Laserfiche WebLink
, , <br /> SEPTIC SYSTEM APPROVAL <br /> �' ��' <br /> �� <br /> ��� <br /> ��P <br /> 0 o Y <br /> ,a � �„ <br /> C ITY of ORONO <br /> �lS� Municipal Offices <br /> ��� .�G Street Address: Mailing Address: <br /> 9$EggOg' 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner �•Ke sow�c"� Phone (Home) (Work) <br /> Address 7aS Fe��t��k' N City State Zip <br /> Site Evaluator S,r„� 3c�-�,�t:� State License # 6%7 Phone# �6 s - y`i 7- 3��� <br /> Type of Establishment: Single Family�_ Multi Family <br /> Commercial Est. Gallons Per Day �C��� <br /> No. Potential Bedrooms ( Slope: ���� �, � 3 <br /> Depth of Sand: Upslope: � Downslope: �� � Soil Sizing Factor <br /> Perc Rates P-1 �S P-2 �•� P-3 >.� P-4 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 '3� '� B-2_�_�' B-31n'' B-4 B-5 B-6 <br /> Type of Treatment System: <br /> Standard �C Alternative Other Performance <br /> Pressurized Mound System � At-Grade System <br /> � <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/ Lift Pressurized Bed System <br /> Holding Tank W/Alarm <br /> Septic Tank Size �ZS�' �}- `ta�,� # of Tanks � Lift Tank Size .��y� <br /> Pump Brand GPM � Head J y <br /> Treatment System: <br /> Minimum Square Feet with �'i inches of rock below pipe <br /> Mound Bed M�� X 7 S' Mound Treatment Are 3�� x `�5 3�"i x ��3� <br /> THIS IS NOT A PERMIT. This is a design approval form which 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 (952-249-4600) 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. Approval 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 within 20'of tested drainfield sites ever. <br /> ACCEPTED k DENIED By the City of Orono subject to existing regulations and <br /> the following condition�s: ,/`^�-°i s� ��� �1�\ r��W St�r� �'�'�KS - <br /> - M�i-►- r����^t) L� ` i�.�. <br /> ,� n^c�k C S�'r '� /`,C J�.t� S . j� �S �r�c t d��. <br /> By. ��''`r,bbC ��,'�'`�`�,'�-,y„�� �-�� - C� � <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />