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3 LOCATION � <br /> � SKETCN <br /> 1- _. INSPECTION RECORD PUMPOUT RECORO <br /> � '' �, OATE COh4PLIANCE DA'"E Gl,LLONS ��L _ <br /> —_ _ Ld <br /> G Z�/—B! �(1? .Cci lZ.t'A[J/vCr Nnt'cs2� �- �=y^�''� _�C�(�� n <br /> ' S-/F3-Y;1 '7�p <br /> � - — <br /> �� <br /> i — � <br /> . --- � i <br /> ������ . - . . �� � �. �`S7 <br /> k � I / <br /> , t <br /> - _ . -- ^ - .�. _,�� <br /> -�i�. . � .. �_ ^ <br /> Include: i) Weil iocation s?a?z=s A v�. <br /> - - 2) Distance fr�m house to <br /> septic tanks,dist.box, <br /> and dreinfield <br /> = C-CONFORMING S-SU85TANDAR D N -NOIJCONFOFiMING 3'r North arrow and+oad <br /> ;,, ' <br /> a:: <br /> ,. __—__._ i <br /> 'I <br /> � <br /> CITY OF ORONC �ste � <br /> ADDRESS . � Cr,nnected to ,� � � <br /> CODE � SEPTIC SYSTEM INVENTORY CARD Municipal Sewer � f'? �+..F' <br /> �'?O�� �f'A�S Al/E=NuE= Property I.D. ID-/�7'Z3 �I �C)�CJ WELL'JA7A <br /> �Address { � <br /> [7 Standard trench L��� ��_�C� ( <br /> C] �dound � m <br /> , Syst6m type C� Other Lepal Desaiption Qr�A_p."iCJC O d <br /> �/3 yG� � t <br /> Permit tio. a�irR Oate of permit �'/�!�% I�stal!er C��/3 � � <br /> No.Bedrooms Garbage � o � <br /> Building tyAe ���DF/U�� or GPD _ B/��-_La�r.dry x Dishwasher Di;posal � - <br /> e <br /> a n` <br /> SEP71C TANKS:Material �or�l� . Capacity 7) ✓ ��� + 2) ° ¢ � c <br /> : � r ` m '8 <br /> Pro�er oudet and tn{et Be'fles Liquid depth to FO level 'i� 3 � <br /> m � <br /> Hoight of tenk bottom abuve water table . ��= Oista�ce to nearest building -�� ' � �' E <br /> � <br /> C O <br /> DRAINFIELD: Totel IengiA of lines Numbr,r of Ilnes Trench width <br /> , y � <br /> Total treatment area(iq.ftJ Height of dra;nfield abovs water uble _ � � <br /> a <br /> - u <br /> 'fVPe of iilter matertal Soil type � G� � <br /> E r - <br /> Diat�nce from nearcat bidg. Tils s;ze Parc rate .min/in ° � � c <br /> . M v <br /> Deptfi of fill over drolnfield Depth of rock orer tile under tile_ .� E ;; � <br /> _ » � ,� m <br /> p a U � <br />