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8684020
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8684020
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Last modified
6/28/2019 8:34:26 AM
Creation date
6/27/2019 9:45:17 AM
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Permits
Permit Address
9931 KEENE LN SE
Permit City
AUMSVILLE
Permit Number
555-19-004374-AUTH
Parcel Number
081W18C 04100
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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B. Septic Tank Evaluation Procedures: Check the appropriate boxes <br /> YES NO N/A Lid Location: NE 13'NORTH X 0' <br /> Depth: 24" <br /> ElLocated, accessed, and opened the tank <br /> ❑X If at grade, is the cover"secure"? <br /> LIIIInspect the condition of the tank(for cracks, infilitration, deterioration, or damage) <br /> Inspect the integrity of the inlet and outlet baffles (for deterioration, or damage). <br /> Y N <br /> X Gray-water run-off or drainage system <br /> Determine approximate distance between water well and septic tank <br /> Approximate distance is 100+ FEET <br /> C. Drainfield Check the appropriate boxes <br /> © Was drainfield located? If yes: distance from well to drainfield is Feet <br /> Comments: <br /> © Sewage visible on the surface? <br /> Comments: <br /> 111❑X Located well or other water source <br /> Explain answers as necessary: <br /> page 2 <br />
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