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METRO WEST INSPECTION SERVICES, INC. • 763-479-1720 <br /> CITY OF v von° <br /> WORKSHEET FOR SEWAGE DISPOSAL WORK <br /> / /Date 0'1 5- 1-7/ <br /> Inspector Building Permit No. 0f. <br /> Owner a26 11 -d 1'1'u'l` Fee <br /> Property Address /Z± h 1Z( t '- 7 " Kind of Building S 0 <br /> Plumbing Contractor-Outside Sewage Disposal frf+-1 e S �S -S. <br /> Septic Tanks ll 1 <br /> Material Co C- ✓wii/lJ �( 3 0 0 <br /> �' Capacities <br /> `_-. <br /> Proper Outlet & Inlet? �� Baffle Plates? <br /> Drain Field: <br /> Total length of lines C/ Number of lines 3 <br /> Type of soil 31 <br /> r.... Percolation Test (2-v S' 7 a I SCA---._, <br /> Width of trench ✓ Type of er material 6.71.6'06.71.6'01 e_ <br /> J <br /> Amount of filter material below line / 6 I.5 <br /> Depth from top of tile to ,finished grade / <br /> / <br /> Check Vents / i <br /> V :i.,,,,, Check Caulking <br /> Check Grade in Horizontal Waste )'Pipes Clean Outs <br /> Tonage or Yards of Filler Material 19 0 L LJ 5 Total Sq. Footage of Drain Field ? e' <br /> Sand � /0 ) (o�� }k� Rock �. <br /> Overall Size of Mound System 9 L) `�•7 Size of Mound System Rock Filter Material l 12- <br /> Draw detailed diagram to scale with measurements below. <br /> --- —) 1. <br /> / <br /> /46.i5{ Y.. A, (-,.„ 13 ta <br /> ./\11 . 3 - 53 ' <br /> lb A <br /> 3 : (°.7 <br /> `Zefr i``jN I k 1 iou r <br /> 3 (, c0 ,Pwk . <br /> Lt.& 1+eJ <br />