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f Property Owner's Name . <br /> L.)61 41e.5 o Xath►een 6c•,*our.1 <br /> Property Location (. = go / .2 ,, <br /> SW V. Nu) i:, Section ,j "1. . <br /> "i11111 MillIS"-- <br /> (circle one) p 0 VO <br /> T ? N; R E or W <br /> Subdivision Name ' eih..•—her jo f <br /> Noll Valley 3 w <br /> County iii .A/ <br /> i'. _.",N <br /> ®Town of Th r d'dd(e 40 el <br /> E <br /> A—ASTM#D1785 4"Sch 40 PVC Pipe <br /> L B—1286 Gall � Septic Tank• <br /> I. witt enco FT 08 Filter <br /> C—800 Gallon Pump Tank <br /> / D-ASTM#D1785 2"Sch 40 PVCI Forcemain Pipe .8'6' 5..204; <br /> 5. <br /> , <br /> / c)cl--e. I/•/ \ <br /> oc���ntdt7 <br /> N • <br /> 01033 <br /> �; — �J <br /> ` G <br /> .0 <br /> \ a El -___D -- <br /> A - �e /Q3y <br /> - " A .: <br /> _ ..,., , c., _ <br />