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. <br /> METRO WEST INSPECTION SERVICES, INC. • 763-479-1720 <br /> CITY OF • {� <br /> WORKSHEET FOR SEWAGE DISPOSAL WORK � <br /> Date <br /> Inspector Building Permit No. <br /> Owner Fee <br /> Property Address Kind of Building <br /> Plumbing Contractor-Outside Sewage Disposal ' � y <br /> Septic Tanks <br /> Material ,.:iY - Capacities <br /> Proper Outlet & Inlet? Baffle Plates? <br /> Drain Field: <br /> Total length of lines Number of lines <br /> Type of soil Percolation Test <br /> Width of trench Type of filter material <br /> Amount of filter material below line <br /> Depth from top of tile to finished grade <br /> Check Vents Check Caulking <br /> Check Grade in Horizontal Waste Pipes Clean Outs <br /> Tonage or Yards of Filter Material Total Sq. Footage of Drain Field <br /> Sand ' Rock <br /> Overall Size of Mound System Size of Mound System Rock Filter Material <br /> Draw detailed diagram to scale with measurements below. <br /> .. , �..,..,,_,.,_���...----- <br /> � � <br /> ��Ju SQ <br /> � � � � <br /> v�J �� � <br /> �t ,�. , �., �, �= �<��, G� <br /> E.� � t-v Gr �� � h�• <br /> ""-.\ � / <br /> s <br /> 1 <br /> � � : � � P � <br /> 2 " � �� 3 � , - y � �v� !�,l :� � �, �� <br /> , ` � r ' <br /> U► r G, l� y n- <br /> �� � � � �' ' <br /> .Z , �'� � <br /> , <br /> ; <br /> � �I- �� <br /> �� � � <br />