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Address 2-700Property I.D. ilyzji` ^Z3 2 £2 WELL DATA <br /> ,(Standard trench 1- <br /> ,D Mound . <br /> T � 1/ L/ I <br /> 11 <br /> System type D Other Legal Description _`i3174{ Re-4-5e, c y <br /> Permit No. 5 Date of permit_a'-/7- ' Installer Lt_f,e:-s1T,A1�rf ' <br /> No. Bedroom Garbage $ <br /> Building type „JeE1q»7Jt or GPO Laundry X Dishwasher X , Disponi _'? 1 ' l <br /> o <br /> SEPTIC TANKS:Materielr.--7-7. 1:—C;;;;;71)--- -2) /47,0 I <br /> f ie4s / t 6 EA4� i <br /> Proper outlet end Inlet r L / <br /> � ._...Baffles �/t[7'1� �q/Nt_�!�Liquid depth to AO level ,� ,1 <br /> o <br /> Height of tank bottom above water table iVe�',l.. Distance to nearest building , .. t± h 2 <br /> b <br /> GRAINFIELD; Total length of lines ....‘.22,212,_.Number of lines (r' Trench width 1 t="T <br /> Total treatment eras )sq.ft.) Height of drain field above water table 3 4.� )t i� w .fit , <br /> Type of filter materiel 7.14 I�C� soli type -�3t,AC-' . t& Aw1� �(,4 y �►.tE c", M1 <br /> Distance from nearest bldg. 7u /=� Tile size 1 r►+iT6 PViS 3 E3 -- 6 0 E _ `'' <br /> aro rate mirt/1n & S <br /> Depth of fill over drainfield ,i2-.7,2-1/ if <br /> Depth of rock over tile 2.-V" <br /> under the /2 u1 <br /> —. , I. .1 <br /> LOCATION <br /> SKETCH <br /> INS ECTION RECORD PUMPOUT RECORD <br /> P <br /> COMPLIANCE DATE GALLONS " <br /> DATE ' , \ <br /> 8-2.L.-78 NST4Gt zwrt .i G -co6. Joos) J s. <br /> / � � pi,'" � Irt <br /> 7^3Q-7q a ;Ad!), PO'C' pt .aX/t4r/Ez,� <br /> v'.\ <br /> 7:2511 I /19 SL ah -" rook] � 'N J� .• '100 a N <br /> r 11 )i / <br /> t 11 /h, <br /> * VINihiiiiii., <br /> rte. , <br /> -- - — utio <br /> In ude; 1) Well iocntlon gfrG <br /> �--•-- 2) Distance from house t <br /> septic tanks,dist,box, <br /> g�iru� and dreinfleld <br /> 6"cc`'"C rico 3) North arrow end road <br /> c- CONFORMING S—SUBSTANDARD N --NONCONFORMING 1,fN4. <br />