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WWQM-1990-0376
LCHD-Rural-Files
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006281191000
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WWQM-1990-0376
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10/19/2021 7:48:44 AM
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7/14/2015 4:12:59 PM
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Iwo <br />_ Health Department i 5- f� '1� /r 0 <br />Identification Number (P Gi rj <br />Schematic drawing of sewage disposal syst m and topographic features. PAGE 2 OF 3 <br />Show the lot lines of the building lot and building site, sketch of property showing any topographic features which may impact on the design of the system, all existing and <br />or proposed structures including sewage disposal systems and wells within 100 feet of sewage disposal system and reserve area. The schematic drawing of the sewage disposal <br />system shall show sewer lines, pretreatment unit, pump station, conveyance system, and subsurface soil absorption system, reserve area, etc. When a nonpublic drinking water <br />sup ply is to be located on the same lot show all sources of pollution within 100 feet. <br />ICJ / The information required above has been drawn on the attached copy of the sketch submitted with the application. <br />Attach additional sheets as necessary to illustrate the design. / P�jjIiSS�c� <br />/V all 1Vv)AV11>r <br />L�wrf <br />/Ywj3 39. 701 <br />VJ <br />h� <br />�l <br />1 �.s 1 40 <br />3S L`4s�:�lrrf f <br />(WOOJ5) <br />A <br />4dl- <br />39.0/ <br />�I <br />tree %S <br />/ /O✓ fv 9�'C4 / /�t <br />Z4v'�U�, <br />all <br />
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