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HomeMy WebLinkAboutSeptic As-Built CITY OF INDEPENDENCE—a— ;;-_- .a _ - WORKSHEET FOR SEWAGE DISPOSAL WORK c WI . ' V Date ' 15— IC) Inspector i 1 t( e 1fib S Buildi Permit No. 2-© 10 " 0 0 7 1 3 Ownerl b►ex..1 5Ckre%A.r 4 Lice-1►.. 14)44✓M^QAN Fee Property Address Z(o3C) 1-0X S-i''' Kind of Building SRD Plumbing Contractor-Outside Sewage Disposal (4 Al�,., 4- s Septic Tanks Material C .-' 'k (-64(...i-v-) Capacities 3 -1300 Proper Outlet & Inlet? i� Baffle Plates? '-------- Drain Field: , Total length of lines (' I Number of lines 3 Type of soil 1' k.._ Percolation Test le-yS41 D cj crvi Width of trench Type of filter material (-bee g ' C- Amount of filter material below line /2- " 5":-Mb 3 f/Z_ Depth from top of tile to finished grade Check Vents ✓ Check Caulking ./ Check Grade in Horizontal Waste Pipes ✓`` Clean Outs Tonage or Yar s of Filter Material_i_� 1 44-6 Total Sq. Footage of Drain Field ( ) 34' Sand i A 3 9 Rock /0 1 X CO 3 e �i i it Overall Size of Mound System U (f D . Size of Mound System Rock Filter Material I "?- Draw detailed diagram to scale with measurements below. S xv,ell , bir°r.,e - I y I'r• r i'pe I`1 v e-s`f of i ;-4--f-aN k i N it - 0-, - 6,R FV1-Vae- C410 . °'° Ar I ' O 2- 72 3"79 (3 /0 -z_-= Y ' 3 =6/