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- SEPTIC SYSTEM APPROVAL <br /> '�' o1V' <br /> .;� O o <br /> � C ITY of ORONO <br /> � , � <br /> ti Municipal Offices <br /> ti <br /> �,�9 ¢,�,�' Street Address: Mailing Address: <br /> �C'EggO 2750 Kelley Parkway P.O. Box 66 <br /> Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner Phone (Home) (Work) <br /> Address 3625 Jacobs Mill Rd City Orono State MN Zip <br /> Site Evaluator Jeff Swedlund State License # Phone# 952-442-5855 <br /> Type of Establishment: Single Family X Multi Family <br /> Commercial Est. Gallons Per Day 750 <br /> No. Potential Bedrooms 5 Slope: % <br /> Depth of Sand: Upslope: feet Downslope:_ Soil Sizing Factor 0.83 <br /> Perc Rates P-1 15 P-2 12 P-3 15 P-4 P-6 P-7 <br /> Restricting Layer Depth B-1 25" B-2 38" B-3 26" B-4 " B-5 " B-6 '; <br /> Type of Treatment System: <br /> Standard X Alternative Other Performance <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 # of Tanks Lift Tank Size <br /> Pump Brand GPM_ Head <br /> Treatment System: <br /> Minimum Square Feet with 9 inches of rock below pipe <br /> Bed O Mound Treatment Area� <br /> THIS IS NOT A PERMIT. This is a design approval form which must accompany the site plan. A <br /> 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 (952-249-4600) Call far 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 the <br /> following conditions: <br /> 1 This revised design is for location only of new primary septic site. A separate design must <br /> be done when house is desi�ned. <br /> 2 Both sites must be fenced off before construction of house. <br /> � �j .�.,q, �--�-�� �� <br /> ,.��. � --_� \ <br /> By: d� —, � <br /> Matt Bolterman, On-Site Systems Manager Date <br /> Telephone(952)249-4600 • Fax(952)249-4616 <br /> www.ci.orono.mn.us <br />