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. i � r <br /> � - - SEPTIC SYSTEM APPROVAL <br /> _ �� �1�i� ��5��y�� lS ���'C �7�`-� ��'K,=-r2G'����e St��� �� <br /> '�i 0.�' �����.��� IIV3PECI�OR'S CQPY <br /> � � <br /> CITY of ORONO <br /> � �lC� Municipal Offices <br /> SVeet Address: Mailing Address: <br /> ��`�Jf �Og'�� � 2750 Kelley Parkway P.O. Box 66 <br /> ES�I <br /> - -"='" � Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner .J�P�� A�n�r�t Phone (Home) 3•f/-�o�Z (Wark) 3'�/• l:'��f <br /> Address ,�� 1.5� ✓�c'c�,b 3 ryl�'/I ��'� City C�-�zcrtc; State �Z1� Zip <br /> Site Evaluator;��r i���c.+u'�s State License# Phone# �y 2- S�s 5.5 <br /> Type of Establishment: Single Family�_ Multi Family <br /> Commercial �,.� Garbage Disposal Yes No <br /> No. Potential Bedrooms S Est. Gallons Per Day �7,5�' <br /> Water Meter Required: Yes_ No� Soil Sizing Factor . ��';5 (, .E,c Y� /Ef2,� <br /> Perc Rates P-1 17 P-2 2C P-3�S P-4 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1_� ;, B-2 .���� B-3 �?H" B-4 ��4'` B-5�c; ` B-6!�" <br /> Type of Treatment System: <br /> Standard � Experimental Alternative <br /> Pressurized Mound System � 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 Tanlc Size 1 ZS:.� /����, # of Tanks L Lift Tank Size�Z S�� <br /> Pump Brand GPM � 7 Head ,�b � 5 � <br /> Treatment System: <br /> ��. <br /> Minimurr�rv'f c,3')+ 3�'x ,b') Square Feet with inches of rock below pipe <br /> Type of co�-ering Fabric � Other <br /> THIS IS 1\OT 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 (249-4600) Call for inspection 24 hours in advance. <br /> ALL DRAII�'FIELD 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 subjec existing regulations and <br /> the follow�nQ conditions: <br /> s � <br /> By: ,�� 7 <br /> C ' Pence, On-Site Systems Manager <br /> ����� <br /> ��� ����� <br /> �$ED��'A1JOA1��HIS t�EStGt� <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br />