HomeMy WebLinkAbout07-29-2022 SE22-000015 Asbuilt_Pumpe�� City of Orono Septic Asbuilt Form
Address z &I?O -51" /yer k eef) b/-: Building Use
Installer Pa i47 -),r -c1& & I --e 4hele 5 License # 1-08 q3 Date 7-2-6 �
Septic Tanks la -S o f& co f+nrt Pump Tank 1', d b pvmk
System Type ❑ 1 El 11 ❑ III bWound [ITrenches E]Pressure Bed p O her
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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Pump and Alarm Verification Form
Site Address: -;—;;, &go_C- � i / tle/- t1) if lam" L> I,-
Company Name: l�-cf77C'(I2 9.rc1-0)e1 Z G License #: L'3ge/
That a representative or I of my company has verified that the Indoor or Outdoor Pump Alarm
sounded by lifting the float switch and the alarm light is on and that the pump was tested with
the float switch.
2. If applicable, that myself or a representative of my company has verified that the Indoor or
Outdoor Filter Alarm sounded by lifting the float switch and the alarm light is on.
Date: 7 —A &— �;zo �,- 2=-
Print Name: AO4zJ3
Signed:
Please return a copy of this form to:
chris@midwestsewer.com
Final Inspection and certificate of compliance cannot be issued until this form is received.