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NOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate <br /> boxes. <br /> 1. I have received a copy of the system design including the City of Orono <br /> Septic System Approval Cover Sheet. <br /> 2. I will be installing e following: <br /> A. Tanks: (..precast Concrete _ Other Manufacturer <br /> ALMA) <br /> Tank Capacities: 1)2000 gal. 2) gal. 3) gal. <br /> B. Pump Station (if required <br /> Pump make & model 6o,, . (4-4-151-/ (attach pump curve & <br /> literature); system design requires 7 3 gpm at 5-6 feet of head. <br /> High water alarm make & model e/al s; , 7.i . Outside <br /> • electrical work to be completed by installer electrician <br /> other . Inside electrical work must be completed by <br /> electrician. <br /> C. Treatment System: / <br /> Trenches: s.f. v Mound <br /> Depth of rock below pipe " Rock bed dimensions /Q 'x <br /> Drop Boxes Sand bed dimensions 5c 'x 6S ' <br /> Distribution Box Pressure Dist. Pipe Diam. 2 " " <br /> Maniford Pipe Diam. Z " <br /> D. Final Cover/Topsoil to be: borrowed from site <br /> ,show location on site plan) <br /> 'trucked in <br /> The undersigned hereby applies to the City of Orono for issuance of a septic system installation <br /> permit, agrees to do all work in strict accordance with the ordinances of the City and the <br /> regulations of the State of Minnesota, and certifies that all statements made on this application <br /> are complete, true and correct. <br /> Signature ofApplicant: Date: /O/// c <br /> ccia <br /> MPCA Certification No.: 95- <br /> Staff <br /> SStaff Review: Ap royal X Denial <br /> • <br /> Reviewer: „E� Date: /0-24-00 <br /> Reason for Denial: <br />