Laserfiche WebLink
NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate <br /> boxes. <br /> 1. I have received a copy of the system design including the City of Orono Septic <br /> System Approval Cover Sheet. <br /> 2. I will be installing the following:. <br /> A Ta.nks: t�C Precast Concrete Other Manufacturer <br /> Tank Capacities: 1) /�� gal. 2) gal 3) gal <br /> B. Pump Staxion(if required) <br /> Pump make&model �o-� �o� (attach pump curve& <br /> literature); system design requires�gpm at�feet of head. <br /> High water alarm make&model �Q•� o � . Outside <br /> electrical work to be completed by insta.11er�electrician other. <br /> C. Trea ent System: <br /> Trenches: ��� s.f. �� � Mound � � <br /> De of rock below pipe r�- Rock bed dimensions x � � <br /> � Drop Boxes Sand bed dimensions ' x ' <br /> Distribution Box Pressure Dist. Pipe Diam. n <br /> Manifold Pipe Diam. " <br /> D. Final Cover/Topsoil to be: bonowed from site <br /> (show location on site plan) <br /> trucked in <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system installation permit, <br /> agrees to do all work in strict accordance with ordinances of the City and the regulations of the State <br /> of Minnesota,and certifies that all statements made on this applica.tion are complete,true and correct. <br /> SignatureofApplican `-� Date:_��� � "'� � <br /> NIl'CA License No. 2.� � . <br /> -------------------------------------------------------- ------------------------------------------------------------- <br /> Staff Review: Approval Denial <br /> Reviewer: ���,(� � Date: � � � � ��� <br /> Reason for Denial: <br />