HomeMy WebLinkAbout103 Fawn Dr - 239127202004 - 2018.02.05 Cleaners ReportIN
ENRECOUNT Y Eagle County OWTS SrAems Cleaners Reporting Form
NOTE: Rewked to be s� aned to E//nl�vi%%ronmental Health within 10 datrs of deanim an OINTS syst
Systems Cleaner Company � ZLicense Number G-�
Email Address A/�i7Y �. A/� �0 Phone
Service Technician 4 % a or �' t]V)d r? Phone_(%D_)
Tax Parcel # Z� 91 27Z-OZ CHID 7 Address of Service 16.3
Person Requesting Service, �ll �S Phone -% i N 3 V 3-15-IZ
Property Owner.
Septic System Permit Number U � ! Tank Size Ae'00 �'— 'A it S
Date of service , ;_"`2_D ) T Tank Material
Sewage Disposal Site
General Condition n and Functionality of the System � � f1/o V �s� �e ��I.G',�GE� i�i��
Recommended Repairs l�
Site sketch showing location of the septic tank access lids measured from at least 2 fared points
(Photos Encouraged)
Signed Date 2-- q--2-o