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A k1slio'EG City of Orono Septic Asbuilt Form _
Address % �,� �C." A2y1 P tv -,k-a, -(, i, Building Use
Installer c$vim S --� License # L Y� Date �- Z
Septic Tanks (3 6o oy /� Pump Tank 1.360
System Type h�I ❑ II ❑ III ❑ Mound ❑ Trenches ❑ Pressure Bed ❑ Qther
Draw detailed diagram with measurements indicating distances to tank risers using 2 points from a permanent
structure. Show location of drop boxes and length of trenches.
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