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.40- 01 SEPTIC SYSTEM APPROVAL <br /> 100 qbnv <br /> 0 0 <br /> CITY of ORONO <br /> l�r Municipal Offices <br /> L� u <br /> . StreetAddress: Mailing Address: <br /> 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323.0066 <br /> Owner gcaa pgss Phone (Home) (Work) <br /> Address lot- lam. o V. 51,61c pr W, City State Zip <br /> Site Evaluator Tae 615 o e. State License# ?10 Phone# 7(.3- '4q&- fe77 9 <br /> Type of Establishment: Single Family Multi Family <br /> Commercial Est. Gallons Per Day '7,5-0 <br /> No. Potential Bedrooms S• Slope: S '/o <br /> Depth of Sand: Upslope: 1.S Downslope: Z-O Soil Sizing Factor <br /> Perc Rates P-1 4 P-2 3.4 P-3 S%-t P-4 14.6 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 1.6 B-2 1-4 B-3 t.I B-4 r.6 B-51.6 B-6 <br /> Type of Treatment System: <br /> Standard X Alternative Other Performance <br /> Pressurized Mound System 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 ILSo �Lw # of Tanks Lift Tank Size yL <br /> Pump Brand GPM Head <br /> Treatment System: <br /> Minimum Square Feet with 9 inches of rock below pipe <br /> Mound Bed to X Q Mound Treatment Area L4JXX 'V41� <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(952-249-4600) 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: <br /> ... .�a d4 1r1J r(4,r�t.,�.��� <br /> ' NtcJ 1-O �-tbcl(or_ (c NST rUCfi, LA <br /> c;n <br /> By: " 1 fa_trl1'� <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />