HomeMy WebLinkAboutseptic as-built 2024City of Orono Septic Asbuilt Form
Address / 5 eoc: _ W� L Building Use S ��
Installer
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4- .SyN'; License # Z (o® Date
Septic Tanks Z U UU C. Pump Tank I
SVStenl T\W l ❑ It ❑ 111 ❑ Mound ❑ Trenches ❑Pressure Bed ❑Other
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:
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Company Name: s �i.� Ol License #:
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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: j�l
Print Name. 12A _% 7 `4 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.