Laserfiche WebLink
SEPTIC SYSTEM APPROVAL <br /> O INSPECTOR'S COPY INSPECTOR'S COPY <br /> CITY of ORONO <br /> Municipal Offices <br /> � <br /> . z Street Address: Mailing Address: <br /> E88� <br /> 0� �� 2750 Kelley Parkway P.O. Box 66 <br /> /� <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner OV iN GAblef"f' Phone (Home) (Work) <br /> Address 450 #Lao QR en® D,¢chiemo 5. City h -/24.f,- State 141,-J Zip 5'S.Cq I <br /> Site Evaluator$-P "res-14A ot State License# 394/ Phone#0(,3) 'j97-35 6 6 <br /> Type of Establishment:r Single Family ,x Multi Family <br /> Commercial NO Garbage Disposal Yes X No <br /> No. Potential Bedrooms 8 Est. Gallons Per Day 12. 00 <br /> Water Meter Required: Yes_ No)( Soil Sizing Factor • (33(i 7M 6 <br /> Perc Rates P-15.5 P-2 5.5 P-30.13 P-4 5... P-5 P-6 P-7 <br /> Restricting Layer Depth B-112" , B-2 30" B-3 IB" B-4 B-5 B-6 <br /> Type of Treatment System: <br /> Standard ,)( 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 SizeE'xis4i,4 # of Tanks N/A Lift Tank Size 2OrrO <br /> Pump Brand hy GPM 73 Head 56' <br /> Treatment System: Cl <br /> * Abbe Minimum ULOk.59�)#(5o).65 ) 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 Sfih +an ks / hist hd, c9/Der1 Pte( 4 AI b p K my,& Re- <br /> IN5 PeC.-F�io�► <br /> ati <br /> By: 8-30r00 <br /> .. ' ., Chris Pence, On-Site Systems Manager <br /> .,, fO 3 16 i 155us'.D Io123/oa <br /> iOA 1100 — i,.�.k$ 64h" 9Q l <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br />