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� boxes. <br /> 1. I have received a copy of the system design including the City of Orono Septic <br /> System Approval Cover Sheet. <br /> ✓ <br /> i�'� '� 2. I will be i talli the following: <br /> A. Tank • � Precast Concrete Other Manufacturer <br /> Tank apacities: 1) E��� gal. 2) /,0(�G`�gal 3) / 9" gal <br /> B ump Station (if required) <br /> mp make& model �'Q (attach pump curve& <br /> literature); system design requires .J('1 gpm at �J feet of head. <br /> High water alarm make&model . Outside <br /> electrical work to be completed by installer electrician other. <br /> C. Treatment System: � <br /> Trenches: s.f. Mound <br /> Depth of rock below pipe " Rock bed dimensions !d ' x S"�" <br /> Drop Boxes Sand bed dimensions�' x�' <br /> Distribution Box Pressure Dist. Pipe Diam. / '�Z " <br /> Manifold Pipe Diam. � " <br /> D. Final Cover/Topsoil to be: borrowed from site <br /> J,�I � / (show location on site plan) <br /> f�y trucked in <br /> "`1 <br /> The undersigned hereby applies to the City ofOrono for issuance ofa septic system installation permit, <br /> agrees to do all work in strict accordance with ordinances of the City and the regulations of the State <br /> of Minnesota,and certifies that all statements made this application are complete,true and correct. <br /> Signature ofApplicant ��� �'�7''�__ - ' T�ar�:� _�` � �- C�' � <br /> MPCA License No. 2350 <br /> Reset Form <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> .� <br /> Staff Review: Approval '�, Denial <br /> Reviewer: �� � <br /> - �� -- Date• 3 �- � 1 C� <br /> Reason for Denial: <br />