Laserfiche WebLink
� 1 <br /> NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate <br /> boxes. <br /> 1. I have received a copy of the system design including the City of Orono <br /> Septic System Approval Cover Sheet. <br /> .2. I will be'installing the following: <br /> A. Tanks: Precast Concrete Other Manufacturer,d�/�J�•�,¢� <br /> Tank Capacities: 1)1&CV gal. 2) l[,4Uaga1. 3)mal; <br /> B. Pump Station (if required) <br /> Pump make & model _4 y. fla_ (attach pump curve & <br /> literature); system design requires -319— gpm at ZX— feet of head. <br /> High water alarm make & model L l ,L,►�e;.vt, 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 /o 'x-.4 <br /> Drop Boxes Sand bed dimensions i p 'x - <br /> Distribution Box Pressure Dist. Pipe Diam. / z" <br /> Maniford Pipe Diam. 2* " <br /> D. Final Cover/Topsoil to be: X borrowed from site <br /> (show location on site plan)- <br /> 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 /> Signature ofApplicant: <br /> orrect:SignatureofApplicant: , <br /> Date: <br /> MPCA Certification No.: 3 <br /> Staff Review: Appro De la• <br /> Reviewer: Date.-j�� <br /> Reason for Denial: <br />