) <br /> r Pump make & model C��l�l .j,�/E'�S// (attach pump curve & <br /> l; literature); system desi�n requires �I3S- gpm at i 7 feet of head. <br /> , Hi�h �vater alarm make & model �;.�e (.�,.,�, Outside <br /> 5� � electrical work to be completed by installer.� electrician <br /> other . Inside eleccrical 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 1v 'x 6� ' <br /> Drop Boxes Sand bed dimensions � 'x f�( ' y6 ,r �� <br /> Distribution Box Pressure Dist. Pipe Diam. �'iZ " <br /> Maniford Pipe Diam. v " <br /> D. Final Cover/Topsoil to be: borrowed from site <br /> (show location on site plan) <br /> ✓ trucked in <br /> The undersi?ned 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 appiication <br /> are complete, true a ect. <br /> Si�natureofApplicant: Date: lC� 'Z_� —5' � <br /> MPCA Certif cation No.: �, �C) - <br /> Staff Reviei�•: Appro Denial <br /> Reti-ietiver: � --> � <br /> Date: ���"� y� <br /> Reason for Denial: <br />