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r <br /> Septic Site Plan <br /> SITE PLAN FOR PROPO: 555-22-006875-PRMT <br /> KINGMAN, MARGARET C <br /> Site Address: 7 W$ C 1%4ANlpoe�Q , 7808 CHAMPOEG RD NE,ST PAUL; 111 ,C <br /> I 11 /7 <br /> J 042W02 01200; 1.30 acres , \� 1 <br /> TAXLOT p J <br /> ❑ Drawn to Scale: •❑ Not Drawn to S. ,. ___ z______ AUG 0 2 2022 i <br /> IN (. OYLQ -i <br /> ,i5, 'g <br /> G1nAM cad . . .I _ '. <br /> .~ . . <br /> CCO <br /> . . APPROVED FOR SEPTIC . . . . . . . . . . . . . . . Al. <br /> INSTALLATION ONLY"• It is the resporisib•ility of the . . . . . . . . . . . . . <br /> • .applicant to•coordinate these <br /> .requir-emer)with all.oth4 . . . . STATE• CERTIFIED {_ <br /> f Environmental Healt ecialier •L <br /> {� t31t4 Ua(OH r bUyC o0:,.', EH.S 10206540 . CY . . <br /> . . . (� .1St M-2: 0k-' ik-Jr. • 0. � y�� L., r <br /> / '' fpobert Goodwin <br /> . ..a a-\ . . . . . . <br /> t . • <br /> \ . . <br /> o <br /> t >C Q . <br /> L►v Ot yl-ani 1\t <br /> 1 t I ~ 7 <br /> `-- r$r 1 . .` . . <br /> 0' "A— <br /> ' . os i . . <br /> 1 a D tVd� �yw,r., <br /> M ` ,ram` <br /> o _ _ „ _ : ►'rder41 <br /> / 1 i eye <br /> t <br /> >"` <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE[ ]Owner or[ I Authorized Agent. <br /> Aid lay. 1'0..cn r., <br /> NAME(please print): HOIi'u n'—. C0/l5/nLc/rr. . LL C_ Telephone# 5—D3— 97 t—V30 7 <br /> Applicant's Signature: Q..CZ Date: LAfh 1 Z 20 tZ <br /> Applicant's Mailing Address: //e0$ 5 I 5•f" 5 a leCeti 0 it pp <br /> City: 5 a l fie"'` Zip: c(?3(7 Applicant's email: C do4S C(1v.1 . *1 J 11.42 ° .u1a11 a C d 4"4 <br /> S-31-6-2020 G:\Forms\Septic\FORMS\S-31a SepticSystemSitePlanRequirements for SITE_EVALS_2020-07-20.doc <br />