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1 12 12 09: 29p Brad 7636820977 p. 7 <br /> cv <br /> J <br /> CITY OF OrtO ! <br /> WORKSHEET FOR SEWAGE DISPOSAL WORK <br /> Date 7 — 1 3 —1 -1-- <br /> Inspector <br /> lInspector i Uo e Building Permit No. <br /> Owner_ Yh ; ( b s) <br /> Property Address ,55 5 ‘►'1 V t-(r c- <br /> Kind of Building S l I <br /> SSTS installer, H e license# L 0 <br /> Septic Tanks <br /> Material eG+re�re. ' "'"1 ' Number of Tanks <br /> Size 13©c.. -uo I /3 ere) is <br /> Drain Field: a <br /> Total length of lines to.1 Number of fines <br /> Type of soil '.-2)144,1-14- Percolation Test P.,•—*5 C LScrvI <br /> Width of trench Type of filter material <br /> Size of Rock Bed l°01) co3 ' Size of Absorption Area <br /> Draw detailed diagram with measurements indicating distances to septic tank risers from a _�� <br /> permanent structure. <br /> • <br /> 1 2 - <br /> - /72 0 ,6.0-ert <br /> ZIL- 353 <br /> N <br />