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� � ' SEPTIC SYSTEM APPROVAL <br /> . � <br /> � <br /> � <br /> � � <br /> � <br /> �' � C <br /> �� <br /> 0 0 <br /> �' <br /> � � � <br /> C ITY of ORONO <br /> r�',, �!4 Municipal 0ffices <br /> �� �G Street Address: Mailing Address: <br /> `9�fEgHOg' 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner ��-�t�e ��,�� ����z���� Phone (Home) '-1�E- �,I;� (Work) <br /> Address �q S N. i-e r ���1 e Rc;� City O c��,o State M ti Zip <br /> S ite Evaluator >te,,� S��,�,r mer 5 State License # 3�y Phone# `�63- �-I�� -3 S 6� <br /> Type of Establishment: Single Family >C Multi Family <br /> Commercial Est. Gallons Per Day 6 v O <br /> No. Potential Bedrooms �-1 Slope: �7 °�� <br /> Depth of Sand: Upslope: �• � Downslope: I. � Soil Sizing Factor . `� 3 <br /> Perc Rates P-1 �6.7 P-2 5.3 P-3 P-4 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 a y '' B-2 �- B-3 a�-I '� B-4 B-5 B-6 <br /> Type of Treatment System: <br /> Standard �( Experimental Alternative Performance <br /> Pressurized Mound System � At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/ Lift Pressurized Bed System <br /> Holding Tank W/Alarm <br /> Septic Tank Size �o o U # of Tanks � Lift Tank Size ��oU n,�,� . <br /> Pump Brand GPM �3� Head �6 <br /> Treatment System: <br /> Minimum 5 0 �� Square Feet with �1 inches of rock below pipe <br /> Mound Bed 1 U x 5 c> Mound Treatment Area y � x �U a v� ( '��` X E� 1 <br /> \ `��- x "� �. <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 /> inspectoi• (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 lnspections 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 X DENIED By the City of Orono subject to existing regulations and <br /> the following conditions: �J��������� �� ��,�rc� ��a ��e w,��.�� �� Fe e� <br /> oF �c cp�� �-y � .�e , <br /> BY: �� ���rr�,,,_ �.-�S -O�� <br /> Matt Bolterman, On-Site Systems Manager Date <br /> � <br /> � <br /> Telephone(952)249-4600 • Fax(952)249-4 <br /> www.ci.orono.mn.us <br />