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A <br />Health Department <br />Identification Number 7�f T:�Iyy P Z l/A ,200 <br />Schematic drawing of sewage disposal system and topographic features. PAGE �-- OF <br />Show the lot lines of the building lot and building site, sketch of property showing any lopooraphic features which may impact on the design of the system, all existing and/ <br />or proposed suuctures including sewage disposal systems and wells within 100 feel 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 dnnking water <br />supply is to be located on the same lot show all sources of pollution within 100 feel <br />O 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. <br />bC /V CT 5CA -LE <br />EP sNpP PROP. I i <br />THOMAS AVENUE CL 1.00 _ <br />�_ ROUTE # 1208 �— EP <br />ti ° ( EA <br />P N / EP R = 1110.03' ,O <br />/ N N z�- <br />N N N L = 50.69' 59 11 F\ r_ ME <br />\ / <br />k� 1 R � 25.00' — <br />��� OVERH�AD ELECT N� ELEPH� —� PP � <br />\ P P \ L 34.56' —� 40 <br />G W N �'� j a 31 G W J4iG GOJ <br />e / PF rJ PROP.WELe'\ Cp1 <br />F <br />\ W I° PROP. WATER \ w wwnat' rn <br />N — Q CJ `�� l SERVICE LINE \ � 9ll A/ . <br />N <br />g- <br />49 — + <br />I N \ 54 CxtyirK9 � � �O <br />E 1 58= <br />(4, be <br />\ <br />,,7 r \ <br />} 0; PROP. RET. WALL <br />�I <br />z �� �s FF! 58 5 50 1 5,?D D - <br />L-LJ ?��� �a DECK 56 \ ..i • �� <br />'\ 1N� .145.5 <br />I IPF \ ` <br />/ \ <br />/ \ 0 SEWER <br />LL <br />l v ?F r- <br />CIV <br />EX. NO ARKING� j <br />SIGN \ <br />N /^ MH n \ <br />ll \ \ \ O N <br />LOT 36 `oF <br />1.00806 AC. A\ coS \ <br />#xxxxx �� \ <br />Sewage Disposal System permits are nontransferable. New owners not listed on page 1 must reapply and pay all applicable fees to reissue <br />nit-rmits_ <br />