HomeMy WebLinkAbout10-06-22 As-built=E City of Orono Septic.
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Form
Address _s�..DU OG U %, 4,a.1 c- Building Use
Installer c &rf, v Ca License# Z/9 Date /O - fe -24-.
Septic Tanks 2121'0 cc .,f6.'i.,., Pump Ta rik 100-0 3 e /
System Type ❑ I ❑ II ❑ III iff Mound ❑ Trenches ❑ ressure Bed ❑ Other
Draw detailed diagram with measurements indicating distant s to tank risers using 2 points from a permanent
structure. Show location of drop boxes and length of trenches.
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Site Address:
Pump and Alarm
(J C v C .L (C. i e
Company Name:
1. That a representative or I of my company has verifie
sounded by lifting the float switch and the alarm ligl
the float switch.
2. If applicable, that myself or a representative of my
Outdoor Filter Alarm sounded by lifting the float s%
Date:
Print Name:
Signed:
Please upload to your permit in
on Form
License #: 14 Cr
I that the Indoor or Outdoor Pump Alarm
t is on and that the pump was tested with
pany has verified that the Indoor or
and the alarm light is on.
when completed.
Final Inspection and certificate of compliance cannot be issued until this form is received.