HomeMy WebLinkAbout4057DOCUMENT CONVERSION SERVICES PROVIDED BY
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BOX 31
04057
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NOTE: Repair must be in same location and of same type as original sewage disposal system.
Different location may require submittal of proposal from licensed professional engineer or
registered architect. i `j
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Proposal Disapproved
with the following conditions:
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1. Procurement of any Town permit, if applicable.
2. Submission of as built repair sketch in duplicate showing:
a. Owner's name.
b. Site Street Name, Town and Tax Map number.
c. Location of installed camponents tied to two fixed points (e.g.,house corners).
d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. x 6' deep
drywells surrounded by one foot + gravel).
e. Installer's name and number.
3. System repair to be performed in accordance with the above proposal and conditions.
I, as owner, or reported agent of owner agree to the above conditions.
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SURVEYED & PREPARED BY
ALEXANDER BUNNEY
LAND SURVEYOR. P.C.
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SURVEYED & PREPARED BY
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LAND SURVEYOR. P.C.
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