Laserfiche WebLink
-i t i <br /> �°�o S�PTIC SYSTEM APPROVAL <br /> y� G�` Street Addr�ss: Mailing Address: Telephone: (952)249-4600 <br /> t,� � 2750 Kelleyl Parkway PO Box 66 Fax: (952)249-4616 <br /> kESH�� Orono, MN 'S5356 Crystal Bay, MN 55323 www.ci.orono.mn.us <br /> Address: `� 0 O p���' V t w �J t, Home Phone: <br /> Owner: e��,,r� Work Phone: <br /> Site Evaluator: u s � m State License# ��� <br /> Site Evaluator Phone Number: 7G�- �TQ-- $7ZQ <br /> Garbage Disposal? Yes � Mumber of bedrooms: � Est. gallons per day: �� <br /> Water meter required? Yes I�-� �otes: <br /> TYPE OF TREATMENT SYSTE I <br /> �adesys�em: �(D-v� Gravity trenches system: <br /> Pressurized trench system: Gravity trenches with lift: <br /> Pressurized bed system: Holding tank with alarm: <br /> Number of tanks: 5eptic Tank Sizes: 1 - �Z�D, <br /> Lift tank size: � G Pump brand: � GPM: �q Head: �€� <br /> TREATMENT SYSTEM <br /> � <br /> Minimum: �,�D square feet with��inches of rock below pipe <br /> I�ype of covering: Fabric: ✓ Other: <br /> SEPTIC HISTORY <br /> Compliance Report attached? YES None <br /> City as-built on file attached? YES No, explain <br /> SITE EVALUATION <br /> YES NO N/A <br /> Soils borin s. , . <br /> At least three soil borings shal be completed for each new drainfield site designed. Each soil boring must be <br /> located within the drainfield site or within close proximity along similar contours such that similar soil conditions are <br /> likel . <br /> For additions to an ISTS,at I��st one soil borin shall be made in the ex ansion area. <br /> Percolation.tests _ <br /> At least two percolation tests slhall be completed for each new drainfield site designed. Each percolation test must <br /> be located within the drainfield site or within close proximity along similar contours such that similar soil conditions <br /> are likel . <br /> For addi6ons to existin ISTSs,at least one ercolation test shall be com leted in the e ansion area. <br /> Plot Plan. A scale drawin of the entire lot shoyri the followin : <br /> All ro e lines and lot dim� sions <br /> /' All e�ustin and ro osed stru ures <br /> All existin or ro osed well lo�ations or water su I i in <br /> Relative elevations of house,I t comers and drainfield areas <br /> Slo e of round at drainfield s es b contour lines or direction arrows and slo e ercenta es <br /> Location of all percolation test holes and soil borings with identifying symbols and relative ground elevations of <br /> each <br /> Prima and altemate drainfield areas identified <br /> Distance from primary and aft mate drainfield areas to property lines,well locations and any lake,stream,march <br /> or draina e channel within 7$ f an art of the se tic s stem. <br /> w:lseptic\septic system approval revised 2-2015.docx'� <br /> Page 1 of 2 <br />