Laserfiche WebLink
SEPTIC SYSTEM APPROVAL <br /> . . <br /> --- <br /> � O� IN5PECTOR'S COPY IlVSPEC � <br /> O O TOR S CCPX <br /> � <br /> , ;�,.. �, C ITY of ORONO <br /> v�,,,� ' ' ; �'�l4,�� MunicipalOffices <br /> .�9 ¢� .; Street Address: Mailing Address: <br /> ��� -kEBH� �' 2750 Kelley Parkway P.O. Box 66 <br /> __ --� Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner m�4�H`lEh/ f�� Phone (Home)�j�2��ib9 (Work) <br /> Address .-'`j�*� /�o���h �r�n�t {,R• City i??dun� State �N Zipa536 <br /> Site Evaluator�u5�{� (�/So�u State License # $/t� Phone# `�q�•-g"T�f <br /> Type of Establishment: Single Family �C Multi Family <br /> Commercial_ j�� Garbage Disposal Yes 'X No <br /> No. Potential Bedrooms y Est. Gallons Per Day locJt� <br /> Water Meter Required: Yes No� Soil Sizing Factor ��� � Q ' z <br /> Perc Rates P-1g�0 P-2$.`�' P-3� P-4 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 ZS'� B-2.� B-3 2 5" B-4 B-5 B-6 <br /> Type of Treatment System: <br /> Standard�_ Experimental Alternative <br /> Pressurized Mound System I� 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 1�cc;� # of Tanks 2- Lift Tank Size�Q�� <br /> Pump Brand GPM 38 Head �j� <br /> Treatment System: tisx 90' <br /> Minimum /O���t 5%�feb� Square Feet with�_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 (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 Orono subject to existing regulations and <br /> the following conditions:�'Y/�tini f r��;,� ZC� 5'<-�S�Ck?� r� ��1i✓�Qs. �7�1,�f /,c-4�.% �✓ <br /> !M r�1 w1�r � � `` o f �4s la �J � .� : - �% <br /> By: ' � ��3l-��� <br /> Chris Pence, On-Site Systems Manager <br /> ��������'�'� ���2w��� #�U � � �� <br /> � ��, <br /> l��:2w►�f 1 ss���— qlb/o� <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br /> ��t �r,��� _ y/g�� <br />