Laserfiche WebLink
.� <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: �Precast Concrete Other Manufacturer,�����.✓ <br /> Tank Capacities: 1) /�f gal. 2) ld S?� gal 3) l� :gal <br /> B. Pump Station (if required) <br /> Pump make& model �s���� ��L/��-/��y (attach pump curve& <br /> literature); system design requires ��L_gpm at �9' . feet of head. <br /> High water alarm make&model . Outside <br /> electrical workto 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�!3 ' <br /> Drop Boxes Sand bed dimensions�' x�' <br /> Distribution Box Pressure Dist. Pipe Diam. '��_" <br /> Manifold Pipe Diam. ,� •� " <br /> �., <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 work in strict accordance with ordinances of the City and the regulations of the State <br /> of Nlinnesota,and certifie t all statements made on this application are complete,true and correct. <br /> SignatureofApplicant � � L-�� 4'G��� Date: � ����., <br /> MPCA License No. � <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> Staff Review: Approval Denial <br /> Reviewer: ��Q�'�-. �c�S���Z��ti�{� Date: � `�'— � � <br /> Reason for Denial: <br />