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Septic As Built
CITY OF o rc ? o, WORKSHEET FOR SEWAGE DISPOSAL WORK (PLUMBING INSPECTION) Date g'-2(/'-/l Inspector Building Permit No. 2.0 (/-0 0 ?C I Owner " ' lC i)o tP k� f Fee Property Addresso�6f/oki _ R/� s go "' Kind of Buil ing R s 4C.Arii0. 1 Plumbing Contractor-Outside Sewage Disposal C/M`r 1' < 1--`1SG-A CQ- v-17 ij Septic Tanks PP( Material C.oet C r'`'I'. Capacities J "" /0 Q© `s'1 Ta4 ks Proper Outlet & Inlet? Baffle Plates? Drain Field: Total length of lines Number of lines Type of soil Percolation Test Width of trench Type of filter material Amount of filter material below line Depth from top of tile to finished grade Check Vents__... Check Caulking r Check Grade in Horizontal Waste Pipes Clean Outs ye-J Tonage or Yards of Filter Material S/}'° Total Sq. Foot agp,of Drain Field �0� Sand i9 /, Rock � ' c Overall Size of Mound System c, '33 Size of Mound System Rock Filter Material l O v1 y 6b Draw detailed diagram to scale with measurements below. C 0. ki ,,, q,. 1eftc se_c_„,11 ! .,tA Is, e. 410 A , 8 e( •j q 72, 2, 83 �!• t 9It � � al o a CD ZJ gQ 0 �t..JJ co a