HomeMy WebLinkAboutSeptic as-built 2024I�
City of Orono Septic nsbuilt Form
Address /J Building Use Sf�
Installer Z O 4 i►c-�� �E' g
1 icy" S License # C &elD Date
Septic Tanks 77 Pump Tank 3oo
System T,, he
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Draw detailed diagram with measurements indicating distances to tank risers using 2 points from a permanent
structure, Show location of drop bones and length of Stenches.
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Pump and Alarm Verification Form
Site Address:,, / --, , , e�e le-
Com �" S f c) � / 5 License M
pant' Name:
1. 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 2-
Print Name: - �A
Signed:
Please upload to your permit in Citizenserve when completed.
Final Inspection and certificate of compliance cannot be issued until this form is received,
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