Laserfiche WebLink
I <br /> NOTE: Applicant must initial all spaces. Fill in all appropriate blanks and check all appropriate <br /> boxes. <br /> A/ 1. I have received a copy of the system design including the City of Orono Septic <br /> System Approval Cover Sheet. <br /> 2. I will be installing the following: <br /> A. Tanks: Precast Concrete Other Manufacturer <br /> Tank Capacities: 1) /-/sem gal. 2' T-/SbO g 1 3) gal <br /> Cabo ro <br /> B. Pump Station(if required) <br /> Pump make&model Good AS WO 15- (attach pump curve& <br /> literature); system design requires gpm at feet of head. <br /> High water alarm make&model . Outside <br /> electrical work to be completed by installer electrician other. <br /> C. Treatment System: <br /> Trenches: <br /> C1 e S i - 1 �4 1-►�1C . <br /> Trenches: s.f. Mound <br /> Depth of rock below pipe " Rock bed dimensions ' x ' <br /> Drop Boxes Sand bed dimensions ' x ' <br /> Distribution Box Pressure Dist. Pipe Diam. it <br /> Manifold Pipe Diam. ii <br /> D. Final Cover/Topsoil to be: borrowed from site <br /> (show location on site plan) <br /> trucked in <br /> The undersigned hereby appl to the City of Orono for issuance ofa septic system installation permit, <br /> agrees to do all work in str. t ac'ord. .ce with or.'nances of the City and the regulations of the State <br /> of Minnesota,and certifie' that. 1 s:at•me is m.• - on this application are complete,true and correct. <br /> ,+ / <br /> Signature of Applicant 0 01 Date: q 1,. 1 bd <br /> I <br /> MPCA License No. C q <br /> Staff Review: Approval X Denial <br /> Reviewer: 4 Date: �' -� -d� <br /> Reason for Denial: <br />