Laserfiche WebLink
UNIVERSIT) <br />OF INNESO7 <br />Owner: ' 1, <br />Street/City/Zip Code: <br />Lot: �4 'g U2 <br />Installation Date: <br />Is the system in ShorE <br />Number of Bedrooms/ Flow Rate: 6 gpd Septic Tanks, No & Sizer y 7A#/gal <br />Pump Tank Size: 1,;2 j C gal Tank Manufacturer: 5P 94k Model # <br />Date of Manufacture: 7-?'-Zj Maximum Burial Depth: _4_ <br />Pump Size: (.5- hp_ gpm _ft of TDH Floats properly set? YES ® NO <br />Soil Treatment Area: <br />LTYPE 1 E3 TYPE II ® TYPE III Li TYPE IV © TYPE V <br />Ell TRENCH ® BED ® MOUND U AT -GRADED WARRANTIED ® OTHER: <br />Limiting Layer/Depth: (/K Rockbed Size: f0 (y <br />Depth from Surface: Adsorption width: , <br />Rock or Slat depth: Sand depth: <br />Diameter of travelless: (under mound) <br />Trench Width: <br />iii <br />Bottom Square Feet Area: ft` <br />Design Variances: <br />e <br />414 <br />6A"R <br />F <br />H <br />(; ak 0/ <br />re <br />11:�� m�Vcn <br />Q <br />4% <br />Describe: <br />items to be identified: <br />1. Septic, holding and pump <br />tanks, piping, and soil system <br />configuration. Label bed or <br />trench width and length or <br />rockbed size, absorption width <br />and final dimensions. Indicate <br />alarm location. <br />2. Show all setbacks from tank <br />and soil system <br />a. Property boundries <br />b. Buildings <br />c. Wells <br />d. Water bodies <br />e. Road right-of-way <br />3. Improvements - present and <br />future. <br />4. Benchmark location and <br />distance of tank and soil system <br />from benchmark <br />5. Replacement site <br />6. Abandoned system <br />Reverse Side <br />