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<br /> • � , Site Sketch:
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<br /> Plense indicate thc loe�tion of: Wcll,�r�ell Setback to��slem,dwelling or other establislunait,tank(s)•soil trr.i�lcnt system,
<br /> reserved c�ii�lreatmcnt azca,cuttain drai�i,propZrl)'linos,��•ntctwa)'s,and buried lines (those NOI'installed by thc utility).
<br /> Include s.ize�and len�rh and approximate distances f.rorn fixtd rofcrencc points such as shrrts and buitdln�s. Pleas�attach as-
<br /> built dra�ving�,inspection re�iorfs,C�tificat(s�of C:ompliance nnd N�ticc(s)ofNa�complirtnee,if alvailable.
<br /> Soil Bo,•ings (B�t#): Locatc eaeh boring oix the map above,indicate on the right o£t��e coh�m.n th�soiI
<br /> texcure,structwre, color, deptl�of eacl�different soil type, evidence of motding,hedmek�nd st�u�ding v�•atcr.
<br /> Also xa.�dicate if the materi�l is fill.
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<br /> � RTCORD DEP7H OF NIt�TTL1NG,SEASONN..1�ICi,W A'1'�R OIZ BEDROCROh ADOVE LNIsS
<br /> Cnmmrnts• --
<br /> «hat nccds m U�co �pleted to bring q�e�bove sy�tem inTu c�7mplisncr if found not in compliance?�� � ' '"�
<br /> �11� �ys vw.
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<br /> Z 'd Z6z£—EGS (ZS6l puntpamg yso� e9Z �90 90 6T i�C
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