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, . SEPTIC SYSTEM APPROVAL <br /> � �r�ox��r <br /> , "�' 'j�' <br /> � �� <br /> �. ., ;;�,,._ ` CITY of ORONO <br /> .� _ � <br /> �' ��r Municipal Offices <br /> '�t� , .. �;�r G <br /> �. .� � � ,;� Street Address: Mailing Address: <br /> �`,��C'Egg�' 2150 Kelley Parkway P.O. Box 66 <br /> — Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner ���l���R ����n�S Phone (Home) (Work) <br /> Address �'��5 �Y,�Sf;�/ (,?,ar�� R�� Ciry �2ti��r� state �1N zip <br /> Site Evaluat�-f��^�;�,c( State License # Phone# (��;Z— �58 7� <br /> Type of Establishment: Single Famil�� X Multi Family <br /> Commercial /�� Garbage Disposal Yes No <br /> No. Potential Bedrooms S Est. Gallons Per Day �S� <br /> Water Meter Required: Yes_ NoX Soil Sizing Factor . �'3 , G' � 2 <br /> Perc Rates .P-1 J$ P-2 (.S P-3 P-4 P-5 P-6 P- <br /> Restricting Layer Depth B-1�?G'` B-2 .�,�` B-3 B-4 B-5 B-6 <br /> Type of Treatment System: <br /> Standard�_ Experimental Alternative <br /> Pressurized Mound System �( At-Grade System <br /> Gravity Trenches System Pressurized Trench S�-stem <br /> Gravity Trenches W/Lift Pressurized Bed System <br /> Holding Tank W/Alarm <br /> Septic Tank Size J 3�'C # of Tanks � 2— Lift Tank Size !3�G� <br /> Pump Brand GPM y"7 Head <br /> Treatmen S��stem: <br /> Minimurr� 5:YC� ' /�` ' Square Feet«�ith�_inches of rock below pipe <br /> Type of covering Fabnc � Other <br /> THIS IS NOT A PERIVIIT. This is a design approval form which must accompany the site plan. <br /> A permit must be issued�fo a licensed septic contractor prior to installation. <br /> NOTICE TO INSTALLERS: Any changes to the approved plans must ha�-e prior approval of the <br /> inspector (249-4600) Call for inspection 24 hours in advance. <br /> ALL DRAINFIELD AREAS NIUST BE FENCED OFF prior to buildin� site excavation and <br /> . fencing must remain in place until final site grading. Approval to pour footings will not be granted <br /> until the Inspections Department has verified the primary and alternate sites are protected. <br /> I�'O VEHICULAR TRAFFIC OF ANY KP�� is allowed within 20' of tested drainfield sites ever. <br /> ACCEPTED_� DENIED B��the City of Orono subj ct to esisting re�ulations and <br /> the follo�vin�conditions: <br /> t <br /> By: �'�.� �"� I Z-/�- �1 <br /> THiS SYSTEM 1S DESI6NED FOR Chris Pence;On-Site Sy-stems �lanager <br /> ,;�BEDROOMS. ANY INCREASE IN NUMBER yQ�_ _ 5,� P,s�,•, o,.. e.Q,,,t,t�c.4 r-�: <br /> OF BEDROOMS INYAUDATF.S tHIS DESlGN. o c= s�na-�� �� � �.-�-Sg <br /> Telephone(612)219-4600 • Fax(612)249-4616 <br />