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METRO WEST INSPECTION SERVICES, INC. • 763-479-1720 <br /> BOX 248 • LORETTO, MN 55357 <br /> CITY OF 010 ttq) <br /> WORKSHEET FOR SEWAGE DISPOSAL WORK <br /> Date tcfy_/ <br /> Inspector 1101 gY 6;1`/-A) Building <br /> Permit No.( /Y''s lfRT <br /> Owner <br /> Property Address 1/30 o/d e yt5k l � /Pep <br /> Kind of Building / O/ / <br /> SSTS Installer >N P'aPi License# Icr-*- <br /> Septic Tanks <br /> Material CQ1"" <br /> � Number of Tanks .3 <br /> Size 3— 3J d <br /> Drain Field: <br /> Total length of lines 1 g Number of lines `3 <br /> Type of soil Percolation Test <br /> Width of trench Type of filter material <br /> Size of Rock Bed to Y(p 3 Size of Absorption Area <br /> Draw detailed diagram with measurements indicating distances to septic tank risers from a <br /> permanent structure. <br /> 33' y r r <br /> 2 1"' 6-3 <br /> 3 1311 55/ <br /> 34. 1)0' �s <br /> 5 y3 i.k&� <br /> his <br /> war3 <br />