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-0001'18' IN4 <br /> / ants of Divan Department of Erndfonmensf Quality <br /> Annual Operation and Maintenance <br /> DEQ Report Form <br /> General Brgtnm5nn(Complete AL1.Intematico) <br /> PrtpenyUwnr. May Campy Phaq; s03as0.1t to <br /> Sun Addran: 15214 Woodburn Matt Rd pa** 051 W250C 01500 <br /> WoOtttun <br /> City; county: Martin County <br /> fMmWR 555-07-00723f+Rs1T Start up data Tlal year in lea: 2012 <br /> Syatrn Model kaa SysIem sun al 300634 <br /> Report tier, 2°25Date of Santa Performed: 1211E02025 <br /> Snail me net mJatitose ronnorcoap.commin <br /> Online wastewater hsabnent system status: Igo not prefld and photocopy dl*Ckbotaes} <br /> area NO <br /> wa ❑ Vitas melnlsnananetomed as required by tot oaten rules and the nnmrmhdwer7 <br /> ;5;M ElL the gatam opwMFq m amadraa With the aeS. roued design epeS aeoa7 <br /> gyp, ❑ lithe waist atm*under a Berta caftan with a toted mantanarka pro9ldeA <br /> ❑ ® hike system falling? <br /> ▪ -I Discharge attawpeb the grand surface? <br /> ❑ to Osctiag.of sent. liarnesr suites oaten" <br /> ❑ 0 Sewage backup into thumbing fattest <br /> If you arswarod"Yee on the hetrburgoaeona,was s rpab psndt abt►nadf If not.spate <br /> I he a?y that Ut meat is mmpote and scarab to Metes!of my knowledge.I andnstard that faletadon of no <br /> taunt grounds farrawation4mm aaRfimcm indfor dvi penSa <br /> 'Maatensnes Punta Nome ,f theme racy. Benno Septic Sante LLC tAnther Benin) <br /> 'Certltoosarr. R14245 Trnefehealion Explitiorr 03/302027 <br /> Maio teat tan ha Med at ) <br /> Original tarty nil' 7 1:44el net 12 2J <br /> Na Mehyrance providers mud merest scant wont Of lhei mee,mnaute caaats.customers, <br /> padarmaroadata,and twat tor renewing the contracts. Than retard mad be available foraispac9ar upon <br /> request by the a0eney par OAR 340A71-0130(24). <br /> AnnateceAam and wstaanm baron tdm err Sono: <br />