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• SEPTIC SYSTEM APPROVAL <br /> Cam ORONO COPY <br /> ,v 0 k ',, OXON° <br /> ,,_ CITY of ORONO <br /> /$1, tiIN Municipal Offices <br /> . $ ''=�� G;� Street Address: Mailing Address: <br /> gg� 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> (Cell/N-7ex <br /> Owner 61-11D 5!Ht rrm/J► fa 611507J Phone F 4eme) 889-899/ (Work) Y70-7,-1/4) <br /> Address /5 O Rer10 ©Rehaxo Road S. City Wsy2,a f•a State M,J Zip 5531/ <br /> Site Evaluator 5w 8-DL UND State License# Phone# 9 L(2- 58 5 5 <br /> Type of Establishment: Single Family k Multi Family <br /> Commercial /\lo Garbage Disposal Yes No <br /> No. Potential Bedrooms 5 Est. Gallons Per Day -75b <br /> Water Meter Required: Yes_ No X Soil Sizing Factor , 83 ( ,6O,4pL f cf 2) <br /> Perc Rates P-1 2 0 P-2,26.5 P-3 P-4 P-5 P-6 'P-7 <br /> Restricting Layer Depth B-120' B-2 )'j" B-3 21.E B-4 B-5 B-6 <br /> Type of Treatment System: <br /> Standard X Experimental Alternative <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 /250 MOO # of Tanks 2 Lift Tank Size /WO <br /> Pump Brand GPM ill Head /6,..5 <br /> Treatment System: <br /> Minimum (ro"62')45 quare Feet with 9 inches of rock below pipe <br /> Type of covering Fabric X Other <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 (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 X DENIED By the City of Orono subject to existing regulations and <br /> the following conditions: (ASE 16" 5044 A helow ?pock e <br /> By: , l' g-8-oo <br /> TV SYSTEM IS DESIGNED FOR Chris ence, On-Site Systems Manager <br /> BEDROOMS. ANY INCREASE IN NUMBER <br /> OF BEDROOMS INVALIDATES THIS DESIGN. <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br />