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NOV.16.2006 1�46PM BOHN WELL DRILLING ���N0.440--P.3i4- <br /> � <br /> bOX�S, <br /> `_ 1, I have teceived �copy of the system design including the City of Orono S�ptic <br /> System Approval Cover Sheet. <br /> � `� 2. I will be installii�g the following; <br /> A. Tanks: � Precast Concrete Ot1�,er Manufactuu�er P�IIc�la�Hc <br /> Tank Capacitiea; 1)�/O_ a0 sal, a) pv al 3) ��o o ,�al <br /> B. �p Station(if required) rr�,��/ 3 Sg�' �,� l��o;�� <br /> p make&model G c,� l,ei E (attach pump curve& <br /> literatur�); eystem design requires_��_gpm at �_�__geet o�head, <br /> High water a�arm ma1Ge &model r„�L�_,,,� �/�'o ,Q�si� r�i,��'�e <br /> electrical work to be coxnpleted by installer ►�/ clectrician � other, <br /> ____ . <br /> C, T4�eatment System; <br /> Tr�nches; �Z S s.f. � �d �ar es'sa re �e a/ <br /> Depth of rock below pipe��°' Rook bed dimensions�° x�' <br /> � Drop Boxes Sand bed dimenaio�ns ' x ' <br /> Aistribu�io�Box Pressure Dis� Pipe Diam.�°' <br /> M���aia P�p� p��._ � „ <br /> D, Final Cover/Topsoil to be: borrowed from site <br /> (show location on site plan) <br /> _� trucked in <br /> The undersigned her�by applies to the City of Orono for issuance of a aeptic system installation permit, <br /> a�reea to do all work in stri,ct accordance with ordina�ces of the City and the regulations of the Stat� <br /> of Minn�sota,and ceriifiea t1�at all stateinents made on this application are complete,true and correct. <br /> Sigt�ature o�Applicant��9 ��. ..__Date: l/—/�ra 6 <br /> 11�CA License No,�0�� <br /> . J <br /> .......__...-------_...,...-------�--M--------------------- �--�---------- _,...--------�_....-------- ,_�.�..----�- <br /> Staff R�vf�w: Approval � Denial <br /> Revlewer: _ ,•'�'�t�,C.�t.Q, � . , j'� _,,�D fJ� <br /> � Date. <br /> Rea�on fur Deni�l: <br />