HomeMy WebLinkAboutSeptic As Built CITY OF INDEPENDENCE • (763) 479-0527
WORKSHEET FOR SEWAGE DISPOSAL WORK
Date 1/
Inspector LO/// 2 Building Permit No. 7,040f v4473
Owner ] L1Os6r,,eS &WS,--- /� � Fee
Z ' `
Property Address �'r /Lei" —`��Kind of Building S��
Plumbing Contractor-Outside Sewage Disposal I-4 _S 71" s0"^-3
Septic Tanks
Material C i Capacities 3 `.-s
Proper Outlet & Inlet? `� Baffle Plates?
Drain Field:
/
Total length of lines CD" Number of lines 3
Type of soil /J tea/Lc Percolation Test 12---4-'517 t? 5
Width of trench Type of filter material -CJ io"'1‘-z—
Amount of filter material below line /Z 504"",
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Depth from top of tile to finished grade
Check Vents ✓ Check Caulking
Check Grade in Horizontal Waste Pipes " Clean Outs
Tonage or Yards of Filter Material 2-47-0 71412 Total Sq. Footage of Drain Field G0 30
Sand 1/ X R3 Rock / fl X- 63
Overall Size of Mound System /S 7 k7 Size of Mound System Rock Filter Material
Draw detailed diagram to scale with measurements below.
•
4
,41 T2s"
-2,- 3S3 &L7