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f., <br /> CITY OF INIOSPENSENCE •. ' <br /> WORKSHEET FOR SEWAGE DISPOSAL WORK � <br /> Date [/ <br /> -1 --f / <br /> Inspector LAI/ill "k 6/ b/b. Buildy,',�lPermit No. Z0 ill ` 0 c e <br /> s erf <br /> Owner •-nf &Alit/ i 6 [ �r ��'�7 Fee <br /> �'1 Z(a 7 /Ci-( .tetai, uv S e <br /> Property Address �'� Kind of Building <br /> Plumbing Contractor-Outside Sewage Disposal ---5 <br /> Septic Tanks <br /> Material C ✓ <br /> I ..,..7 ,i <br /> A'y°'� Capacities L <br /> Proper Outlet & Inlet? �/ Baffle Plates? �/. <br /> Drain Field: <br /> Total length of lines 3 f Number of lines y.,pv� <br /> Type of soil 6(a f I! P Percolation Test S' ' 1 1:1 <br /> 11 <br /> Width of trench Type of filter material C''4' L-aA''-'‘t- <br /> Amount of filter material below line ) 54 i,,,j;' <br /> .,...4 t <br /> Depth from top of tile to finished grade <br /> Check Vents Check Caulking <br /> `� `� <br /> Check Grade in Horizontal Waste Pipes Clean Outs <br /> Tonage or Yards of Filter Material(� 170 `1 Is' Total Sq. Footage of Drain Field 51 1C <br /> Sand gUrT X Ir Rock / ' % L/ / <br /> Overall Size of Mound System 56/ ,tiy/ Size of Mound System Rock Filter Material <br /> Draw detailed diagram to scale with measurements below. <br /> 5 Z <br /> V7erN) E "A; t.A/ <br /> s4.- <br /> r ----Vr- I.''J 1 G, L410.1 H1 <br /> C I i4),r Lu 4 "-Z. N <br /> f n <br /> i t(G` i 'a <br /> 7o -c. <br /> r <br /> 1 <br />