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SEPTIC SYSTEM APPROVAL <br /> • <br /> 0.4?. INSPECTOR'S COPY INSPECTOR'S COPY <br /> O <br /> CITYofORONO <br /> !Cr Municipal Offices <br /> Street Address: Mailing Address: <br /> �gk,EgxO.g,� 2750 Kelley Parkway P.O. Box 66 <br /> � Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner OV;i4 G,a,e�l&' t Phone (Home) (Work) <br /> Address 450 It.q SU 0R B,10 Cosechimo S. City W4-1246.- State /'►'1r.J Zip $5Sq <br /> Site Evaluators—P -T2s-14hel State License # 39y Phone#C'k,3) 4117-3S 6 6 <br /> Type of Establishment:/ Single Family X Multi Family <br /> Commercial /V O Garbage Disposal Yes X No <br /> No. Potential Bedrooms 8 Est. Gallons Per Day 12 ©O <br /> Water Meter Required: Yes_ No X. Soil Sizing Factor . S3(s 9,5?M1 Ff) <br /> Perc Rates P-15.5 P-2 5.5 P-3 i 3.6 P-4 5,c P-5 P-6 P-7 <br /> Restricting Layer Depth B-112" B-230" B-3 /84 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 Exis `14g # of Tanks N/A Lift Tank Size 20a'D <br /> Pump Brand j i 5 JtO -J GPM 73 Head 56' <br /> Treatment System: q <br /> • Abby Minimum 001,59")♦(5o 45+) Square Feet with / 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: Ex;34;$1 q i oust' &s oust' oP d� if A►b P K p Fer <br /> INS P&G-1-ipN .J <br /> By: 8-30-00 <br /> .• ' Chris Pence, On-Site Systems Manager <br /> 11.111=1:11111111.1.1111 0 3161 (55061) -4 1023/00 <br /> (o/st foo —T, .ks (2,)oa 7.1) <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br />