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SEPTIC SYSTEM APPROVAL <br /> O orafto LOP % <br /> O O . <br /> CITY of ORONO <br /> !fir Municipal Offices <br /> VI T � Street Address: Mailing Address: <br /> $*gg0� 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner g rid Ni S S Phone (Home) (Work) <br /> Address toy- Z-, a,70 JV. S kb f C Qr,tiv City State Zip <br /> Site Evaluator Joe 61 S a c. State License # S1 U Phone# )63-49?- ?'7"7 "1 <br /> Type of Establishment: Single Family_ Multi Family <br /> Commercial Est. Gallons Per Day 7.r tJ <br /> No. Potential Bedrooms S Slope: 4 "/d <br /> Depth of Sand: Upslope: I.It Downslope: I. 3 Soil Sizing Factor 0. $ 3 <br /> Perc Rates P-1LL.1 P-2 L4 P-3� P-4� P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 1. 1 B-2 1.4 B-3 I.S B-4 1.4 B-5 1. 1 B-6 I.5- <br /> Type <br /> Type of Treatment System: <br /> Standard Alternative Other Performance <br /> Pressurized Mound System X 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 12So 4- loo() # of Tanks X Lift Tank Size <br /> Pump Brand GPM Head <br /> Treatment System: <br /> Minimum Square Feet with 9 inches of rock below pipe <br /> Mound Bed 1 t� X 6 _ Mound Treatment Area X99) <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: nce3 Look <br /> /Vicej t oC41 S-k r-ctSrrLc};��r� <br /> By: " N cwc 7` C o <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />