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HomeMy WebLinkAbout0266 HOLLY POINT ROAD - Health p6in+ d�nac� i I t,ut A'l'lUtl .jF2 4COCO "" �,,,,,►.►tVl►':'1t111 1'1'1'S t/ ._.0 VI — 0. APKICANT 2Q � _ I dii►�J r�l� i)ATE (O ((f, U S� ADDRESS #z(p(� OINr �A �i7_ . FEE .� ENQINEER /Cg(/IV 0'lr 2 TELEPIloNE No. (�� INon-refunds B V� 0 DATE BCII$pULED TELEP11ONE NO. ' +����ddd'bi1A�'dl.b'trrlb•• • • • • • • • • • • • � • . . . . . . . . . . Ap clflil a eir3nalure l9,01L LaO �SUB—DIVISION NAMB�ott o�Nr S7' TES EXPANSION AREAI YES�NO DATE TIM//E TOWN HATNR. " ENGINEER : �RIVATE WELL . !• BOARD OF IIEALTJ1 SKETCH: (Street name etc. EXCAVATOR ,dimeneione of. 10L, exact locaLJ611 of Leal: 1101e13 a11,1 1JercolaLlol► ceaLD� locate WeLlande in proximity to teat holes) ':NOTM ? r PT I 4r2ee potiD DQT44 46 PERCOLATION RATHi C Z API 6 2-a 64L-. W W3 7-44-d l�iiq►�/�) TEST 1101,E NO: �. ELEVATION: 1 9' .S'1' IlOI,>; N0: >aUVATIO11: 2 1.5' 1 3 i .Ci 1 EINf- MAIl0 3 4 a. , 5 , M46 WAra-(7z) 5 6 ,c2 7 o�1 c60005 . 7 S - 6 9 10 9 11 _ 10 12 11 13 12 '---- 13 14 14 15 ---- . 16 15 S11ITA111,E FOR 91111-3UHFACE: SEWAGE; i. 16 EAc:IiNO FEACIIIN(j IEI,U _LEAC (I f 1•r;; UNSUITABLE FOR BUD-BURFACE BEWAQE.i,REABON91 'i'l1ENCIlE3 11,1'l'E: t:N,llttEk,)ItIN(l fi.AN9 M113'I' _ SIIt7W Ililllllls`It A�3t11(ItJ1;IJ oil l'lill(: I'I'I.I('A'I'I(JIl -_- „11_l(l Irinl,: ( ()�Il'I, 11) TII_Erl'1'ill1�TY_LY_�_. _ ----.. ,,Ill'Y; 11f:'l'AINEI) IIY Al't'1,1('API'I' • L,_AI1L_Hli'!'11111�;�'1'O 1! )11111) OI'_III:AI,'1'll