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. : - . �• SEPTIC SYSTEM APPROVAL <br /> � O�' $�1�P8f,`1Y?�*6�COPY '��'E,C� , <br /> �R S cQ�'Y <br /> � � <br /> , � ;.;,, ,� CITY of ORONO <br /> � �C, Municipal Offices <br /> � <br /> ti <br /> �,��� � - ` ��':�G,��� Street Address: Mailing Address: <br /> �C',EggO¢�" 2750 Kelley Parkway P.O. Box 66 <br /> -- - Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> �7�s � <br /> `_____Owner �r � t�h'A�i.5 Phone (Home) (Work) <br /> Addres�s ..,,���� t�R {iuri TJ�1 �. City (.,;yl�, C:y/�r State b ,�J Zip SS' ;-6 <br /> Site Evaluator3�?- C�tRity's���;/�State License # �Z�% Phone# ��z y y —Z 17�., <br /> Type of Establishment: Single Family x Multi Family <br /> Commercial /1it, Garbage Disposal Yes No <br /> No. Potential Bedrooms � Est. Gallons Per Day 7 � �% <br /> Water Meter Required: Yes_ No� Soil Sizing Factor ,(�C"? = 'Z <br /> Perc Rates P-1 �f? P-2 Gc P-3 2� P-4,�'2- P-���' P-6_� P-7 26 <br /> Restricting Layer Depth B-1 lu" B-2 1�)" B-3 2��' B-� <E" B-5 -S " B-6 �'' <br /> Type of Treatment System: <br /> Standard x Experimental Alternative <br /> Pressurized Mound System �C 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 Tank Size 1'Z S� # of Tanks � Lift Tank Size17� <br /> Pump Brand GPM 7 y Head `� <br /> Treatment System: <br /> Minimum (��''x bZ')��39E�ty� Square Feet with�_inches of rock below pipe <br /> Type of covering Fabric_ �� Other <br /> THIS IS NOT A PERMIT. This is a design approval form«�hich must accompany the site plan. <br /> A permit must be issued to a licensed septic contractor prior to installation. <br /> NOTICE TO INSTALLERS: Any changes to the approved plans must have prior approval of the <br /> inspector (249-4600) Call for inspection 24 hours in advance. <br /> ALL DRAINFIELD AREAS MUST BE FENCED OFF prior to building site excavation and <br /> . fencing must remain in place until final site grading. Appro�-al 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�tithin 20' of tested drainfield sites ever. <br /> ACCEPTED�_ DENIED By the City of Orono subject to existing regulations and <br /> the following conditions: !ti� � �:�� D; � �t t,��lGC['-� l�lr� _ `` <br /> r <br /> By: !�� %C��� ��-b-c,�, <br /> Chris Pence, On-Site Systems Manager <br /> ����S�M I�OE��OR <br /> � �MIf�EA3E IN� <br /> Bf ME�10MS�AU�ki��D�IG�, <br /> Telephone(612)249-4600 • Fax(612)249-�616 <br />