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11853087
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Last modified
9/29/2023 1:51:29 PM
Creation date
9/18/2023 12:14:17 PM
Metadata
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Template:
Permits
Permit Address
1299 ANKENY HILL RD SE
Permit City
Jefferson
Permit Number
555-23-003052-PRMT
Parcel Number
093W22A 00300
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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Devuc4 <br /> la 7/7( <br /> Plot Plan Check List <br /> Huth � J <br /> o Materials list � 41 `s-1 <br /> o North Arro) 7 v'1cis v.Oyfke /1 T <br /> o Test Pit loca 'nclude all pits, including denie - OW hafpy <br /> o Repair Area IDaeitheriAf 'n <br /> o Wells location for the parcel that the system is being installed on, in addition to <br /> any wells within.1 5 ft of approved drainfield area 514, p.a U)eLLS <br /> 15 lGb k (1 — IO tuf-delt,S a.t cevu_ 1 <br /> Setbacks from draintfeld arfd tank to foundations, prop arty i e s, water <br /> sources, and seasonal drainages <br /> cLHouse location <br /> (I Roads and Driveways <br /> o Property lines within 50 ft of the approved areas ? 1 , I,-Iamb_ <br /> ft)? ape 'UAL <br /> o�eptic Tank location <br /> Okeffluent line(from tank to d-box) and total length of effluent Iine4 11,1A, to0‘.ID <br /> o Drainlines, length of each line and distance from one line to the t3Y <br /> I i <br /> new; <br /> o Drop boxes, distribution box, any inspection ports and hydrosplitter if require <br /> on site evaluation �l�/t-Q_ f n t d Ohio <br /> tool . <br /> o dirt r <br /> o Ground water interceptors and setbacks to drainlines '- (AS (A, QL <br /> OOperation and Maintenance Contract <br /> P ATT schematics and Licensed ATT Installer certification # IAA it`e -4.0mces <br /> w 4` h-PPoks <br /> Reviewed by ` M Date 3ID3 / <br /> ` <br /> Approved o r enied, notes 4 k <br /> p p,[0d( <br /> WOL5`.1 ((d-\f`e- tAYA;CX 6/U4J ECLS4- <br /> (vive ro vezi ouLQ, km pot tflSJkQA <br />
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