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� � <br /> SEPTIC SYSTEM PPROVAL <br /> . <br /> �•�3 ; �,�,;,� <br /> O ���M1,�,r�: ;��', �� ...r"a.:, <br /> � / 7 � �� � K°� .. <br /> jI O <. . O �� <br /> � ��� ''' C ITY of ORONO <br /> � <br /> 'I ,� ,,�,��r�� ,,,;; <br /> � � � �� . � ,, <br /> ,� � �i,� � '�, '' <br /> Municipal Offices <br /> , �, k.t. '�f�' G <br /> � � , �: . �� ��� Street Address: Mailing Address: <br /> `��'E+g� 2150 Kelley Parkway P.O. Box 66 <br /> _-- � Orono, MN 55356 Crystal Bay, MN 55323•0066 <br /> Owner OoYe� �v�. Ic�+ t�� Phone(Home) �(Work) <br /> , . ._ <br /> Address S v o;c 5 _City O�cr�p State Zip <br /> Site Evaluator S�ive Sc.l,;rn. � State License # 6�7 Phone# 76 3- y q7- 3566 <br /> Type of Establishment: Single Family �( Multi Family <br /> Commercial Est. Gallons Per Day 7S0 <br /> No. Potential Bedrooms S Slope: 7 °�o <br /> Depth of Sand: Upslope: i. O Downslope: 1�7 Soil Sizing Factor O. � 3 <br /> Perc Rates P-1 ►a P-2 ��.6 P-3_� P-4 S.b P-5 P-6 P-7 <br /> Restricting Layer Depth B-11� B-2 - B-3 6" B-4�� B-5 11'' B-6 - <br /> Type of Treatment System: <br /> Standard x Alternative Other Performance <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 IaSO # of Tanks a, Lift Tank Size �a1�4 <br /> Pump Brand GPM 3 `� Head 3 i <br /> Treatment System: <br /> Minimum Square Feet with�_inches of rock below pipe <br /> Mound Bed 10 �C 6�� Mound Treatment Area yo k 8 6 4 o 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 /> 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_� DENIED By the City of Orono subject to existing regulations and <br /> the following conditions: <br /> - �r<< ��� 5 c r:� S;�tS . <br /> — �-r t�s r�u S�- �t c v�' 1�c � ���c b v r S �..�i �uS-1- S�y ��• 7 C C v� <br /> By: �U�C � �-a`� -O� <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />