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SEPTIC SYSTEM APPROVAL <br /> O, V OR No COPY <br /> 0 O <br /> .s.._ <br /> I <br /> CITYofORONO <br /> A <br /> �& Municipal Offices <br /> ',_ G,, Street Address: Mailing Address <br /> lq / <br /> gni,;/ <br /> 1�ESK� 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner in:kE 5i E—Gnt.+- Phone (Home) (Work) <br /> Address 85 Wegr.. LAI A), City Cj4Oi1O State MA Zip <br /> Site Evaluator 5—P 964;44 State License# 39,-f Phone# '(97—.35e6 <br /> Type of Establishment: Single Family X Multi Family <br /> Commercial AID Garbage Disposal Yes No <br /> No. Potential Bedrooms (.5) ti•f i Est. Gallons Per Day @SO) 6o01-150 <br /> Water Meter Required: Yes_ No)4_ Soil Sizing Factor ,‘-151pd f(-tz (.03) <br /> Perc Rates . P-1 0 P-2 'Z. P-3 P-4 P-5 P-6 P-7 <br /> Restricting Layer Depth B-1 at(" B-2 1p" B-3 - B-4 B-5 B-6 <br /> Type of Treatment System: <br /> Standard X Experimental Alternative <br /> Pressurized Mound System xx)c xx, 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 /coo-- # of Tanks 3 Lift Tank Size/250 <br /> Pump Brand — GPM .moi / Head 2 <br /> Treatment System: <br /> Minimum/t&0,, Cis'$i0)t(s;(3 quare Feet with 7 inches of rock below pipe <br /> Type of covering Fabric 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 f�olloow�/ing conditions: ✓,,tiz;,�;,��i al, vials AAllot) AAE e 5;l e fi .- 7474e41 /7csf 11 <br /> 7� ! 4/ 1'-_. /' ; 'i51iK) -kmkcI;,� 1 e4 cti. /�d 1 f- l rt 3,ec 4idrJ <br /> By: / 1c) -67 <br /> -aLiC�' /2-0-9'9 <br /> Chri ence, On-Site Systems Manager <br /> THIS SYSTEM IS DESIGNED FOR <br /> . .1 BEDROOMS. ANY INCREASE IN NUMBER <br /> OF BEDROOMS INVAUDATES THIS DESIGN. <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br />