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Inspector <br />Owner <br />C�lv _ L-, b ' lL - -- <br />WORKSHEET FOR PLUMBING INSPECTION (SEWAGE DISP(`e .L WORK) <br />Date—L/ <br />.I <br />I <br />Building Permit No <br />Fee <br />Property Address l K-nd of Building—I-�0.7 ., <br />Plumbing Contractor Outside Sewage Disposal <br />Septic Tanks <br />Material J' /.l .t� l ('�V 1.L %LC.apatrtieti �+– 1-C1 _r l/�L �• /00 ) fJ,�I�.•V(, <br />Proper Outlet & Inlets Baffle Plates? <br />Drain Field <br />-f <br />Total length of Ines _ _ Number of lines— <br />Type <br />ines <br />Type of soil__.. <br />Width of trench <br />Amount of filter material below I ne <br />__ Percolation Test <br />Type of filter material <br />Deptfs from top of tile to finished grade _ ___ ._ <br />Check Vents <br />----Check Caulk,•,y <br />Check Grade in Hot irontal Waste Pipes_ _ _.— -------Clean Outs <br />Tonage or Yards of Filter Material _ _-_ Total Sq. Footage of Drain Field <br />Sand 1 C/Y Rock -- Lw <br />Overall Sire of Mound System l Sire of Mound Sysiem Rock Filter Material r/42 y� <br />Draw detailed diagram to scale with mrasurements Iwlow <br />