Laserfiche WebLink
. . 1 <br /> ,. 1 <br /> NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate <br /> boxes. <br /> 1. I have received a copy of the system design including the City of Orono Septic <br /> System Approval Cover Sheet. <br /> 2. I will be installing the following: <br /> A Tanks: h Precast Concrete Other Manufacturer <br /> Tank Capacities: 1) ;`% ,'%.� gal. 2) / ;;<<� gal 3) � gal <br /> � - <br /> , :. <br /> B. Pump Station (if required) <br /> Pump make & model ; ';;;_� ;,;: (attach pump curve& <br /> literature); system design requires ���� gpm at /.�- feet of head. <br /> High water alarm make & model ,( /';;'�;�, �}�r� �'i)'� . Outside <br /> electrical work to be completed by installer `� electrician other. <br /> C. Treatment System: <br /> �: Trenches: � ' %.� s.f. Mound <br /> Depth of rock below pipe " Rock bed dimensions ' x ' <br /> Drop Boxes Sand bed dimensions ' x ' <br /> Distribution Box Pressure Dist. Pipe Diam. " <br /> Manifold Pipe Diam. " <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 permit, <br /> a�rees to do all �z-ork in strict accordance with ordinances of the City and the regulations of the State <br /> of Nlinnesota,and certifies that all statements made on this application are complete,true and correct. <br /> � _� i� � � � <br /> SignatureofApplicant ��� � �, �� �� < < ; � �� � Date: > � C�`� <br /> MPCA License tiTa �(/� <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> Staff Revie�v: Approval Denial <br /> Reviewer: Date: � <br /> Reason for Denial: <br />