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CITY OF 0/2OJU0 <br /> WORKSHEET FOR SEWAGE DISPOSAL WORK <br /> Date ii -T7 - 0 <br /> Inspector (,A jj/fie e a bks. Building Permit No. Z JOC, - v 062 q <br /> Owner j)0,14 d 4 kc 4n ks i"oSy ry <br /> Property Address Z ZSZ) frr cL.e irk L..k Le. (2.e.0 . <br /> Kind of Building S F b <br /> SSTS Installer (4U c�y.t..5 ct C>crY.5 L,ec _ I- 5 /4-it License# ( �C0 <br /> Septic Tanks Z ;6344. <br /> Material Calke-veli AAlta 1,4$aka►" Number of Tanks 3 <br /> Size 3 — i 0 0 0 <br /> Drain Field: /in ovill <br /> / <br /> Total length of lines r� Number of lines 3 <br /> Type of soil /3 k eek-. Percolation Test S, P ; % .e S <br /> Width of trench Type of filter material Geo ? a" C <br /> Size of Rock Bed /0 / y 5t) ' Size of Absorption Area Lit Z f X 1:;;: <br /> Draw detailed diagram with measurements indicating distances to septic tank risers from a <br /> permanent structure. <br /> t. 5 <br /> A- I= Z2' N- <br /> 2_,:: ze i ' x'a i -, , , 1 e---\--: <br /> Iv <br /> well ` ' <br /> i i 1 AS <br /> 7,776: 1 <br /> 2.1 i-JoL se <br /> ''��� <br /> ro -it <br /> -t, f 44414 = 3 3 r. <br /> 3d` <br /> iftammod <br /> pE 5 1 c,,,„U Pw x^47 <br /> w ( .4 I4 i2 w• <br /> 1 00 c 9 c. f(o - , ,,C+ s ct4-;od <br />