HomeMy WebLinkAboutSeptic As Built450 Willow Dr S
CITY OF - 91 E • (763)479-&52-7----
WORKSHEET
7f3)-
WORKSHEET FOR SEWAGE DISPOSAL WORK
Date
11
Inspector1/Z �l ? �n% Building Permit No.
Owner - ► 11 �� 4% v� f� Fee
Property Address 9 AJ _D f' SKind of Building 5
Plumbing Contractor -Outside Sewage Disposal 0 -nty -e
Septic Tanks /
Material 6712K t'_ -47# - I DAV" ' � Capacities :3 �) 0��'
Proper Outlet & Inlet? i Baffle Plates?
Drain Field:
Total length of lines Number of lines
. _-;p . z
Type of soil G;_Percolation Test u c, k tL-,tLA
Width of trench Type of filter material^L
r�
Amount of filter material below line A! uln
Depth from top of tile to finished grade
Check Vents ✓'
Check Grade in Horizontal Waste Pipes
Check Caulking
Clean Outs
Tonage or Yards of Filter Material 7 L `Z"" S'f`(Total Sq. Footage of Drain Field V6) 6
Sand Rock
Overall Size of d System Size of Mound System Rock Filter Material
Draw detailed diagram to scale with measurements below.
R Lo
a"A�5�1�
�t
I.
3
-ia V1 k.5 cL >"d