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PC <br /> CV_ vl Exhibit <br /> • <br /> CITY OF t E • (7 - o <br /> WORKSHEET FOR SEWAGE DISPOSAL WORK N <br /> CD <br /> rI �' `` Date / A i i '� <br /> - <br /> Inspector Lu 1 ( (�e (Di LI b 5 Building Permit No. <br /> Owner ( .,(1 r( S 13 1 u wvk_•i? v'- Fee <br /> Property Address ' - F 7� �in�bTy <br /> �� � � Jc'— �? Building j <br /> Plumbing Contractor-Outside Sewage Disposal iq 44p, ` sc,,,,,--. <br /> Septic Tanks l�, <br /> Material C C. Cre j�+ �- (h1 ) Capacities :�~ ( �'+--- % <br /> Proper Outlet & Inlet? L.------- Baffle Plates? 11' <br /> Drain Field: <br /> Total length of lines Number of lines <br /> Type of soil -, (i..... .(s Percolation Test <7/ P ��S 4: // 1 <br /> Width of trench Type of filter material lc--)F%i.; PT.,OY _ <br /> zT, <br /> .i� . <br /> Amount of filter material below line ' ' 7l t Z t r—eel-- ' 4 Na `P <br /> Depth from top of tile to finished grade Lj /17y <br /> Check Vents L..---- Check Caulking :,.-- <br /> • Check Grade in Horizontal Waste Pipes '' Clean Outs '---- <br /> Tonage or Yards of Filter Material Z-5O_4Ry4Q5 Total Sq. Footage of Drain Field 17/(0 <br /> Sand CZ) Rock j u X 47 <br /> Overall Size of Mound System dam. 7/�— <br /> Y A lel Size of Mound System Rock Filter Material <br /> Draw detailed diagram to scale with measurements below. <br /> ,4. , ` 3.7 1�! <br /> r-I <br /> 2 = Li $ ' W -f Es <br /> 3 .--- 43-S-' ( IA i L .s" <br /> /13 <br /> ' wLiL <br /> 3 �0 }, <br /> 3 — y 3 e_IZ cet _^ <br /> i' (De ffcQ euvoe f,„ rar,. <br /> i,--_ <br /> \... , <br /> , Iso <br /> __, „Li , <br /> i V- t v\ C, .- --,-,4 v„trt... ,..„),1 4 r4i•. G ? , <br /> • `1 J <br />