Laserfiche WebLink
1 <br /> Comments: vf. . c..-1.4‘.. 1.omel,-ev-v►1 -'vc, 1411a1k- "9rc�S 6 11.$ <br /> 30 4am.A4S. <br /> Person Responsible for Monitoring: S- V 11-5..T41iN 1441...0 <br /> Address: cI S 1e-- vm 1.4—, 9-tiE. <br /> City/Zip Code: -<• )4111 .1-1' 011/1 5-537(. <br /> Telephone: 71i 3 — 1.°10 = 3.cti Co <br /> Signature of Person Responsible for monitoring: o. <br /> fi---" , <br /> 3. Maintenance Requirements: (Listadditional requirements for this system. Examples may <br /> include Effluent filter cleaning/repl ement or pump and alarm components.) <br /> ::::,,p,,,,s,-..gram..;:vw,t rw.?..,;,:qi.. .ftsmp,N:n:ir*,::;'d,:r5:17r7enl:']' 'C;,r.Y.Vvrn::;SfiMRe:IMN <br /> :.fif '•' c <br /> Septage All septic tanks S 0 % t).Si1MO�l—'t-.0 <br /> Removal/measurement 01-k YS' <br /> MO\-01\— 'I✓W Sewt.E Pet N-'-w v tiss, '4 to 1+10. <br /> `i `fItKOVVO-NO Ig—11(4\-Art•frosigidi‘ 11 • ,‘— 1 '.?*. 'rS <br /> VIP 41,a111— "Vr ?4-(4.QVAC> 611+r4.4 'Foy- 146ftePt4A-48. WPAD•v+., Como . <br /> Comments: 514w41'1...e- I f.k. Q+,Avor" <ierc. 14S N 0 C,C. Se;* 6'c- <br /> 10 L.1‘.IT -Ct...0 1 1A. 611aorc1.Airekote. 50 .+00 14.1✓44...W 5B Jc, -rAAV <br /> 1>.. ... 'G3 'QQwA? -. L1 +G. . t,L.w.5 ' rG14 5V07-0‘c.w..... <br /> Person Responsible for Maintenance; 5 11.4A-4c - w • g <br /> Address: ciS1 '1<-Ar'*\ A- <br /> L . l,•l" <br /> City/Zip Code: . . Wt 1.- .Ala Al <br /> Telephone: 710 - <br /> Signature of Person Responsible for Monitoring: Ail /' 4 -- - <br /> 4. Mitigation Plan: (List any additional]component in boxes provided.) <br /> {{. FiCF�,v •. �4 �is <br /> il <br /> •.. 0$,6{ 8'8R M76£ wiF { �. :.'i�`8 � a • 8 A •��W. sA„3 }� �• a 0:�``K`,iE,d: <br /> `•r. •. .,. '•.. 's• ..�e,.4• 'SF '?i`Fit .7.•i_. .. kY.•. `v .•.ov l/.N.....:. <br /> Pump/alarm $-)a 4411, ,, .• S o n d° 100.j7-4 <br /> 4CA-z eC8� S- 7 idt1� 11 5t�e®�' + <br /> -f%w I 11 1 30`� <br /> 1 <br />