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'41111101.1110 _ <br /> CITY OF 0/2-0/'10 <br /> WORKSHEET FOR SEWAGE DISPOSAL WORK <br /> Lk.); <br /> ,'e'' j Date /fr��. <br /> l <br /> Inspector i lil''e G;12 !19 5 Building Permit No. <br /> )1 <br /> Owner Ck 041-d eW Fee <br /> Property Address 9`*A4 5 i...5 k LA N Kind of Building 5 FV <br /> � + <br /> Plumbing Contractor-Outside Sewage Disposal 14 47 A5v'1-5 <br /> Septic Tanks (i)irWst) <br /> //Material (' c-i- k —Capacities 3-- (WV) <br /> Proper Outlet & Inlet?. ✓ Baffle Plates? <br /> Drain Field: <br /> Total length of lines 3 Number of lines •yam <br /> Type of soil 13e°`,k_ Percolation Test I2--. 4-7 4,5eisn, <br /> Width of trench Type of filter material 6 c f 6 vi e <br /> It <br /> Amount of filter material below line /2 5-*•-,Di <br /> Depth from top of tile to finished grade 3 1Ai <br /> Check Vents ✓ Check Caulking <br /> Check Grade in Horizontal Waste Pipes '` Clean Outs t.....------' <br /> Tonage or Yards of Filter Material /i/9 746,46 Total Sq. Footage of Drain Field Js'0 <br /> Sand Rock /d Se 3 <br /> Overall Size of Mound System ,5 >4 0 Size of Mound System Rock Filter Material '7- <br /> Draw <br /> Draw detailed diagram to scale with measurements below. <br /> IJ <br /> A j = 36 oR � -c)(2_;t.,c.).11A`( <br /> L� <br /> .j ,,, S <br /> tl <br /> fo <br /> 3 7 11 el 0 <br /> ?ELII f„ <br /> i0 <br /> t=1ltr w c, (cfw, <br /> 40 <br /> s <br /> d <br />