Laserfiche WebLink
� ' SEPTIC SYSTEM APPROVAL <br /> �� <br /> o ��� � <br /> � � � <br /> �� <br /> ; �r <br /> 0 0 <br /> � ,,��r , CITY of ORONO <br /> .� �� ,�, <br /> "� <br /> ; �r. a� �lS��� Municipal O�ces <br /> � � .� � , ''�,� G , <br /> � .t '� .� Street Address: Mailing Address: <br /> � �$�ggOg' ��� 2750 Kelley Parkway P.O. Box 66 <br /> =' Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner �'c h:� H i��^,,����z.—� Phone (Home) (Work) <br /> Address 1��� L�m�'�� f��? �� City {°>�c "��.<�� State Zip <br /> Site Evaluator �,-� � i?��.-� f�� State License # U�,7 Phone# � �I?- ?•��E�f. <br /> Type of Establishment: Single Family ',� Multi Family <br /> Commercial Garbage Disposal Yes�_ No <br /> No. Potential Bedrooms 5 Est. Gallons Per Day ?S{�� <br /> Water Meter Required: Yes_ No� Soil Sizing Factor „�i�- <br /> Perc Rates P-1 I ��� P-2���, 7 P-3 r-�(�r P-4� P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 �� B-2 IE� B-3 �� B-4 i� B-5 � .� B-6 t� <br /> Type of Treatment System: <br /> Standard�_ Experimental Alternative <br /> Pressurized Mound System r.;��. �..�+t -� �,.� At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift Pressurized Bed System <br /> Holding Tank W/ Alarm �'��"r ��"'� t"^iti, "7 5 c� <br /> Septic Tank Size �,.��t`�C:r:� # of Tanks � Lift Tank Size �(�� � <br /> Pump Brand (��.i�� � '�� }�p GPM �i7 Head j 3 <br /> Treatment System: <br /> Minimum�IC��:E,�t�y�i� I�`�� Square Feet with � inches of rock below pipe <br /> Type of covering Fabric k Other <br /> THIS 1S 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 ofthe <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 �i( DENlED By the City of Orono subject to existing regulations and <br /> the following conditions: `��: �� ,,-}-.s�-Y ���r4�5 ��u;t� �a'�. wry}t;- r,�+�r �}-- ,�, <br /> �e��� c �°.�' }- =f-, >� vS�1 <br /> ,� <br /> B v �v��l.�/'Y`.�,�L.r.,,, �"y`= i S � <br /> y: � <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />