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_...:..sFa.t-..tri�ll�7 Z-111S-1:.I:sSJi1:1• : � ' ° f1 �:1 F. tl- �.' :�" °� ►i '.LCL_°)[=�„ �. .^-.�*1 <br /> I will be installing the following: <br /> Tanks <br /> ® Precast Concrete ❑ Fiberglass ❑ Plastic ❑ Other <br /> (list manufacturer) <br /> Number of Tanks: 2 <br /> Size of Tanks: 2000 1500 <br /> Treatment System <br /> Trenches s.f. <br /> Mound s.f. <br /> Gravel less s.f. <br /> Chamber s.f. <br /> NOTE: The contractor is required to provide an As-Built of the system before the <br /> final inspection. <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system <br /> installation permit, agrees to do all the work in strict accordance with ordinances of the City <br /> and regulations of the State of Minnesota and certifies that all statements made on this <br /> application are complete, true and correct. <br /> Signature of Applicant 2-a' Surda.t Date: 06-08-2016 <br /> MPCA License No.: #0192 <br /> Staff Review: J Accept ❑ Denied <br /> G'c3t <br /> Reviewer: 3-342Date: 6/22/46 <br /> Reason for Denial: <br /> Comments (to be printed on inspection card): JVia.a4 n,an1/45c.n.c.r.a- f lay-• SsntaQ <br /> 13.1 Ovv.s4 `) r 1aHy-e..r <br /> 2/2 <br />