OP Ro
W
PERMIT CONDITIONS:
I. 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. Operation:
e
V. Other.
❑
D -Box ❑ Pump ❑
Alarm ❑ 1-1201-ine ❑ PWR Line
Following are the specifications for the sewe dis poos
system on the above captioned property.
Type of system: ❑
Conventional her
�c Z5' iL
Septic Tank:— gallons Pump Tank: i --- gallons
Subsurface
Drainage Field
No. of
ditches _
exact length
of each ditch 3&0 feet
width of depth of
ditches 3 feet ditches ZI inches
French Drain Required:
Linear feet
11 Authorized State Ag ./��� - Date /-% ° - !�( 1�