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C�STOMER: .... . ..— -- <br /> . , . _� <br /> • IVema: ,8utns E�ccarating <br /> , -- - .�. <br /> Street A,ddt�6a: <br /> C�/� $tatm�ZiP Cod�: <br /> Phonas: (H�,;� Woric C�II <br /> SI�TE�ADDRES,�: � - <br /> Str�eet Lot 1, @lock 1,_�rbbs Addition <br /> �tty. - - Orono __ <br /> . - <br /> 7o�wnship , � <br /> PID <br /> Date �sf de�ign �7�9-05 <br /> Sys�em inlbm�tior� __,__,�_x New F�epla�cement <br /> 1'ype of sysl�rn � Rodc Trsnch � G�avelles�bvg�nch <br /> X M�und At.i;r�d�a <br /> � � <br /> � Chamber � Altemative, Other, Perlorm. <br /> Ty�af�tabti�hment Sin�Je F�n�ll�r Horne <br /> S�ptiC tank iqfiarrne�Rlon No. 8 size o�usable existing tan�Cs: <br /> Mo. 8 size of new�ptic�nks: 2500 <br /> " !s th��a�rinder{ejedar pump used in the sy$tem? � <br /> (Ch�c�c tor add�ion�d�ianp�Qu�r�xnents and c�om�i�on wit�f LUG) <br /> P�rrip�nk lrlfa�rruttion S�ite �f purnp tank �,__�_12��all�ns _ <br /> Sit� ��t�t�ideratio�s � pmpan�or natural g�s lin�s in way? <br /> _______ Under grpund eleotric lines in�y? <br /> � Cabk�r phone lin� iNt wa�y? <br /> � �uri�d wa�tsr lines i� waty� <br /> ______� �xi��r� �ep�c harik to pump s�nd ir�ect? <br /> � 41d sepGc t�nks io pump and bury� <br /> Septic tank truck access a�r�ilabls? <br /> x Trees in be remov�l? <br /> _____..__ <br /> � Di�fl+�lt tank 8 drain�e�d equiptnent e�aGetsl��b�ility? <br /> �r: <br /> V�rianoe require�d� � Describe: <br /> PA�� � OF 12 <br /> L9 3JGd JNIlCI1G�X3 SN?Jf1S tL05-956-Z56 59�8T L99Z/6T/ZZ <br />