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� CI1 Y Ut�O}ZUNO Date <br /> �.;I�DDRESS � Conn�ct�d to <br /> ''Co�E SF.PTIC SYSTEM INVENTORY CARD Mun�cipst Ssw�► <br /> Addnu�C�� N �1�c1��ti1 I�p PropsnY I.D. _27-11�.-2 3 �3�/ CCC .-, WELL DATA <br /> � St�ndard tr�nch I I <br /> O Mound <br /> Sy�t�m type O Othtr Lsp�l Dsscription y/3^'7 - �j p/�J � � <br /> Permit No. �(' i� 2 y�3 y D��of I t <br /> psrmit �/-T- 7/ instsll�r v k S <br /> No. Bedroortu Gerbepe c � <br /> Buildinptype (�'�(ppvCE orGPD y /PI�' I,.�undry�Dishwasher X Disposal_� �° - I <br /> � O <br /> SEPTIC TANKS: Materisl G o <br /> GD�city t) /C`nC� 2) SC�C7 � ¢ � <br /> Proper outlet�nd inkt Beffles Uquid depth to RO levsl � � � <br /> a � <br /> H�ipht of t�nk bottom above w�ter Uble Distance to nearost buildinp H � <br /> b <br /> DRAINFIELD: Totel lenpth of Ifnes Number of Ilne: Tronch width <br /> Y (!!) <br /> Total treatment aroa(tq.ft.) �t7�'7 Fi�iqht of drainfieid above water tabie � ` .w <br /> U � <br /> Type of filter maprial �i�ty� � � = � <br /> c <br /> Distance from nearost bldg. Tib sizs Perc rate min/in � 8 Q� c <br /> « b v <br /> Dspth of fill over drainfield Depth of rock over tile u�der tile � a � � <br /> w E <br /> � a U � <br />