Laserfiche WebLink
-�.. . <br /> � . <br /> . <br /> N01'E: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropria�e <br /> boxes. <br /> 1. I have received a copy of the system design including the Ciry of Orono <br /> Septic System Approval Cover Sheet. <br /> 2. I will be installin' the following: <br /> A. Tanks: �Precast Concrete _ Other Manufacturer <br /> Tank Capacities: 1) /vr�� gal. 2) l�v� gal. 3) loo�,gal. <br /> B. Pump Station (if required) a�ach um curve & <br /> Pump make & model i o.��/ � P P <br /> literature); system design requires D gpm at :2oZ feet of head. <br /> High water alarm make & model . Outside <br /> electrical work to be completed by installer electrician <br /> other . Inside electrical work must be completed by <br /> electrician. <br /> C. Treatment System: <br /> Trenches: s.f. Mound <br /> Depth of rock below pipe " Rock bed dimensions �� 'x ��h' <br /> , Drop Boxes Sand bed dimensions �'x�' � <br /> Distribution Box Pressure Dist. Pipe Diam. �� <br /> �� <br /> Maniford Pipe Diam. � <br /> D. Final Cover/Topsoil to be: borrowed from site <br /> (show location on site plan) <br /> >C trucked in <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system installation <br /> permit, agrees to do all work in strict accordance with the ordinances of the City and the <br /> regulations of the State of Minnesota, and certifies that all statements made on this application <br /> are complete, true and correct. <br /> SignatureofApplicant: � Lt 0 �- � c� � Date: ,;;�/�1��"� • <br /> MPCA Certification No.: <br /> Staff Review: Approv Denial <br /> Reviewer: <br /> � Date: (/r� � � ' ! `v <br /> Reason for Denial' <br />