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, � � � SEPTIC SYSTEM APPROVAL <br /> � o�. 0 <br /> c <br /> o . <br /> � <br /> � <br /> 0 0 <br /> �R <br /> � � � <br /> C ITY of ORONO <br /> �, �ti Municipal Offices <br /> �.� .�G Street Address: Mailing Address: <br /> 9$'EggO�' 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner .��%�� 5 r e� r� Phone (Home) (Work) <br /> Address ��`��� Q ee� R�� `(r. L. City o r��� State ���.; Zip <br /> Site Evaluator 5��,;t s�l,�,,..,��5 State License # 6�.� Phone# ��� 't��� - 3 5��= <br /> Type of Establishment: Single Family � Multi Family <br /> Commercial Est. Gallons Per Day �S U <br /> No. Potential Bedrooms S Slope: S "�O <br /> Depth of Sand: Upslope: t.3" Downslope: �.`3 � Soil Sizing Factor d. �� <br /> Perc Rates P-1 ti.3 P-2 ti,� P-3 i i P-4 io P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 �,��'' B-2 ?c�" B-3 d3'� B-4 3_`:�� B-5�`+" B-6 ���� <br /> Type of Treatment System: <br /> Standard X Experimental Alternative Performance <br /> Pressurized Mound System � At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift Pressurized Bed System <br /> Holding Tank W/ Alarm <br /> Septic 1�ank Size ��5� � ��oo # of Tanks a Lift Tank Size i a S U <br /> Pump Brand GPM �-1'-I Head �:� <br /> Treatment System: <br /> Minimum Square Feet with `� inches of rock below pipe <br /> Mound Bed I o x E� Mound Treatment Area (���� �x �'1) � (���� n i o���� <br /> THIS IS NOT A PERMIT. This is a design approval form which must accompany the site plan. <br /> A permit must be issued to a licensed septic contractar prior to installation. <br /> NOTICE TO INSTALLERS: Any changes to the approved plans must have prior approval of the <br /> inspector (952-249-4600) Call for inspection 24 hours in advance. <br /> ALL llRAINFIELD AREAS MUST BE FENCED OFF prior to building 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 /> NO VEHICULAR TRAFFIC OF ANY KIND is allowed within 20'of tested drainfield sites ever. <br /> ACCEPTED X DENIED By the City of Orono subject to existing regulations and <br /> the following conditions: <br /> X U����c�C� c�Cr ��-�� 1`� hC w .�-A .�� �0 �Cc{- �J� '�u �.II SD ,�S ,�- Ccr,,.�a��,� So.�, <br /> (�eaC� S '�a . � S ,\ 2 _ �Cc� �CCoc.. Cc �CZ- � �he . <br /> � �C ��.Z S� � ��{ p �. 1b�-•f+� tc�•. T�i(�+� �n � . <br /> By: ��c� l�����-t�-�,�Y,��,� �-�1 - D��• <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />