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boxes. <br /> 1. I have receiv copy of the system de ' ity no Se tic <br /> A mval ver Sheet. <br /> 2. I will be installin the foll�ing: o <br /> A. Tanks: recast Coricre� Oth� Manufacturer�����;-F►o� -7S�1 <br /> Tank Capacities: 1) /�o ga1. 2) gal 3) �al <br /> e�'�p c�.o.r.bc� <br /> B. Pump Station(if required) <br /> Pump make &model L`,o.,�l�� w C-oSl� (attach pump curve& <br /> literaiure); system design requires�gpm at /Z feet of head. <br /> High water alarm make &model �L V . Outside <br /> electrical work to be completed by installer X electrician other. <br /> C. Treatment System: �,l <br /> Trenches: s.f. Me�d oth�� <br /> Denth of rock below pipe " Rock bed dimensions 'S�o ' x as;s3� <br /> . Drop Boxes Sand bed dimensions '�o ' x z5;�3 S <br /> Distribution Box Pressure Dist. Pipe Diam. �'' " <br /> Manifold Pipe Diam. Z�—" <br /> D. Final CoverfTopsoil 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 ofa septic system installation permit, <br /> agrees to do all work in strict accordance with ordinances of the City and the regulations of the Staie <br /> of Minnesota,and certifies that all statemen e on this application are complete,true and correct. <br /> Signature ofApplicant Date: /Z/3-0`7 <br /> MPCA License No. �"R 9a <br /> Reset Form <br /> ------------------------------------------------------------------------------------------------------------------------- <br /> Staff Review: Approval Denial <br /> Reviewer: �-j�,�c.�; �''��� Date• ����`f�C'��7 <br /> Reason for Denial: <br />