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12 12 09:31p Brad 7636820977 p.10 <br />Inspector <br />WORKSHEET FOR SEWAGE DISPOSAL WORK <br />Date It -.2'- 1 i <br />Building Permit No. <br />Owner // '' — - -- - - • - - <br />Property Address`s (D <br />Kind of Building <br />SSTS Installer <br />�3 License* <br />Septic Tanks <br />Material (,M Ak�-�- Number of Tanks <br />Drain Field: <br />Total length of lines 3b Number of lines <br />Type of soil ,_- Percolation Test ' s <br />Width of trench Type of filter material a "t2�4 <br />Size of Rack Bed _ I l�� ?J Size of Absorption Area <br />Draw detailed diagram with measurements indicating distances to septic tank risers from a <br />permanent structure. <br />R I — <br />B, — 10 <br />9-2-- S9 1 <br />—52-1 <br />N E. <br />OUD 5 a <br />b kwuJt L. f r t`) V-5 <br />ate Lo jvk144- <br />bo.�k- ,z <br />