Laserfiche WebLink
a <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�n the following: <br /> A. Tanks: ✓ Precast Concrete Other Manufacturer 1�,.� rw , -, <br /> Tank Capacities: 1)� o<� gal. 2) 3e.�c; gal. 3) �_ gal. <br /> B. Pump Station (if required) �/Z � �P � <br /> Pump make & model �v���i l ���1� (attach pump curve & <br /> literature); system design requires �_ gpm at feet of head. <br /> High water alarm make & model �,;,� j�,�".� _ 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. Mound <br /> Depth of rock below pipe " Rock bed dimensions 10 'x (�3 ' <br /> Drop Boxes Sand bed dimensions�'x�v' <br /> Distribution Box Pressure Dist. Pipe Diam. i '�i " <br /> Maniford Pipe Diam. Z �� <br /> D. Final Cover/Topsoil to be: borrowed from site <br /> �Show location on site plan) <br /> ✓ trucked 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 correct. <br /> � '�C� <br /> SignatureofApplicant: Date:� ��1� <br /> MPCA Certification No.: � �{- � <br /> Staff Review: A,�Sp va /ti Denial <br /> � <br /> Reviewer: ��r ���� Date• �- �� � C'' <br /> Reason for Denial: <br />