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� SEPTIC SYSTEM APPROVAL <br /> ,'1 'C 1 �=�h r a'~� � . <br /> �\ � '�,'(K^L�}x. F�` t' ��t eA. <br /> � � ` ��� �� � � � <br /> �� � � � <br /> � �� <br /> ,% � ��, ���� . <br /> ;; Q��, ��� <br /> O <br /> " � ' C ITY of ORONO <br /> �. <br /> � A��, �t :�., ,, �� <br /> V',�'i, 6' �' =i, �� ti '% Municipal Offices <br /> ��� �, �� � -, ���; G� � <br /> ` � �� � �'�4 s� �, SVeet Address: Mailing Address: <br /> \��'E$gOg' y��� f:« A 2750 Kelley Parkway P.O. Box 66 <br /> \�__- Orono MN�553 _ <br /> — , 56 Crystal Bay, MN 55323 0066 <br /> _ -�--�.�.-,__.�.,, �.,�� <br /> . ; <br /> Owner Te��� M��+�►n ��v - Phon� (Ho�$e) (Work) <br /> Address 3$� Le4� St� City 6 s-����o State M N Zip <br /> Site Evaluator 5��� Sc�:fh�ri State License # 6;�.7� Phone#_ 763- 49�- 3566 <br /> Type of Establishment: Single Family�_�' Multi Family <br /> Commercial �.�f,��:... : Est. Galla�s Per Day ?SO <br /> No. Potential Bedrooms 5 ^ Slope:�'' � ��� <br /> Depth of Sand: Upslope: I. ' Downslope: �•� Soil Sizing Factor �, � 3 <br /> Perc Rates P-1 �L.7 P-2� P-3� P-4 9 P-5 (�.� P-6 P-7 <br /> Restricting Layer Depth B-1 a4" B-2 �.y�' B-3 ZC'' B-4 h`' B-5 �ti" B-6 �" <br /> Type of Treatment System: <br /> Standard x Alternative Other Performance <br /> Pressurized Mound System x At-Grade System <br /> Gravity Trenches Sy�stem Pressurized Trench System <br /> Gravity Trenches W/ Lift Pressurized Bed System <br /> Holding Tank W/Alarm <br /> Septic Tank Size 11.Sa # of Tanks � Lift Tank Size ��0 <br /> Pump Brand GPM y 7 Head 34' <br /> Treatment System: <br /> Minimum 4� 63� Square Feet with � inches of rock below pipe <br /> Mound Bed �C>Xb� Mound Treatment Area�y�.x ��2� <br /> �4�x I c 6> <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 excayation 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 /> �r�n� S u* �1'��.� c� c c na�r e c�v�tt 1,�r � �1����, �ce�, <br /> - � c�LS:�,;•(G f-or I.� :�tL �tit��o�� on� h.ov�c <br /> _ �c.S����'i� vc�(� t!' dC1ltu�.� <br /> By: '� i � �- i -�.►� <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />