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WORKSHEET FOR SEWAGE DISPOSAL WORK
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Inspector f .�.iAUj `2 Building Permit No.
owner
Property Address (n 1 a C ('may �r Y� Pc„r14 RA
Kind of
SSTS Installer
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Septic Tanks
Material (D/ / Number of Tanks
size oao /1 F7�
Drain Field:
Total length of lines Number of lines -�
Type of soil 11 la-kl- Percolation Test
Width of french Type of filter material
Size of Rock Bed 10' 3 tT Size of Absorption Area
Draw detailed diagram with mmsurements indic=ating distanees to sq fic Rank risers from a
Permanent structure.
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