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Compliance Inspection Form for Individual Sewage
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3685 Watertown Road - 32-118-23-34-0011
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Compliance Inspection Form for Individual Sewage
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Last modified
8/22/2023 4:40:56 PM
Creation date
10/21/2019 1:00:54 PM
Metadata
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Template:
x Address Old
House Number
3685
Street Name
Watertown
Street Type
Road
Address
3685 Watertown Road
Document Type
Septic
PIN
3211823340011
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FROM RYS PHONE NO. 4422091 Mar. 13 2005 08:44PM P3 <br /> Site Sketch: <br /> — <br /> J ... ? . ' r. + <br /> .. ..'f.. ..',... .. ...fir. . �... . .r. <br /> J f r ... <br /> .a. . .. .. .. .. .. r .. .. r J <br /> .. ..r... .. ..r... .. r -. . ..r... ...J.. • r� .. <br /> .. ' .. + .. .. .. <br /> r... <br /> :.. J.... . .. ..i... .. <br /> II �..�.. �' ..1... .. r .. ..leer .. .. ..+... �. .... <br /> • J ; f : � .f r. ... J J. f J• ; <br /> •? 1 .Jr..•r J.r ..r... .. • .. .. ...f.. <br /> J J <br /> ..J.. .. • J.t�..• ..+. ~Y....�I.. ! ..J... .. :. .• .. � r I ..rel.. C <br /> e--77 <br /> J r r• ; r +. r J. <br /> //,1 r• r- <br /> .... <br /> f...k�... <br /> l?/....� ..rf.. + ... .. ..............�. <br /> ;, i. ..ti. . ' ' 100, <br /> ....J. ., .. ' . i. J .. .r .;. 10' 20' <br /> ............ <br /> • r J i . I 1 J + u + <br /> rf .. .. ...I,....+...�... ..+....',.. .. .. .. 'I <br /> .. r. <br /> .�... .. .. ..�... . . . r <br /> Please indicate the location oh Well,well setback to system,dwelling or other establishment,tank(s)•soil treatment system, <br /> reserved soil Iceatment arca,curtain drain,propetty lines,waterways,and buried lints (those NOT installed by the utility). <br /> Include seizes and length turd approximate distances from fixed reference points such as streets and buildings. please attach as- <br /> built drainns,inspection reports,Cesiificat(s)of Compliance and Noticc(s)ofNoncomplianm if al-•ailable. <br /> a t <br /> Soil Borings,(BR#�: Locate each boring on t he map s bove i mdxcate on the right <br /> of the column the soil <br /> texture,structure, color, depth of each different soil type, evident of mottling,bedrock and stmiding water. <br /> Also indicate if the material is fill. <br /> jBR# ! BR# BR# BR# BR# BR# <br /> � m <br /> 0 <br /> L; <br /> w <br /> d <br /> � i <br /> RT.CORI)DEPTH OF MOTTLING,SEASONAL.I11C.14t WATER OR BFMROCKON AZOVE LTNGS <br /> Cninment�• _, <br /> What needs to be completed To bring the above system into compliance if found not in compliance? NO ,4%tea r <br />
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