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' � SEPTIC SYSTEM APPROVAL <br /> O ���CTOR'S CQPY �SPEGTOR'S C��� <br /> � � ���. <br /> � � <br /> . , ; .,,,. ,� CITY of ORONO <br /> r��, !�; Municipal Offices <br /> � � �ft� �� G~,;- <br /> ,, Street Address: Mailing Address: <br /> � ���9$'EggO�'%� 2750 Kelley Parkway P.O. Box 66 <br /> __-_—�� Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner/�JRCN ET'fP� �l�U i�d�R5� �i�i� Phone (Home) (Work) <br /> Address �2-c�c� �ym,�n �¢V2nt,�.[1 City��A•/2�tW State� Zip i5�3�f J <br /> Site Evaluator J-P �%�t�°� State License # �3�� Phone# y9�-35 6 6 <br /> Type of Establishment: Single Family_� Multi Family <br /> Commercial �n Garbage Disposal Yes�_ No <br /> No. Potential Bedrooms � Est. Gallons Per Day 6�� <br /> Water Meter Required: Yes_ No�C Soil Sizing Factor , y5 �rp�{__/� . . 3 ,�F�/��q> <br /> Perc Rates P-1� P-2/�, P-3 j]�j� P-4� P-5 C 7,E,P 6 3�,� P-7 <br /> Restricting Layer Depth B-1 il�'� B-2 I4" B-3 i b" B-4 t b" B-5 f L" B-6 �2" <br /> Type of Treatment System: <br /> Standard )C Experimental Alternative <br /> Pressurized Mound System j�, 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 ��l`�� # of Tanks 2- Lift Tank Size l �C)C� <br /> Pump Brand `�Z !fP GPM �3 Head 2�` <br /> Treatment System: <br /> Minimum (�Q'}5s'7t�yb•�i��� Square Feet with�inches of rock below pipe <br /> Type of covering Fabric�_ 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 (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 Oron subject to existing regulations and <br /> the following conditions:�,a;�}n j,J 2�' t� ����t���Y!i nes� �ro�C'cf A�-� �f 7�,1 C`�.t� 6'R <br /> ` t . l.l � ivtcni dF 2�" wA�hec� S��YtD StI��� i tER r�D , <br /> By: � ' ) -G <br /> Chris Pence, On-Site Systems Manager <br /> *����+ �i r W�� <br /> �Q� ���� ����z�-=) ����� � / t �. �:� 3 . <br /> � r������. Y �. <br /> Telephone(612)249-4600 • Faac(612)249-4616 <br />