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WORKSHEET FOR SEWAGE DISPOSAL WORK
Date
InspectorBuilding Permit No.
Owner Cy e✓t,��r"�"''i�` Fee
Property Addres�'� ���"`'� kind of Building
Plumbing Contractor -Outside Sewage Disposal At 'J'
Septic Tanks
Materials •'q I �` ` Capacities 3 3 C,)0
Proper Outlet & Inlet? ...N Baffle Plates? "
Drain Field:
Total length of lines �" Number of lines
Type of soil_
Width of trench
_ Percolation Test
Type of filter material
Amount of filter material below line
Depth from top of tile to finished grade
Check VentsCheck Caulking "
Check Grade in Horizontal Waste Pipes "' Clean Outs
Tonage or Yards of Filter Material Total Sq. Footage of Drain Field `4' `--
Sand Rock 0 )< Z�
Overall Size of Mound Systems Size of Mound /System Rock Filter Material 1`2
Draw detailed diagram to scale with measurements below. Gift �.,� X� J-; j .0
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