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Map <br /> Include location of building sewer, meptio1ank(m). soil dispersal syatam, oesspoo|s, seepage pite, and other pits. Also <br /> include permanent reference point(a) and dimensions. <br /> -- - -- - — - -- - - -- ---- <br /> ? North <br /> ' <br /> Certification <br /> //7e/-eby cettify Me system was ebandoned/'naccordat7ce wiffi Miiv7. R. 7080.2500 ai7d any loca/reqLliremei7ts. <br /> Name (please phnV- Ryan Kerr Title- Manager�__ <br /> Address- PO Box 85 <br /> City: _MoraL__. _ State- |yUN _ Zip: 55051 <br /> Phone.- 3uo-a7s'�eoT i <br /> --__ - .. <br /> Date- �4-25-22_ Signoture- -- �—'------- <br /> mww.pca.state.mn.us ^ 651'296'6300 ~ 800-657-3864 ~ TTY 651'282s332or 800-657'3864 ~ Available matternative formats <br /> w,qj-w^w,ts+03 ^ ///2//08 Page 2 of 2 <br />