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N <br /> OV-0 VI 0 <br /> V <br /> U1 <br /> CITY OF INIMPENBMCE • ( - c <br /> x <br /> WORKSHEET FOR SEWAGE DISPOSAL WORK <br /> Cil <br /> Date / - Z_o l ( rt <br /> Inspector LO N I (k Q ( k 135 Building Permit No. <br /> Owner 0,h r j S 15 i u rr. 4.,v"-- Fee <br /> Property Address ' '7 S- F K incl br Bui d ng S F <br /> Plumbing Contractor-Outside Sewage Disposal .A-(4P c5 ±Sc i'� , <br /> Septic Tanks <br /> ` 3 - ICOO <br /> Material C�� (b4 ) Capacities <br /> Proper Outlet & Inlet? 'l- Baffle Plates? <br /> Drain Field: <br /> Total length of lines- Number of lines <br /> i;3 Type of soil (C�-G� Percolation Test 'S : P , ��-S '"j <br /> Width of trench Type of filter material C3 o 81,,i <br /> Amount of filter material below line I 1 1 r—seC�-'fi s R N <br /> Depth from top of tile to finished grade Li 172-- <br /> Check <br /> yCheck Vents ✓ Check Caulking zi <br /> Check Grade in Horizontal Waste Pipes '� Clean Outs sr-- <br /> Tonage or Yards of Filter Material <br /> s�2.-5 d_+�4y4R5 Total Sq. Footage of Drain Field `7i(C) <br /> Sand Li `S- il3 Rock / u X / <br /> Overall Size of Mound System j 0 X 4.1 Size of Mound System Rock Filter Material � / <br /> Draw detailed diagram to scale with measurements below. <br /> A I 37 ' l J. Nf <br /> 3 = mss` 4 r---t_ <br /> 3 <br /> 3 i : 4L( <br /> Z_ 2-f r Z 3 <br /> 3 - `F 3 Ii CEie.- __---- <br /> -e-4 ( Go00 puvy v,)icA Ir.ti-vimr <br /> 1 <br />