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If. <br /> � 1► SEPTIC SYSTEM APPROV <br /> ,_-- <br /> %=��� `�\ <br /> ,�=�" ,j�� '! <br /> ;;`� �'� <br /> � � '` Y of ORONO <br /> , a �, 'r,�`, : �,, <br /> , ._ <br /> s <br /> !4 Municipal Offices <br /> ,,� � ,�� ' ,�� � ,, <br /> ` ` r ' Street Address: Mailing Address: <br /> ;\'��9 ''�. , g,�C, , <br /> ��$EggO� 2750 Kelley Parkway P.O. Box 66 <br /> '�_— Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner K , n q 51eY � M�r (��.� Phone (Home) (Work) <br /> Address 5l �o f-o X S-r� City 0 r o �o State M� Zip 5 S 391 <br /> Site Evaluator Sw�JI.,� State License # Phone# y4a- 5`d55 <br /> Type of Establishment: Single Family_� Multi Family <br /> Commercial Garbage Disposal Yes k No <br /> No. Potential Bedrooms 4 Est. Gallons Per Day 6U0 <br /> Water Meter Required: Yes_ No )( Soil Sizing Factor U. �3 <br /> Perc Rates P-1 1 S P-2 I 3 P-3 I y P-4 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 a,5 B-2 1�' B-3 �' 7" B-4 B-5 B-6 <br /> Type of Treatment System: <br /> Standard �C EYperimental Alternative <br /> Pressurized Mound System X 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 �0 ov # of Tanks a Lift Tank Size <br /> Pump Brand GPM '38 Head I 6 <br /> Treatment System: <br /> Minimum (1 ox5 o��3qx �o) Square Feet with 1 inches of rock below pipe <br /> Type of cove nir g Fabric�_ Other <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 x DENIED By the City of Orono subject to existing regulations and <br /> thefollowingconditions: Qvc -to �e�lgce«.cr�-�- Sip�:� q�c� o���_Spo,- -,-� �u+- <br /> c�2-w SeP�- � � �ac��ce -►-� q1\o�.-- 1'ho.,�d `���., � S� �eefi �� `^�ctlq�� <br /> gY: �o�c �- (�- o \ <br /> Matt Bolterman, On-Site Systems Manager Date <br /> � �� � ` �SO �- y� , <br /> �/� � 7 <br /> �j� Telephone(952)249-4600 • Fax(952)249-4616 <br /> � www.ci.orono.mn.us <br />