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Countryside Drive West
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2755 Countryside Drive West - 04-117-23-12-0017
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Entry Properties
Last modified
8/22/2023 5:07:21 PM
Creation date
5/9/2016 2:31:35 PM
Metadata
Fields
Template:
x Address Old
House Number
2755
Street Name
Countryside
Street Type
Drive
Street Direction
West
Address
2755 Countryside Dr W
Document Type
Septic
PIN
0411723120017
Supplemental fields
ProcessedPID
Updated
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P��r�dross: 2��couna��w ��s�r��ms�na�: s��a�� <br /> 1. Impact a� Public Hea[th—cc�mp�ee�on,pcx�snt#� o#s <br /> CamMi�n°°c�ib�ia� _ V�rli�atlon n�hod{s): <br /> ����D 1t� ❑Y� []No ❑ S�I�d hx wrfaoe outiet <br /> rourui surFaos. ❑ S�ched fior��y��up in twme <br /> �����t Ws ❑Y� ❑No � �P�D�s�aYs6amlD-boxes <br /> a sut'�oRf v�rs. ❑ Honwo�wr��+ls�c+unMn�,t�ycp�nl <br /> Sl+stem cau,s��p� �,�� �� ❑ 'Biadc�"sbwe so��t sys�m <br /> �II+�S1� . D s'y�em ro�4u�'emero+enc�r'P�w <br /> AnY"Y�"answrr abow/n�tha syatw�!s � P��tast <br /> an/mml�nt Thnit�1�b�c t�ar�d�y. 0 Unabis to ve�fy(�.e 1 <br /> ❑ OEhsr m�s not lisiad{�s ) <br /> Commer�#s1E�q�iar�ion: <br /> 2. Tank integrity—com�;�e c�,p���� <br /> Com M�cMt�ria� VerlA�on mrtlwd{s}: <br /> SY��oo�of a ses�ge Pii. ❑y� �No ❑ Pt�bed t�fk{s)botb�m <br /> c�spool�dtya�,a��P�, ❑ Exarn�ad�rooads <br /> �+��a mso!2aso�y►ae <br /> �►�IIn lood ad�rrincs. ❑ E�m��ed Tar�c Inte�ity Fam�Atd�ch) <br /> � ❑Yes �Np � ���'wl be�aw <br /> �tank(s)lq�c bek�r their �Pe�d�tl� <br /> . �Y(P�Pe�t�(s) <br /> If y+es.��q�ts�Nvcs: ❑ Probed outside t�k(s}iar'bl�dc soi�' <br /> AnY`�Ss"anaww�w indieah�s!J►� ❑ ur"��D Y°'�y�°s°�"+�'.acarsn•�l <br /> sY�i�e�l»!s Fa�iAy t�P!►�Dh�t�q1�t�. ❑o�r�not Ne�ed ls'es co�n�»�nts2�icp�nat�o�►I <br /> Commants/E�enation: <br /> at 8J16/17.Ehbr J.Pebersott Co.purtt#�ad t�s. <br /> 3. Oth�Compti�ance Conditions—c,,a�,p�„x,e�,p��t�o�5 <br /> a. Me�tener�hde ar�v+ers�e�,�pq�,�,a,�,� y�ound. p Ya� <br /> b. tJtl�er i�ues O t�o p ur�cnown <br /> �e+lbctrb�lhe�ardR°1G)t°��� �Pubie hMllh or sa�ey. p Yes• �nb ❑udu�rn <br /> �Y�+ts an���P�l�ar�ds�► <br /> �� <br /> �' ������d we��dhsr <br /> �/s �� � bY� ❑Y�` ❑t+b <br /> E�; <br /> vwvw.pca.staLe.mn.� • 6'51-2�6-63pp • SD0�667-3�b4 • Tl'Y bZt•2a2-5332 or R�00-637•3SW . ,� <br /> +�'ti-�vlst�h3t • f/34117 �ail�e�t at�ernatNe fa�tnats <br /> Pl�ae 2 of 3 <br />
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