HomeMy WebLinkAbout1994-09-20 Application for Septic System PermitNOTE: Applicant must initial all spaces. Fill in all appropriate blanks, check all appropriate
boxes.
I have received a copy of the system design inchMing the City of Orono
Septic System Approval Cover Sheet.
2. I will be installing the following:
A. Tanks: � Precast Concrete _Other Manufacturer -r-1- \ 0 -QV -Qt
Tank Capacities: 1) Sa gal. 2) &!22 gal. 3) - .—S�al.
B. Pump Station (if requireid
Pump make & model Zoe 04— (attach pump curve &
literature); system design requires A(—)__ gpm at l2 feet of head.
High water alarm make & model Outside
electrical work to be completed by installer electrician
other Inside electrical work must be completed by
electrician.
C. Treatment System:
Trenches: s.f.
Depth of rock below pipe
Drop Boxes
Distribution Box
4- Mound
Rock bed dimensions LO 'x&S
Sand bed dimensions I't 'x�'
Pressure Dist. Pipe Diam.
Maniford Pipe Diam. ---2_"
D. Final Cover/Topsoil to be: borrowed from site
(show location on site plan)
trucked in
The undersigned hereby applies to the City of Orono for issuance of a septic system installation
permit, agrees to do all work in strict accordance with the ordinances of the City and the
regulations of the State of Minnesota, and certifies that all statemf 's made on this application
are complete, true
SignatureofAppli Date:" --I — u
MPCA Certification No.: ( LC")
Staff Review: Approv Denial s�
Reviewer: Date-
Reason
ateReason for Denial: