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SEPTIC SYSTEM APPROVAL <br /> O SITE COPY <br /> 0 O _ <br /> ,: . CITY of ORONO 0 <br /> • <br /> // Municipal Offices <br /> �t ' 4 Street Address: Mailing Address: <br /> \1kESIIO96 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> OwnerTgotGay Melt- Phone (Home)4 73-(9762. (Work)531-2222 . <br /> I l9 <br /> Address LI L2- /ettE t to ,i Rol. City Ml/e #4;"/ State /4,4 Zip 56359 <br /> Site Evaluator /P5'fInq State License #3q/ Phone# (&z) y47-3S66 <br /> Type of Establishment: •l Single Family X Multi Family <br /> Commercial /J r? Garbage Disposal Yes No g <br /> No. Potential Bedrooms 3 Est. Gallons Per Day LI 5Q <br /> Water Meter Required: Yes_ No X Soil Sizing Factor , 93 (,y6;p4/02) <br /> Perc Rates P-13,3 P-2 33 P-36,0 P-4112, I P-512,9 P-613,2- P-7 <br /> Restricting Layer Depth B-1 364 B-2 2,1" B-3 Sc" B-4 Ni B-5 22" B-6 Zb' <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 1000 # of Tanks j. Lift Tank Size %000 <br /> Pump Brand — GPM 3 ] Head /N <br /> Treatment System: <br /> Minimum(y 14691 L (7,i'x 43.) Square Feet with 9 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 A DENIED By the City of Orono subject to existing regulations and <br /> the following conditions: extsi=in• -101,4k rust be ,y► �:a . + . of i , <br /> By: _ In—12-cre, <br /> Chris Pence, On-Site Systems Manager <br /> BEDROO . ANY INCREA tN`mimem <br /> :EDROOMS INVALIDATES THIS DESIGN. <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br />