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• <br /> • <br /> • -. : CITY OF <br /> .. 'WORKSWEET FOR'SEWAGE DISPOSAL'S 011t', . <br /> • <br /> Bat ^l I <br /> . Inspector 1` 1 t�. c O 116.E <br /> 80d41g Permit Na { <br /> ONaier. '-' ".i ,...PA.. .. .1 ,1 u rr, v• <br /> Property Address i [ldiri� .' '" • . <br /> Plumbing Contractor-Outside Sewage:;Disposal L4 t 4;'j '4'' '�y '$► . <br /> 'Septic.Tanks. <br /> Mate•r►a! •�..E CC.1 .. .. > l i tGtH:: cites : ,�..4-Ott5 <br /> :Proper OOtkii& Inlet/ .. • . t,; �e."T - .Baffle Plates?': + ^' <br /> Drain Fielis <br /> .• Total length of:limes• Number'of lines - ; -, <br /> Typet.of soli: .. :percolation Test'.• 3 r:P-'" 44'.'.. <br /> ype.of filter •Cc'4 ci C 4,v ., <br /> Width of:.trench -� (ti <br /> t•... <br /> Amount di filter materiel be• low:line'LL •- : A- .- 1 <br /> •Depth from top"of the to finished gradei, ''1 �2.- ._ ., <br /> Check.Vents � . • Check Caulking :•_ . . <br /> I <br /> Check Grade'in Rorizontat Waste Pipes • `'� . •.Clean Outs-• r. I <br /> 4111) Tonga or Yards of Filter Material:.2 _yArs ' <br /> Totai'Sq. Footage cf brain Field 'r7y�� �. • <br /> Sand , ', •�.C.;)► k-i e f'b, _ <br /> flock K � • <br /> Overall.Size of Mound'Systetr ab:.)( Site of::-Mound System;Rock Filter Material ,_.-..,,,. <br /> • Draw detailed diagram to_scale with"measurements•below .. ., <br /> E <br /> -... i-.'" .!'''..-. ..1-.. L. . . . .. . • - <br /> • <br /> • � . t <br /> 3 - 'f ': ,yry� �+ <br /> :tCs� +k �►. • ft' . <br /> • ••... . • • . .. . . ..... .. .. .,. ....... . . . . . .... . . . .... ... <br /> 1 <br />