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Authentisign ID:16706484-ACC8-47DF-8A07-E7DEFF933E7F <br /> Coldwell Banker Burnet SUBSURFACE SEWAGE TREATMENT <br /> SYSTEM DISCLOSURE STATEMENT <br /> 44. Page 2 <br /> 45. Property located at 4550 Wolverton Place Orono <br /> 46. Seiler cr transferor shall disclose to Buyer or transferee what Seller or transferor has knowledge of relative to the <br /> 47. compliance status of the subsurface sewage treatment system. <br /> 48. <br /> 49. <br /> 50. Any previous inspeollon report In Setter's possession must be attached to this Disclosure Statement <br /> 51. When was the subsurface sewage treatment system Installed? <br /> 52, Installer Name/Phone p r <br /> 53. Where is tank located?S H$\5 4Q/C�.�t e,&d.. 41101Y\ IA; 11(�W�-. <br /> 64. What is tank size? <br /> 55. When was tank last pumped? <br /> 56. How often Is tank pumped? <br /> 57. Whore is the drain field located? <br /> 58. What is the drain field size? <br /> 59. Describe work performed to the subsurface sewage treatment system since you have owned the Property. <br /> 60. <br /> 61. <br /> 62. Date work performed/by whom: <br /> 63. _ <br /> 64. Is subsurface sewage treatment system entirely within Property boundary lines,including set bade <br /> 65. requirements?_ is the system shared? How many units on system?_ Annual Fee? <br /> 66, Comments: _ <br /> 67 <br /> 68. On this Property: v - <br /> 69. <br /> 70. Approximate number el: <br /> 71. people using the subsurface sewage treatment system <br /> 72. showers/baths taken per week <br /> 73. wash loads per week <br /> 74. Distance between well and subsurface sewage treatment system? <br /> 75. Have you received any notices from any government agencies relating to the subsurface sewage treatment system? <br /> 76. (If"Yes",see attached notice.) [1 Yes D No <br /> 77. Are there any known defects in the subsurface sewage treatment system? Dyes ❑No <br /> 78. If'Yes",please explain: <br /> 79. __ <br /> 80. <br /> 81. ORIGINAL COPY TO LISTING BROKER;COPIES TO SELLER,BUYER,SELLING BROKER. <br /> MN•PSS0.2(8169) <br /> V. Form S^'A.V1009 <br />