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Septic Site Plan <br /> 555-24-006706-PRMT <br /> SITE <br /> PARKER,BILLY D <br /> D) ECE y -----) <br /> 12091 HAPPY WAY SE,JEFFERSON - <br /> —11 .2) <br /> 093W14D 02000;2.28 acres <br /> Site Address: 1 2 0 9 AUG 23 2024 <br /> ae.“\e'rS6Y% f OR 9-7 3 Z.5 Total Acres 7. 2 8IVIARION COUNTY <br /> TAXLOT —BUILDING INSPECTION <br /> 0 Drawn to Scale: •S Not DraWlito Scale - -QR- l square= feet <br /> ---- <br /> . . 7 \... <br /> -' •. i. . . . . . . . <br /> . . . . <br /> / . . . . . . . . -.7 ..,. . . . . <br /> • <br /> ' .' ' ' '3 " • • P.1. ..4011 • Lo-0‘ . ' ' . . . . <br /> . Z . . , . . .°• • .i--1: . . . . . . . . . . . . . . . <br /> tzy. . . . . . . <br /> b ' ' • .:...--" " . <br /> 'IQ <br /> APPROVED FOR —7.PTIC • * • • . . . . . • <br /> INSTALLATION NLY" • • • • • • -7 ,- , • i • • <br /> Prep..5.... <br /> .It iS the responsibili y of•the . . . . . . p <br /> these ' u S:c • ' • ) STATE a RTI FiEb .• <br /> •applicant to coordi ate <br /> . Environmenta Health Specialist • • <br /> • with I others. . - _. _. -- <br /> requirements _ . to. <br /> .--.st% .EH-S-10117541 . . <br /> . . . . . . . . ' <br /> -(,...k <br /> t1:41" <br /> . . . . . . . . . . . . . <br /> . . . . . . . <br /> . ,,.. .,v—Z...—a•---'s • <br /> . . . . . . -. <br /> ".., . Yr_11b.,,• • • . • <br /> c'` Matt W. Knudsen• • <br /> . . . . . . N e . . . . Rio' . Pu. le • • • <br /> 2.-7e qty . . . " • <br /> . R • • • . . . . . . • • <br /> i 3 s 1 a 4 <br /> , <br /> - • • . . . . . . . . . <br /> , - <br /> . . . . . •7.65- • 55' •G•,,... <br /> 7 q• 1,,,,...9‘....kat. -„ <br /> &is. <br /> " . . • ..;.„....3 14.Gs Reim.- ,I.A..1.*: . • :s.. ... A . . . . . <br /> • . . . / *. . • I • • • • 103 7.13 Ittrue")° f.A.Ig <br /> 'CP i i 1.1 flePa'r .. .. ... . . .I . . . • v.I. • • • 3, a" wi...- ..k <br /> , •10.8 '12.p... tob..1c. <br /> . . . . . . . . . .&I . <br /> ? s • • i • . 30. • . . . ,., . . . . . . . <br /> .. .. .. .. .. .. : <br /> • <br /> \ • • • • SE e3'amiti,, . . . . . . . <br /> Sift. . . . . . . . . . . . . . <br /> \ . . . . . . . . . . . . . <br /> \%',.,,,,,, . . . . . . . . . . . . . . . . . . . . . <br /> . . . • • • v .' - <br /> I certify that the above information is accurate to the best of my knowledge.I AM THE 1 ]Owner or (Authorized Agent. <br /> NAME(please print): / y it se" 64-11'ol lire— Telephone# S03-4 3 2-0 Y e Y <br /> Applicant's Signature: i4 4%, 1- . Date: s--Z.3-2Y <br /> Applicant's Mailing Address: 6 6 z g g/4c..k1u,..,k c-I. si s-,Ie,..,,on- 47317 <br /> City: S.t.le IAA Zip: '7 73 I-7 Applicant's email: 1.64.,T E St A U.AT i O I‘.)e) &a I.cowl <br /> S-31-6-2020 G:Womis\Septic WORMS\S-3 la SepticSystemSitePlanRequirements for SITE_EVALS_2020-07-20.doc <br />