Laserfiche WebLink
IVrOTE: 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 includin� the City of Orono Septic <br /> System Approval Cover Sheet. <br /> 2. I�vill be instal �n�the followin�: <br /> A. Tanks: Precast Concrete Other Manufacturer <br /> Tank Capacities: 1)l,G�� �al. 2) �al 3) jal <br /> B. Pump Station (if required) <br /> Pump make & model �d;r'�'�-C ��c �''► //� (attach pump curve�c <br /> literature); system desi�n requires jpm at feet of head. <br /> Hi�h water alarm make & model . Outside <br /> electrical work to be completed by installer�_electrician other. <br /> C. Treatment System: <br /> _�_�Trenches: s.f. I�Iound <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: � borro�ved 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 �vork in strict accordance with ordinances of the City and the re�ulations of the State <br /> oY 1�Iinnesota,and certifies that all statements made on this application are complete,true and correct. <br /> SiQnature of Applicant � r Date: �l C/� <br /> iVIPCA�icense IvTo. / D ��i <br /> ---__-__�-----------------------------�----------------------------------------------------------------------------------- <br /> � a- v�9 " � �erai�� <br /> S�afl��ev�e���: r�g�� m <br /> � � <br /> �'�es-1�s�?�-o D�te: �— �U - C� <br /> ��nson �c��� �P����: <br />