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Inspector <br />Owner— <br />Prop" <br />• h If]... is ;1� <br />WORKSHEET FOR SEWAGE DISPOSAL WORK <br />Date <br />Building Permit No, <br />� ., Fee <br />._-q �-- <br />of Building <br />Plumbing Contractor -Outside Sewage Disposal <br />Septic Tanks �- <br />Mat a eri I O K4 Capacities �rk�.f'rio 306 <br />Proper Outlet & Inlet? Baffle Plates? <br />Drain Field: t <br />Total length of lines <br />Number of lines lf3 - <br />V'`-' -5'f <br />Type of soil <br />Percolation Test <br />If <br />Width of trench <br />Type of filter material <br />Amount of filter material below line <br />Depth from top of the to finished grade <br />Check Vents <br />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 />- <br />Sand Rock l >4 25 8 <br />Overall Size of Mound System Size of Mound System Rock Filter Material <br />Draw detailed diagram to scale with measurements below. ) <br />W <br />.A <br />3, bb <br />