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HomeMy WebLinkAboutAUTH-3-11-16169.TIF P\C Pe it EM-3-11-Tio3 P� `, o L Hw 752 l tk �hldln b» Shs new 1Dbp Soo- b( � 550 R P �c 5 C,011 - T►Thacs mar ' well w. S rn�S-I [7e, [7e, leas- 50 - fro 5-� -{ S- iruciuve 1041. ((�� J 'C YO P/v. ro IgeS, ►∎S 6(lI o CO h - ibur, Ccep sy�-ew. 444. �VDr�. o�� dv �e� * fc,rna�� y M 5 S '' a a l low -Cov d 1Y --{elo I v) - by vcYA. S0 v af� r dry 5t / � ! ,, re, S S�w' IN; nndv� 4 �nh [ k)11,t, I rit \ e Xi �S hose- -)'bo Jee , vpr,�c� o r• 0. e1n, dOWlr� 14 ;111 gerat �� 411i U D0 NA . � �, �. s� cam. c \Je Tcte, rl, ov - {i 11 O,lek „;� G Gt 115' Gardun paved d��,yr► 5Q' g '�' dell 3 xclYoor , ,„ hous(. Tank - -\‘‘c vIcoLkot^ 3� 5' DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Shed _of ____ !VISION OF ENVIRONMENTAL HEALTH PROPERTY ID #: .ON-SITE WASTEWATER SECTION COUNTY: SOUJSITE EVALUATION 1 • I I f ON-SITE WASTEWATER SYS]Z . • OWNER: ed n C ✓ APPLICATION DATE 3 - 1 - I 1 �. tPR 3"I I - g 3 ADDRESS; DATE EVALTIATED: 3 0111 PROPOSEDFACILTTY:,3 g HD e. P OPO DESIc •W (.1949): 360 P80PERTYSIZE: 1.2.1 cult s LOCATION OF SITE: V . L+ n t. rt PROPERTY RECORDED: WATER SUPPLY 11 Private 0 Public It Well 0 ... •g 0 Other EVALUATION METHOD: N Auger Baring 0 Pit 1 Cut TYPE OF WASTEWATER: 1 Sewage D Industrial Pmces 0 M ed « .._......... . ».. - .......... .i «.......... «..... ..w St... t ............: i.« i::« ..«...... . « «.... .. «:: S:ix:::: . «. ..- .__w....... «....- :x^:.T ........- t ":44 « « � ...w ..: :::: ::..... «._ .»— ...w... «.................. , :..« si:::............. _....i.... »...2.';"..:::::::::: :xi:� x::::::xi: t }?. ^ ?} ? ? » }i '.«. Fir acn-ra•: «• "".= .i..:._.. .« . ' «.. «....... «.... • - " ?:i ?: }:�_.s:::: «... «...sx_:ii::i «: Eii��::: »....._. � :i1Y41 ..... ^....... .ii' � �ii:L:7JLL47: :: x: r.. ':i ?i °F }?? }: � }?:r ?i ?? _� ._ z«:::_. ..... «: t.:::2.......s..: « «::n ». ^.i�is . « r ... «_.. _. « ...... ..... ..._........ : ::z:. .. - _ ......... ........ '� � Y :iii: - xifw^ _ = �7iY✓Fit . 'g" k .. IT.Ca E L MI '�1!A:f�41�i r .. ... _. �:... »w.._... «._.w . ^. «: ear:« s ::............... ^.......... —_ . «..« .. . — — ._._.: }e?: ? ?::..._...... •...«.......^. ................ «. ^....._...... ... «_.. ^._... _ . «...— ........w.... 0 -I /o G L , fr. SS, e • 1 '. • 0,3 • 2 • • 3 • • 4 • • DESCRIPTION TfUL SYSTEM REPAnt SYSTEM OTHER FACTORS (.1946): SITE CLASSIFICATION (.1948): A�a>1ab1e Space (.1945) Ps EVALUATED BY: { 1`1 System _) G OTHERS) PRES Mrs, { raurev • . Site LIAR. 0,7 COMMENTS: 'r - exi565 Ce•iiG ikAk i Sri Yflait v Klu/ \Se p V <i a\vivev4 \->-(Aircifici 1 15 t ot Ati Lvrter b;40,1ci * 1445 rN 40k4- *• dvA i-(i (3)-nly- vg J A '1.92...i -ca,A) 3zil - jok)st i j'''' °.F. ■ki ,..)i, i :i y} ._, 'at 1 Lihcoivyiv ill , i „ (itioi itcir