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METRO WEST INSPECTION SERVICES, INC. • 763-479-1720 <br /> O <br /> CITY OF <br /> OROAJ v11) <br /> o,1 <br /> WORKSHEET FOR SEWAGE DISPOSAL WORK 2 <br /> x <br /> DateQffo666ta <br /> �� a <br /> Inspector W : LL` Cr. Building Permit NoDoi-a - 001 3 1 <br /> Owner ✓n< CAVA ( Fee <br /> Property Address 33 Li-0 -1/A0A 7 t Kind Qf BuildingC. I". O. <br /> Plumbing Contractor-Outside Sewage Disposal No.ats d-- SSS <br /> Septic Tanks /� <br /> Material aft, er- Capacities 3 — ( a so <br /> Proper Outlet & Inlet? Baffle Plates? <br /> Drain Field: <br /> Total length of lines Number of lines <br /> Type of soil Percolation Test <br /> Width of trench Type of filter material <br /> Amount of filter material below line <br /> Depth from top of tile to finished grade <br /> Check Vents Check Caulking <br /> Check Grade in Horizontal Waste Pipes Clean Outs <br /> Tonage or Yards of Filter Material Total Sq. Footage of Drain Field <br /> Sand r Rock <br /> I <br /> Overall Size of Mound System 7s X 9S Size of Mound System Rock Filter Material /v X 6 <br /> / _ raw detailed diagram to scale with measurements below. <br /> X‘64) <br /> c f 7 `t' <br /> • <br /> ) 1--____----, pkI. Es <br /> R 1 <br /> 46). \‘ (5 31) 1 . <br /> p, --(9' i \ ‘ <br /> d' _lD i $(1' �� <br /> a� .0 <br />