OPPERMIT CONDITIONS:
1. Performance: System shall perform in accordance with Rule .1961.
II. Monitoring: As required by Rule .1961.
III. Maintenance: As required by Rule .1961. Other:
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV 0 eration•
p
Other:
V
.
❑
D-Box ❑
Pump ❑ Alarm
❑ H20Line ❑ PWR Line
Following are the spe
cifications for the sews disposal system on the above captioned prop
Type of system: ❑
Conventional Other A,
ti 9 &
Septic Tank: I Do t0 gallons Pump Tank: gallons
Subsurface
No. of
exact length
h di
h ob f
f
width of depth of °
feet ditches inches
dit
h
Drainage field
ditches
eet
tc
o
eac
es -
c
French Drain Required: Linear feet
Authorized State Ag t Date `-i Z
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1 2-3-2841 8 (1)
12-5-28418 (2)
12-5-28418 (3)
12-5-28418 (4)
12-5-28418 (5)
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12-5-28418 (6)
12-5-28418 (7)
12-5-28418 (8)
12-5-28418 (9)
12-5-28418 (10)
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a
Y.
a
1
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0
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12-5-28418 (11)
12-5-28418 (12)
12-5-28418
(13)
12-5-28418 (14)
12-5-28418 (15)
n
12-5-28418 (16)
12-5-28418 (17)