Laserfiche WebLink
. ' SEPTIC SYSTEM APPROVAL <br /> � <br /> � <br /> 0 <br /> 0 � <br /> � <br /> � � �i <br /> Dp <br /> 0 0 � <br /> , �`;,,, �, CITY of ORONO <br /> � ��y '"�' !C� Municipal Offices <br /> � � <br /> �.t .�G Street Address: Mailing Address: <br /> �kE8H04' 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner ��t k��r``'��`'�� , Phone (Home) (Work) <br /> Address 11�� 1�roi1 !'�',�c�� Ri� City State Zip <br /> Site Evaluator ;-F �e5+- ^�1 State License # �j.7 Phone# 76`�-4��_'3S 6� <br /> Type of Establishment: Single Family Multi Family <br /> Commercial Est. allons Per Day '�S� <br /> No. Potential Bedrooms � Slope: � `/0 <br /> Depth of Sand: Upslope: �• 5 Downslope: �•I Soil Sizing Factor C>•�� <br /> Perc Rates P-1 P-2 P-3 P-4 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 B-2 B-3 B-4 B-5 B-6 <br /> Type of Treatment System: <br /> Standard �C 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 115 c: . 1C�=�� # of Tanks � Lift Tank Size i LSL <br /> Pump Brand GPM i-{ �, _ Head ��� <br /> Treatment System: <br /> Minimum Square Feet with � inches of rock below pipe <br /> Mound Bed �� xE,i 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 /> inspectar (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 VEffiCULAR TRAFFIC OF ANY KIND is allowed within 20'of tested drainfield sites ever. <br /> ACCEPTED �X DENIED By the City of Orono subject to existing regulations and <br /> the following conditions: <br /> �1;.5 � S � �-c..,t c 1�,�r.�c�r G��\ <br /> — �.`��.S����` -.1L5 l 6�.�. c�..� � i � � �,e� . <br /> � �,.�1 Sc�1\�� �o,� E" C.� 5�.1� d- �'l1\ fcclC . <br /> By: !� r� �-7- ��'. <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />