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<br /> .'' y;;NOTE 'This'�form,:.aust Dec pleted •by_the`applican•t or his agent and submitted ,for;approval"°wlth all re>
<br /> f Qut d"attachmenU. when°D ilding "permit :-is applied for. The following: exhibits are required, as':a part of
<br /> ttii ep lication ;and shall be attached hereto:'Percolation Test togs and Soil ;Boring; logs''°(onstanda rd z "
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<br /> &fob s� S to Plart=drawn_.t• `s.cale showing locations of;;existing and proposed buildings .lot.linesI perco
<br /> I'at,ion' test;1and soil Dori g,hole locations."proposed system location and layout.""and well .location 'THE
<br /> Y ,y,HOUSEEAND DRAJNFlELD ARCA NUST,BE�:STAKEO._ laproper or inadequate `soil ,'testing o� information wil).. result ,
<br /> � ; is delays ,ie' Drocessing Permits will be issued only to contractors holding a current Orono Septic Sys
<br /> yz tear Installers Lic nse
<br /> �°n 7�YPEOt MORY�CW CONS RUCTION.. ACD 1 T l ON OR REPA 1 R ❑SUBD I V 1 S 10N APPROVAL ONLY `"
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<br /> 7;;• PINS NtA'L►e " PROPERTY ADDRESS 1 J�fO " ��" r/
<br /> r�u '":;,PROP :Tx D SC....,.,,*. $ IOfI ,� "'"'/'--
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<br /> �,' ,'SITE EVALUATOR �� 4e-'-' ""
<br /> �s ,' X p at I�T.�ame
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<br /> GENERALiCONTRACTOR I w COI ` 'a'
<br /> • 3s ¢•` ter r ,, as ati Addr.ress City Phone
<br /> .,A; 0”---' ! I NSTALLERi(1 F KNOWf) �'S( kr�r � eL•e 'q'.- T I (j ,-( �'�� 1� j
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<br /> # r ` 7 7 INFORIMTION BE • MUST BE FILLED`I2.N BASED O!' THE SITE s:JALUATION AAD DESTC. REPORT (ATTACH)
<br /> ';� ` i. ITE EVALUATICXi / DES o' CRITERIA USED Y `�` t
<br /> &' ` �N0: (l/ PERC RATE .1�M7)hUTES PER INCH ' '.
<br /> O BEDROOMS ... GALLONS PER DAY [/ �/� 'Jr.*:a
<br /> • . ... INDICA7E0#DEPTH TO SEA*•NAL`WATER:,TABLE'OR SATURATED ZONE J --� iCHES� 516'rZ 'A .
<br /> "2 SEPTIC YANKS`'
<br /> IAN � i171,„ 'fir GAL. M(N. LIQUID •CAPACITY MANHOLE TO 6-12 BELOW FINAL GRADE, INLET AND
<br /> '} '` r '''''''.5z...'"z ,`' -OUTLET,• INSPECTION PIPES TO ,SURFACE Rc0UIRE' ON
<br /> 'TANKitita' O� b GAL .MIN..LIOl1D CAPACITY ALL SEPTIC'TANKS.
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<br /> <" ':3. PWiP STATIOU—
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<br /> ,REQUIRED R OUIRED 7S4� • GAL MIN. CAPACITY (7^ ALLOW FOR 1 DAY' STORAGE CAPACITY)
<br /> ' „..-....4.4;,....:-....,4- , " 'aD SEWAGE EJEC OR .(BEFORE•SEPTIC TANKS)
<br /> * � ' EFFLUENTjON Y (AFTER-'SEPTIC',TANKS) CHECK VALVE 10 BE USED ❑YES ❑NO..
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<br /> '" 1 3�At'a "`�Ir r t L k�mK f- Y ^ al •r•. f -
<br /> ' •w"r ,. HIWI VATER,`ALAR(1 Ant MANHOLE TO SURFACE REQUIRED ON ALL PUMP STATIONS.
<br /> t a: >NtA1NF1ELDSYSTEM
<br /> a Mn} ,® TRENCHESRESSURE DISTRIBUTION MOUND ❑OTHER:
<br /> � v� > ,� 3% / (ATTACH I NFORMAT I ON)� •
<br /> +� '• TRENCHES' DI STR18Ut ON BOX ❑DROP BOXES SO FT. BOTTOit AREA
<br /> �TRENCIi WIDTH (3' FT. CENTER-TO-CENTER TRENCH SPACING FT.`
<br /> •
<br /> r ' DEPTH OF�ROCK BELOW TILE (G" MIN.); INCHES DEPTH OF ROCK OVER TILE (2" MIN.) INCHES
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<br /> {a" • � • DEPTH GF TRENCH BELOW Oi.IGINAL SURFACE INCHES FINAL COVER(H" .MIN.,24" MAX:) _ INCHES
<br /> NUMBER.OF LINES' LENGTH OF EACH UNE
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<br /> t• F ,' PRESSUREDI STRI8UTION` •UND STANDARD DESIGN AS PER ORONO CES MANUAL
<br /> $� • SAND BASE ,DIMENSION {�.�e0/�".',_;-,' 4;. .---*17,s,Ati*ti:,...1,.-r..!;;;-•,, ,;?:,'''',,-,:,-;1°,',-).':' 'LV.H ' _ FT. X FT. WIDTH SAND DEPTH BELOMf ROCK .� LNCHES.
<br /> i � ROCK SED DIMENSIONS ,ST ,.
<br /> ;�, ANDARD,IO FT. WIDTH X ;sQ_FT. LENGTH SLOPE AT '.SIT ' •
<br /> ,Ff � ,Q� FOR OFFICE USE ONI
<br /> °' a ' 6 .'' � s'.;;;:-41''a 4 .,?e ,ain5 ,' - A� • .
<br /> ` APPROVED AShPROPOSED ` � PPROVED`WITH•CHANGES NOTED Mt W ADDITIONAL ITEMS-'NEEDED NOTED BELOW
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<br /> $ /2. e' -� S cop . P7 4/A)r4//V Zr ' 5 e4 ` To w e -#U
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