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Home My WebLink AboutSeptic As-Built Cards SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 225 WittlESPIN', 3'Oji .t-fak:1t-- Hf3 CZCoccrl Owner:A)Fe174 'Sr?f 7/-f u "7,9'70" -MOST _72- Lv11-t7t—`S PRIM,S.y C2t-m, H19-C/Z6.7 . Date of Inspection: ,.l& 23,woo SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) WIWI-a IS /(1)117CC vAiovvida t-nti N 1-gRaltIl ?IT tooSAO h •F4DjV %Fr Vag I NT CAI OS91/if; serw_ (revised 04/25/97) moo,_ 1 ©,� Page 9 of 10 dui b4*-` !