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SEPTIC SYSTEM APPROVAL <br /> Iv 0.4 . <br /> o , <br /> oORONO <br /> COM, <br /> >:„-,r �, CITY of ORONO <br /> ��,',i ,'qq yq� �& Municipal Offices <br /> C <br /> t > ., , :\ ,0, Street Address: Mailing Address: <br /> '9$EgnjOV' 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> '763 _ <br /> Owner (4c of yn k6 . I05 ,.. Phone (Home)474-913c(Work)5i{6--17g 7 <br /> Address LOS' Old (c y Stat PAy o S City State Zip <br /> Site Evaluator S>m.i t. Sc1.:t-kr) State License# 63.7 Phone# -761- 4 ell-3 St <br /> Type of Establishment: Single Family X Multi Family <br /> Commercial Est. Gallons Per Day 45-0 <br /> No. Potential Bedrooms 3 Slope: 3°"O <br /> Depth of Sand: Upslope: DovVnslope: Soil Sizing Factor a.0 U <br /> Perc Rates P-1 7.5 P-2 6 P-3 5;7- P-4 3-`i P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 Dg” i3-2 3i" B-3 3'1" B-4 36" B-5 B-6 <br /> Type of Treatment System: <br /> Standard Alternative Other Performance X <br /> Pressurized Mound System At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift Pressurized Bed System X <br /> Holding Tank W/Alarm <br /> Septic Tank Size 1500 (o.4c' # of Tanks I Lift Tank Size I CO v 3- 00 9• M°l :-ch.) <br /> Pump Brand GPM d1S d- -13 Head 4 1 y <br /> Treatment S stem: ' Z I Z <br /> Minimum S/ <br /> °O Square Feet with t D, inches of rock below pipe <br /> Mound Bed Mound Treatment Area <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 AI41Y KIND is allowed within 20'of tested drainfield sites ever. <br /> ACCEPTED K DENIED By the City of Orono subject to existing regulations and <br /> the following conditions: -wc net.() Gr. dr(4 r.. Jet 3- —. -11,; MI-N. <br /> — S `S 34-c- Ct-\-I ^\IArr.,4rvt. f t•... <br /> f c\ t . S-131S-131-k....kdf. frittr <br /> — Qcr c( 1 . c () 1-D �� :•.5 .,,‘t� .. r <br /> w (_ TM 4 C\ •'.'sikr 0,ort r ).-'0 k ,,t,S t .itc <br /> --,,..c.vs 1,11 - r-a'i t c) r-6 t t. Sri, Co4.1-.1( :5 r\e 4 te..) . <br /> By: �+C f ' j - _ -1 S/da <br /> Matt Bolterman, On-Site Systenils Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />