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HomeMy WebLinkAboutIMPV-11-11-23026.TIFDEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCFS DNLSION OF ENVIRONMENTAL HEALTH ON -SITE WASTEWATER SECTION v -�. ADDRESS: G� PROPOSED FACILITY: US( LOCATION OF S VJa OTC IA ITE. -a•= Vi'ATER SUPPLY; O Pr;v EVALUATION METHOD: Sheet _,_ oj__ PROPERTY ID #: COUNTY: -r DATE EVALUATED: a-a °-1 i PROPERTY SIZE: __O , ?H aunts PROPERTY RECORDED: Other TYPE OF WASTEWATER: Sewage O Industrial Process O Mixed MM :::::::::::.......................................:::::::::::::::::::::::::::::::::::::: ::::::::::::: ::: : : ::::::::::::: lai ii ::::::::::::::::::::.:::::::::::::............................................... .:............................. ..........................................................::::::::::::::::::::::::::::::::::.::::::......::::::::::::::::.................................................. ..............................: ................. ::: ................ - ...........................:: t�il:ll� . :: ::::::::::::::::::::: 1�: ::::::::::::::::::::::::::::.... ......_.......:::........._.... .. �:: THER. 0. . . .::::. ............................... ............... : ........... ............................... ' t�3 ......... .. :::::::........... :::.::::::::::::::::ss:t::::::: _ ..................... . ................... ........................ ...... .......................::::::::: ::::::::::::::::::::::::::::::: ::• :....................... ..........................:::.. , ...:.............................................:............... ....... ........ ...........:....:..:....... ........:.::.:................. _ ........................... ............................... .. ............ ...................... .... .... ......... ....... ............................... ...... ............................................................... ......................M........ ..................::::::::......................... ............................... ....... ................_........ .......................:::::::: .. .................. . ..................:: ::::::::::::.. R .. ............ .:::::::::::::::::::::... ............................... .EC?RI .................. . .Y4�........ .. ................... :::::.... MG mm :::: .......... ......... ::::: ..... ..........: :::::::...:::::::::::::..:::::: .................................................... . ............... .............................:. ....... ............................... ......................... ................ ....:::::::::::::::::: : ::: 39d1 :::...:.........: ................... q ::::...... .............:.:....... _.... ....... ............................... .. ......... ................ r:::: = .. STRU .... :.. . ........................ .. . ...... ........ :. ...EFTfI:: Ul ...... ......... �(11..SLSi?3�1'C1 t.......::� I`i.`PAS`f : s P € Ap Pl?SI��RNI. I ........ .....�........ Q` ..'1`R' i €' :::::;::::,; ...... ............................... :L•' G��. .tIEPTS::::: :" :::. .: ¢ ::::........... ...I :::::..::::::::::::Nl11►ERAi:C) y::t:t:: ::: ¢...... .................................... ..........................::... ............................ .... .............. ... ........ ...._..... ............................. ........ MG. ............................ :::::::.::: ........................ . ..... 00,4000 ..........:................ ...................... : ...................: o FILL Us o - g R. LL 2 US - 7 FI M Ufa -Nb GL. t mw SAP US ss sc xp� 4 46- sa D•3 DESCRIPTION A*ITTAL SYSTEM t:EeAM SYSTEM OTHER FACTORS (.1946): SITE CLASSIFICATION (.1948) Aw*%Lbble Space (1945) U S C /' EVALUATED BY: yo m I ►� IfiI7Y ( + I V („ c {� OTHER(S) PRESENT: System Type s) _ Site LTAR VV1Y11Y1L1Y for ON SITE WASTEWATER SOIL /SITE EVALUATION 30 11 � � �ow,tiU^ c� "�� 2�S�ir OL►ulwTi cu (S Vk^kKOWh. P �f' R s C 4 x N 1 1-1 (N s �.t ),