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' �►.-{ SEPTIC SYSTEM APPROVAL <br /> O,� �iSPECT4R'9�COPY <br /> � <br /> 0 � <br /> } ,f,`. ,� CITY of ORONO <br /> .� �. <br /> � Municipal Oftices <br /> �� ., ; G <br /> Street Address: Mailing Address: <br /> �`q � � �'���� 2150 Kelley Parkway P.O. Box 66 <br /> kEBII� %% <br /> - " Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner ;)u.✓►��N�� l���/,�),/�µ�� Phone (Home) (Wark) <br /> Address /�'�?c� %�k� 5��- City ��;;zcr���� State ����„ Zip <br /> Site Evaluator �� -i' ;"F�s f����r State License # ,3�� Phone# ��7)- _>';E�6 <br /> Type of Establishment: Single Family X Multi Family <br /> Commercial N'�= Garbage Disposal Yes X No <br /> No. Potential Bedrooms ,,$� Est. Gallons Per Day 75� <br /> Water Meter Required: Yes No X Soil Sizing Factor . E3 (�Y5 yo��F�2� <br /> Perc Rates P-1 .3� P-2 � ,�; P-3 3.S P-4�?� 7 P-51,7 P-6 2�7 P-7 — <br /> Restricting Layer Depth B-1 �1�{" B-2,�E" B-3 �3(� ' B-4;E" B-5 :��"' B-6 v�'�" <br /> Type of Treatment System: <br /> Standard � Experimental Alternative <br /> Pressurized Mound System �C At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gra�-ity Trenches W/ Lift Pressurized Bed System <br /> Holding Tank W/Alarm <br /> Septic Tank Size J 2�;�,� �;aCs # of Tanks �� Lift Tank Size 2 5�� <br /> Pump Brand — GPM ��J� Head /b ` <br /> Treatment System: <br /> Minimum �r�',�6�'�,� �'�.�x�c�l'� Square Feet with�_inches of rock below pipe <br /> Type of covering Fabric � Other <br /> THIS IS NOT A PERMIT. This is a design approval form which must accompany the site plan. <br /> A pernlit 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 (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 HIND is allowed within 20' of tested drainfield sites ever. <br /> ACCEPTED �. DENIED By the City of Orono subject to existing regulations and <br /> t1lefOl10W1rigCOriC�1t10riS:�'9P�yk1� �I"t2i��['� l� �� G�J1 S1��:5� � l(�l' t��'� �' �ivS�'� �rC� j�;�f'r <br /> � <br /> C'���11t,1,f�Gn�. �a n� iz � � " w �i// �ll �xrsEin � � . ��.�-�''�"�.`�. c`�/ '7C <br /> By: �r� -�'��G�� <br /> Chris Pence, On-Site Systems Manager <br /> D F�3R <br /> ��p�p�S ANY�jNGR�ASE 1�NUMBE� <br /> �'�IEDRO�S�Y�IDATES T�1S�ES1GN. <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br />