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CITY OF Oro n <br /> WORKSHEET FOR SEWAGE DISPOSAL WORK (PLUMBING INSPECTION) <br /> Date //-.?2-11 <br /> Inspector ' s Building Permit No.20/I " © i 2 3.1 <br /> Owner Coo^`c .i N41-Xa'l 4 c)9 r-e..._ Fee <br /> Property Address 31 'Sr /-'d II a,4er RA Kind of Building Res'- <br /> Plumbing Contractor-Outside Sewage Disposal E---7/f".e—r '3 - PG1<--*Sa' CC", <br /> Septic Tanks gp1'S7 2 gy(i s"tV 4114 - I oa �1rs <br /> C -, 4 /3o0 w <br /> Ne., <br /> L`'.onern '. 3.-loon .- / 3C'o P,"/ol'�k <br /> Material Capacities <br /> Proper Outlet & Inlet? Baffle Plates? <br /> Drain Field: 07'4 c. r ,rt0 n a. S y.SittM (i pees" $'; I'c u S eC <br /> Total length of lines Number of lines <br /> Type of soil Percolation Test <br /> Width of trench Type of filter material <br /> Amount of filter material below line <br /> Depth from top of tile to finished grade <br /> Check Vents Check Caulking <br /> Check Grade in Horizontal Waste Pipes Clean Outs <br /> Tonage or Yards of Filter Material 59C Total Sq. Footage of Drain Field_/D X ' &TO efi. <br /> Sand o Rock I f <br /> Overall Size of Mound System G3 x SIJ Size of Mound System Rock Filter Material /c ' to <br /> Draw detailed diagram to scale with measurements below. <br /> U€ Lc RA . <br /> us #4 . e <br /> 17' i\- /67 3 nI AJ <br /> ° oo a 27 it <br /> l7 1 <br /> �d <br /> I. <br /> ' I <br /> Q. r* <br /> A g • <br /> ii3 <br /> s. w <br /> 2 <br /> O <br /> . a,r. m <br /> a <br /> Wel 0`.)e r I(' 0 <br /> • nu <br /> a <br />