HomeMy WebLinkAboutSeptic As BuiltCITY OF
WORKSHEET FOR SEWAGE DISPOSAL WORK
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Date^�� .
t) 1 �1 QCs kr v� Ce Building Permit No. 2001 `— 00-3S I
Fee
Property Address' / i °q+� e� ' Kind of Building
Plumbing Contractor -Outside Sewage Disposal C -.04. -s
Septic Tanks ��(D4kVVj;k)}Material C�' e-wl-„�� Capacities_ — 1 �d
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 the to finished grade
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Check Vents °' Check Caulking
Check Grade in Horizontal Waste Pipes t”' Clean Outs
Tonage or Yards of Filter Material IftV 6A-5- Total Sq. Footage of Drain Field
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Sand -tlx -- Rock % r }� ► t
r i f i
Overall Size of Mound System f Size of Mound System Rock Filter Material
Draw detailed diagram to scale with measurements below.
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