Laserfiche WebLink
�` � <br /> NOT'E: Applicant rriust initial all spaces. Fill in all appropriate blanks, check all appropriate <br /> boxes. - <br /> 1. I have received a copy of the system desi�n includin� the City of Orono <br /> Septic System Approval Cover Shee[. � <br /> � .2. I �vill be installin� the followin;: . <br /> A. Tanks: f precast Concrete � Other ManufacturerP''«s�+SYs�`t�. <br /> Tank Capacities: 1) /�o gal. 2) gal. 3) oal,. <br /> B. Pump Station (if required) <br /> Pump make & model �,m��.o4's (attach pump curve & <br /> literature); system desi�n requires � gpm at �� _ feet of head. <br /> Hi�h water alarm make & model �1�G�r. 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. _� Mound <br /> Depth of rock below pipe " Rock bed dimensions �O 'x3� ' <br /> Drop Boxes Sand bed dimensions y�'x 4 2 ' <br /> Distribution Box Pressure Dist. Pipe Diam. _�" <br /> Maniford Pipe Diam. � " <br /> D. Final Cover/Topsoil to be: borro�ved from site <br /> (show location on site plan) <br /> � trucked in <br /> The undersi�ned hereby applies to the City of Orono for issuance of a septic system installation <br /> permit, a�rees 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 /> aze complete,.true and correct: <br /> SignatureofApplicant: -w-- Date: � r�3 —�� , <br /> MPCA Certification No.:_ J 1 � ,3 - <br /> Staff Review: Appr al e •� . � <br /> � Reviewer: � � � <br /> Date: <br /> Reason for Denial• <br />