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09/18/2669 13: 15 952-955-5071 BURNS EXCAVATING PAGE 04 <br /> � }��4d w .�rt�4���6 `+�'f' I Qd{�,ii��f'.. 4��-� ti � �r ���p�f��,'I��ti.�'r��'M�1�����y.��Ill�� <br /> ���J'y�+l��� �a,�, � 1 � i ��,,�y�s+�� �'�fN'shr���filil � ��" � f��e��� <br /> I,�� I '�.'d 'I `t I V n Y� ^��, { <br /> ,��rys"�#.��. ���Ia1{V��xs -�� f ?,_,!),,i�F�!14���*�)��7fil;��;"�,! <br /> �����g�I� �1�i� . IN p � ��'�r 1 R��,'�'*,�'Cit��H�M1ji yb,����l�l ql�. <br /> �i �R,�w��,�,i��'�^�,tlY��n;��w��� �� , ,�!�, 1. v <br /> I woll be insfi�lling the follawing: <br /> Tan�ks <br /> � Precast Concrete ❑ Fiberglass ❑ Plastic � Ofiher <br /> (Ilst manutadurer) <br /> Number of Tanks: � <br /> � � � <br /> Size of Tanks: r-� J�r� � j��� ��°� �',� <br /> � � :�.;-�� f� t �. `:; �'1—r�� 1 .,. ,.r�.� lr� i�o.t� <br /> ^ Treatment System ,T�^��S <br /> �/'I/1-; ,n ,��t�►-rJn.�. <br /> Trenches s.f, <br /> x Mound 40x81.8 �'��.f. <br /> Gravel less s.f. <br /> Chamber s_f. <br /> Flnal Cover 1 Top Soil <br /> Q to be 6orrowed from site (show location an site plan) <br /> ✓� trucked in <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system <br /> installation permit, agrees to do all the work in strict accordance with ordinances of the City <br /> and regulations of the State of Minnesota and certifies that all statements made on this <br /> application are complete, tru and correct. <br /> 5ignature of Applicant ate: 9�l�lD� <br /> � �� � ,���� � h4, � � ���; <br /> MPGA License No.. � t �� <br /> ����a , ���u�� �ii <br /> =:h��",;.� ., � �� -��� ., �J� <br /> Staff Review; Accept ❑ Denied <br /> .\�� �'_� ^ <br /> ; I /* ' " � � <br /> Re�iewer; �_ /. �.�� � J�� Date: <br /> Reason for Denlal: <br /> Comments (to be printed on inspection card): <br /> �,r_r r��-c ri�-� ��� � �T� l� ``�f.� �,��4rr.��.�� <br /> - yli�.•�►.: `✓7�.r.��, <br /> V�1(Permlts)\Septic Permit Appllcatlon-New Permil Fc¢s 2009.doc <br /> 2/ 2 <br />