Laserfiche WebLink
, SEPTIC SYSTEM APPROVAL <br />' � o.� o�,v Co <br /> 0 0 <br /> C ITY of ORONO <br /> � : ` r �`.? � <br /> r�,,� � � � �'�k ,-��. ��ti � Municipal Offices <br /> Street Address: Mailing Address: <br /> ��'kE$H�4�' 2150 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner Phone (Home) (Work) <br /> Address 490 Kd ke S�, �r�-. � City 0 �o�v State r��v Zip <br /> Site Evaluator Ed D+to State License # q64 Phone# 763- 6�a- y7�� <br /> Type of Establishment: Single Family � Multi Family <br /> Commercial Garbage Disposal Yes No <br /> No. Potential Bedrooms 5 Est. Gallons Per Day 750 <br /> Water Meter Required: Yes_ No�C Soil Sizing Factor C�3 I •d <br /> Perc Rates P-1 a0 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: 5 I o p� � 3 °/o <br /> Standard_� Experimental Alternative <br /> Pressurized Mound System �C 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 �.j� i o00��yc�# of Tanks .� Lift Tank Size (oov <br /> Pump Brand GPM 66.6 Head `3 S <br /> Treatment System: q <br /> Minimwn (iox�S�(3�x g`�) Square Feet with I inches of rock below pipe <br /> Type of covering Fabric �C Other <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 VEHICULAIZ 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 /> By: �w� 10 -�-�I -o \ <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />