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Compliance Inspection Form for Individual Sewage
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Watertown Road
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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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Entry Properties
Last modified
8/22/2023 4:40:56 PM
Creation date
10/21/2019 1:00:54 PM
Metadata
Fields
Template:
x Address Old
House Number
3685
Street Name
Watertown
Street Type
Road
Address
3685 Watertown Road
Document Type
Septic
PIN
3211823340011
Supplemental fields
ProcessedPID
Updated
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Site.Sketch: <br /> ;....>.. .. .. . <br /> ... ............ <br /> .. .......... ......... <br /> ...,. .. .. . ' .. <br /> :. ... <br /> r... r .�..';.. . , .. 100' <br /> �... 10' 20' <br /> w. .. .. N <br /> Wei <br /> 0 ' <br /> Picase indicate the location of. Well,well setback to system,dwelling or other establishment,tank(s).soil treatment system, <br /> reserved soil treatment arca,curtain drain,property lines,waterways,and buried lines (those NOT installed by the utility). <br /> Include saes and length and approximate distances froth freed reference pointe such as streets and buildings. Please attach as- <br /> built drawings,inspection reports•,Certifteat(s)of Compliance and Notice(s)of Noncompliance,if ahailable. <br /> Soil Burings (BR#E): Locate each boring on the map above, indicate on the right of the column the soil <br /> texture, structure, color, depth of each differcni soil type, evidence of mottling, bedrock and standing water. <br /> Also indicate if the material is fill. <br /> BR# BR# BR# BR# BR#. BR# <br /> K <br /> RECORD DEPTH OF A,IOTTLING,SEASONAL HIGH WATER OR BEDROCKON ADOVE LINES <br /> cnmments• <br /> What needs to be completed to briob the above system into Compli'mcc irfound not in compliance? <br /> E 'd Z6ZE—EGB (ZS6l punjpamS VsoC 6162 :20 BO 20 Jew <br />
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