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� SEPTIC SYSTEM APPROVAL <br />. � <br /> �,- �� <br /> �%'� '�'�,, <br /> , <br /> ' � �\�,� <br /> � ' C ITY of ORONO <br /> , .r �,, <br /> ,� �� - � �� � <br /> ` '�'i, � �t ; � ti, MunicipalOffices <br /> �\�'� � _. I � ��`„ ('j'�'%� <br /> .t ' .� Street Address: Mailing Address: <br /> `���'EgHOg'�� 2750 Kelley Parkway P.O. Box 66 <br /> � _ = Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner K�(���l ��M�S Phone (Home) (Work) <br /> Address i p?� ��c�� Mn�e!' �w City State Zip <br /> Site Evaluator Stcvc Sc_�.;�^�vS State License # �-7 Phone# �63- yq7 -3S6b <br /> Type of Establishment: Single Family�_ Multi Famil <br /> Commercial Est. Gallons Per Day ��C� <br /> No. Potential Bedrooms �} Slope: <br /> Depth of Sand: Upslope: Downslope: Soil Sizing Factor <br /> Perc Rates P-1 ly.� P-2 7.1 P-3 P-4 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 a6�` B-2 3y'' B-3 2k" B-4 B-5 B-6 <br /> Type of Treatment System: <br /> Standard Alternative Other Performance� <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 Tank Size f`S�� ���1r-,�.�L•,— # of Tanks � Lift Tank Size �SO O <br /> Pump Brand GPM a 5 Head � <br /> Treatment System: tk-�2. t{� � S <br /> Minimum ��eC� Square Feet with 1� inches of rock below pipe <br /> �4e�ci Bed ab �c 6c> Mound Treatment Area <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 /> '_ Q�'�C r��.c� S�SK•.� Q yr�f�. (�c c 1��»- �: ��. �-�c.. i n5lnll:n� . <br /> ' ��, S �� �1c..._ l�.n� CC�: <br /> ' �El�"�1�-:+K �"t''-�1' n�j�l' L SV�=���C A� ��N��Jt <br /> By: ��� 1��_ 6-'L7-d�L <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />