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CITY OF o rc ? o, <br /> WORKSHEET FOR SEWAGE DISPOSAL WORK (PLUMBING INSPECTION) <br /> Date g'-2(/'-/l <br /> Inspector Building Permit No. 2.0 (/-0 0 ?C I <br /> Owner " ' lC i)o tP k� f Fee <br /> Property Addresso�6f/oki _ R/� <br /> s go "' Kind of Buil ing R s 4C.Arii0. 1 <br /> Plumbing Contractor-Outside Sewage Disposal C/M`r 1' < 1--`1SG-A CQ- <br /> v-17 ij <br /> Septic Tanks PP( <br /> Material C.oet C r'`'I'. Capacities J "" /0 Q© `s'1 Ta4 ks <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 r <br /> Check Grade in Horizontal Waste Pipes Clean Outs ye-J <br /> Tonage or Yards of Filter Material S/}'° Total Sq. Foot <br /> agp,of Drain Field �0� <br /> Sand i9 /, Rock � ' c <br /> Overall Size of Mound System c, '33 Size of Mound System Rock Filter Material l O v1 y 6b <br /> Draw detailed diagram to scale with measurements below. <br /> C <br /> 0. <br /> ki ,,, <br /> q,. 1eftc se_c_„,11 <br /> ! .,tA Is, e. <br /> 410 <br /> A , 8 <br /> e( •j <br /> q 72, <br /> 2, 83 <br /> �!• t 9It � � al <br /> o <br /> a <br /> CD <br /> ZJ <br /> gQ 0 <br /> �t..JJ co <br /> a <br />