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HomeMy WebLinkAboutIMPV-5-11-17570.TIF �P CNp�-�- ll -106�� 2� k��� �. ua��r�oh-� , � � l��aroom 5i� , iS�� b� re�^OVa(� Qr+� fQ �lu<Pd wT-�t� � %�' (�x� �{ i n �} �.. I .� �,Nir� c. he W J 3 C� ��w� �� �! �- '�' a �( ag X���' I uQ `�`� �t Drh� � u �D I►... c.tc�Me, �oc��{�oh as 6�d horn�, ���L �6M� M�S� � e. a-� ��u5� d5-p. ��arh V�J�<< a'^d ��- -�rorv� �,� }�(, S��-+'+^ . � �. . , I ���` .��w�;-� �� h� I� n� � ( ' t�� C . "[Uv � y r�f,y,,,. IV�:�I�``�dh. ��XI�{ir�. � V�S VISUu,I -f���ik�►,�n 5 v It �d� �J2V �D UGi¢vrlPe c'c�h .�C. p�iJe `GS �° I�� �ah PIJ� , � � I � V � � 35 � � 1 ' �� ! � ! 1 �, `. � , i s -a �°� j � � ' ,. � '! y� e �� N � � !� n � �� -�$• -� L� - �x � � l--- �R�k ir � 3a¢mN I / �uo• � � / 1 3 ' , .� �- 7 75`} Ki�� � � 1 �� : I r�r�� DEPARTMENf OF ENVIRONMENT AND NATURAL RESOURCES Sheet _ of _ DMSION OF ENVIRONMENTAL HEALTH PROPERTY ID #: ON-SITE WASTEWATER SECTION ' COUNTY: SOIL/SITE EVAL,UA'Y'�ON I '`� for ON-SI'�'E WASTEWA'I'ER SYST�IVI l� I ' r OWNER:SO LGCK-�`{ APPLICATIONDATE � �C1PR'�"II ADDRESS: DATE EVALUATED: S I PROPOSED FACILTTY: ��� N� P{�OPOSED ESIGN FLOW (.1949): 3�20 _ PROPERTY SIZE: ��'15 ac rrS LOCATTON OF SITE: 2 I 2°! ' Y l a v �� PROPERTY RECORDED: WATER SLTPPLY: �, Private � ublic � Well 0 Spring � Other EVALUATION METHOD: I�. 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TEXTI�I2E............ ............... _...... _....... _ _......... .............. ............. ........... .......... . .. :::::::: ::::3L.OPE9'o:::: ::::::�.� ...... ..................:.......................... ::::::::..:•:::::::•:::::::::::::::�::...,: �: ::::::::::::::::::::::::::: :::::::::::::::::::�::: .:::�::::::::::::::::::: ::::::::::::::::::::::: ::::&:L'�21It::: ....... ............................ ............ . -��" GL , sblG . e S��c. � t�' ps 1 M ' rk � � _...— � _�-- r— 0�3 I I 2 I I 3 � � 4 �� DESCRIPTION INITIAL SYSTEM REPAIIt SYSTEM OTHER FACTORS (.1946): SITE CLASSIFICATION (.1948): Available Space (.1945) � j � j Systan Type(s) ra Jl.� �"r[nG�lS �C� OTf�R S PRE ENT� f ��(' L1Pi t) Site LTAR O . j COMMENTS: � r ( � � � 4 � .` s � ��� ti� X � °' i �, ' �/�1 1'" gg ---a d-ru � w � �N . I 0 3 � a .� !__�-�----� — _,___ -----�--�— -___ ____�—_. _ --- -.--_ _ � l�� ��. � � � � (��