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SEPTIC SYSTEM APPROVAL <br /> � ORONOCüpy <br /> IvO <br /> CITY of ORONO <br /> Municipal Offices <br /> �' � Street Address: <br /> t Mailing Address: <br /> `9$Egg04' 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner Phone (Home) (Work) <br /> Address LI-a0 o c cLe,rJ Park IU City O roti© State MIV Zip <br /> Site Evaluator c Arc. State License # 34 3`\ Phone# 763-Oa- 1-1-73:7 <br /> Type of Establishment: Single Family )c Multi Family <br /> Commercial Est. Gallons Per Day 750 <br /> No. Potential Bedrooms S Slope: <br /> Depth of Sand: Upslope:1.%3 Downslope: a.4 3 Soil Sizing Factor <br /> Perc Rates P-1 I4.b P-2 t . P-3 17 P-4 I y P-5 I% P-6 a4 P-7 Q9 <br /> Restricting Layer Depth B-1 14" B-2 14" B-3 i8`. B-4 IS " B-5 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 1500 #of Tanks ca Lift Tank Size 16 o <br /> Pump Brand GPM 10,6. Head a�_7 <br /> Treatment System: <br /> Minimum Square Feet with cl inches of rock below pipe <br /> Mound Bed 10 75- Mound Treatment Area( à., 104 (Sc.x 30) <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 con itions: <br /> By: N cI9-oa <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />