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, � . <br /> , <br /> � , ' SEPTIC SYSTEM APPROVAL <br /> —_�;,, <br /> � ,�, O,�,�� � o�c�vo�co� <br /> ' O O �' +�°`� <br /> , ;,, CITY of ORONO <br /> a - �► <br /> ,� , Municipal Offices <br /> ti <br /> � ��� � � �����' G����� Street Address: Mailing Addreu: <br /> : t�q `g��i. <br /> ,- Jt'�Kp�' 2150 Kelley Parkway P.O. Bax 66 <br /> �___—=� Orono, MN 55356 Crystal Bay, MN 55323-0066 <br /> Owner <)P�� �in�=r�f Phone (Home) 3y/-�oZZ (Work) 3'�%��9E� <br /> Address ,�� -I S' J�'c�b s N'�%l 1 ��� City �2�%�c; State r1� Zip <br /> Site Evaluators�,�e-��u.��'s State License # Phone# ��z- SF�SS <br /> Type of Establishment: Single Family�_ Multi Family <br /> Commercial ;'�� Garbage Disposal Yes No <br /> No. Potential Bedrooms S Est. Gallons Per Day 7.5�' <br /> Water Meter Required: Yes_ No� Soil Sizing Factor . �'3� .v c�a�/Ff2� <br /> Perc Rates P-1 11 P-2 �� P-3 �S P-4 P-5 P-6 P-7 <br /> RestrictinQ Layer Depth B-1�� B-2 �NF B-3.�N" B-4 ��`�` B-5��'` B-6l�S" <br /> Type of Treatment System: <br /> Standard � Experimental Alternative <br /> Pressurized Mound System � At-Grade System <br /> Gravity Trenches System Pressurized Trench System <br /> Gravity Trenches W/Lift Pressurized Bed System <br /> Holdin� Tank W/Alarm <br /> Septic Tanl: Size i Z5� /1 o cC> # of Tanks 2 Lift Tank Size%Zsc`� <br /> Pump Brand —r GPM �7 Head �b � S � <br /> Treatment System: <br /> �` inches of rock below pipe <br /> Minimurr�+�'f�,3')t(3�'� ,G') Square Feet with <br /> Type of co��ering Fabric � Other <br /> THIS IS NOT A PERivIIT. This is a desi�n 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 /> . fencinQ 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 /> 1�0 VEHICULAR TRAFFIC OF ANY KIr'D is allowed within 20' of tested drainfield sites ever. <br /> ACCEPTED�_ DENIED By the City of Orono subjec existing regulations and <br /> the follow�in;conditions: <br /> , <br /> By: ��J -� <br /> C ' Pence, On-Site Systems Manager <br /> ���tEM 1�a��EQ fOR <br /> ...�.BEDRaOMS. ANY�lt�iEASE M!NUMSER <br /> OF�{�IVAUQATES TH1S DESlGN. <br /> Telephone(612)249-4600 • Fax(612)249-4616 <br />